ALPP CLC Exam
"you should not devour highly spiced ingredients when BF" - ANS-- many anthropologists
accept as true with that the flavors of the lifestyle are conveyed to the kid via milk while
lactating
- youngsters are acculturated to the flavor in their native ingredients via BM
- longer period of BF is associated with better meals variety at three years
- foods that don't flavor acquainted are much more likely to be refused
10 steps for successful BF - ANS-1. Have written BF coverage that is robotically
communicated to all HC team of workers
2. Educate all HC team of workers in abilties vital to put in force coverage
three. Inform all pregnant women about advantages and control of BF
4. Help mothers initiate BF within 1 hr of beginning (key: instant s2s, uninterrupted and
continuing until crowning glory of first feed)
5. Display mothers the way to BF and how to maintain lactation, despite the fact that they're
separated from their infants
6. Provide babies no food or drink aside from BF except medically indicated
7. Exercise "rooming-In" - allow moms and babies to stay together 24 hours an afternoon
(s2s and secure sleep guidelines to enhance protection had been evolved)
eight. Encourage BF on demand, encourage responsive feeding
nine. Supply no pacifiers or artificial nipples to BF babies
10. Foster the establishment of BF aid corporations and refer moms to them on d/c from
sanatorium or clinic
four-6 months - ANS-distractible
- may need to move to quieter location
- regular naps?
- separation tension
- night time feedings?
- teething
6-nine months - ANS-- cell
- teething
- everyday naps?
- night feedings?
- playful
- lengthy periods of awareness
- biting: want to explore why
nine-three hundred and sixty five days - ANS-- stand and walk
- normal mealtimes and snack nursings
- nursing before mattress and naps
,AAP weight loss stance in 2005 - ANS-"weight loss in the toddler of greater than 7% from
start weight indicates viable breastfeeding problems and calls for extra extensive evaluation
of breastfeeding and possible intervention to accurate troubles and improve milk
manufacturing and transfer"
AAP weight reduction stance in 2012 - ANS-introduced "evaluate body weight gain - frame
weight reduction no more than 7% from start and no similarly weight loss via day 5:
determine feeding and keep in mind greater common follow-up"
AAP's policy declaration on SIDS 2016 - ANS-"don't forget pacifier use at naptime and
bedtime.. For breastfed infants, postpone pacifier introduction until BF has been firmly
installed"
ABM protocol #20 - ANS-more time spent BF inside the first forty eight hours is related to
much less engorgement
abscess - ANS-- pus, now not milk
- as many as 60% can be positive for MRSA
- nursing on the opposite breast is viable
- no clear clinical consensus about nursing on breast with abscess earlier than of after
"drainage"
- surgical procedure may additionally reduce via ducts
- as an alternative, drainage of breast abscess with extremely-sound method has been
shown to be green and must be the first choice
in keeping with IFPS II - ANS-- 35% of pregnant ladies stated their place of business turned
into very supportive of BF... However...
- 52% of PP ladies stated their workplace become very supportive
- only about half of women in US are included with the aid of the Family Medical Leave Act
attaining a wholesome inter-pregnancy c program languageperiod - ANS-WHO
recommends:
- after a live start, the recommended c language earlier than trying the subsequent
pregnancy is at the least 24 months with the intention to lessen the threat of adverse
maternal, perinatal, and infant effects
adult GI hormones - ANS-also impacted by way of suckling
whilst mother suckles her gastrin and cholecystokinin pass up. This will increase the efficacy
of insulin and will increase the garage of ingested vitamins
after 1 12 months of lactation - ANS-has significantly multiplied fats and power contents
after 15 months - ANS-- part of self picture
- my blanket, my carseat, my "milk"
- time to think about a public name
after 2 years - ANS-- within the US, "closet" nursing
- everyday in different cultures
,- its changing!
Alcohol influences on BF - ANS-- low level ingesting at some point of BF isn't linked with
shorter BF length or detrimental effects up to three hundred and sixty five days of age
- questions stay about the impact at the toddler while mother combines smoking and
consuming, in particular binge drinking
- eating alcohol in extra of general beverages consistent with day for the duration of
lactation become located to be independently related to shorter BF length, even after
consideration of previously identified predictors of BF duration
alcohol while BF - ANS-- research display after ingesting 0.4g/kg dose of alcohol in OJ,
oxytocin tiers notably decreased however prolactin ranges elevated
- in another study, alcohol absolutely blocked the discharge of oxytocin
- infants won't like the flavor
- alcohol is water soluble, it passes inside and out of the milk as her blood alcohol will
increase, then decreases - it's miles NOT trapped in milk (pumping and dumping will not get
rid of the alcohol)
- another counseling trouble is set the safety of the baby if the determine(s) are inebriated or
incapacitated
all data on artificial feeding - ANS-including labels, must give an explanation for the
advantages of BF and the expenses and risks of artificial feeding
changing eating regimen to prevent hypersensitive reactions - ANS-most modifiable hazard
factors for child hypersensitive reaction are:
- maternal smoking
- kind of toddler feeding
- cesarean start
- may additionally also be that intake of "allergenic foods" in pregnancy reduces allergic
reaction and asthma in youngsters
anatomical problems - ANS-also can reason harm
- bottom or top lip became in or tongue ties
anatomy of human breast - ANS-glandular tissue made from clusters of alveoli and small
ducts, fat amongst the glandular tissue, milk ducts, areola, nipple with several duct openings
anatomy of milk cells - ANS-myoepithelial cells, connective tissue, capillaries, anteriole,
venule, alveolar cells
any recurrent feeding problem - ANS-desires evaluation/referral
any suspicious place or look - ANS-of breast, nipple, areola ought to be referred straight
away to a certified issuer
- will be MRSA or herpes, lethal for babies, so no BF or BM
assessing for pain - ANS-investigate for correct latch on, properly seal, infant's tongue,
swallowing sounds - and reteach as wanted
, - early stages of the little one's breast looking for and latching behaviors need to be found as
well as the actual feeding
uneven latch - ANS-child looks "off middle", greater of decrease part of breast goes in child's
mouth
at 11.Five years - ANS-- located discount in difficult ingesting attitudes in the regions where
EBF become promoted via the BFHI PROBIT intervention
at age 16 - ANS-found dating between intricate ingesting and weight problems
infants show greater cues - ANS-- while they're near the supply of the milk
- while cues are overlooked or country isn't most beneficial babies fret or sleep at the breast
- solution - s2s and re-teach feeding cues
- while toddler is in best nation for studying and feeding, the infant can have long durations
of awareness, commonly at some point of REM and quiet alert
infants with DS - ANS-often struggling with skill of BF
- low tone - cues
- depressed reflexes (tough to latch on) - gape
- hypotonic perioral muscle mass, weak suck (sufficient to lower mother's milk supply) -
piston, ratio, sustian
- deficiency in clean tongue motion
- skeletal abnormalities of the mouth and skull will lower volume of the oral cavity
- tremendous improved development inside the suckling behavior over time is feasible
baby led weaning - ANS-- toddlers older than twelve months
- stop "imparting" to nurse and alternate to on-request only
babyled feeding - ANS-"the breast-fed child can regulate his fat consumption speedy and
thus mothers ought to be recommended to practice toddler-led feeding"
banked donor milk - ANS-is..
- preventative - reduces long time morbidity
- reduces mortality, rely or life or death for some toddlers
- decreases NEC
- value-effective in lots of cases
- sage
BF counseling dreams - ANS-- circle of relatives concerns are heard and valued
- infant feels heard and valued
- counselor elicits "the whole story" before imparting feedback or intervention
- adults, infant, and counselor are absolutely worried in hassle fixing
- protection is continually the primary awareness (even over breastfeeding)
- technology andd devices are used very carefully
- keep away from loaded and judging words
"you should not devour highly spiced ingredients when BF" - ANS-- many anthropologists
accept as true with that the flavors of the lifestyle are conveyed to the kid via milk while
lactating
- youngsters are acculturated to the flavor in their native ingredients via BM
- longer period of BF is associated with better meals variety at three years
- foods that don't flavor acquainted are much more likely to be refused
10 steps for successful BF - ANS-1. Have written BF coverage that is robotically
communicated to all HC team of workers
2. Educate all HC team of workers in abilties vital to put in force coverage
three. Inform all pregnant women about advantages and control of BF
4. Help mothers initiate BF within 1 hr of beginning (key: instant s2s, uninterrupted and
continuing until crowning glory of first feed)
5. Display mothers the way to BF and how to maintain lactation, despite the fact that they're
separated from their infants
6. Provide babies no food or drink aside from BF except medically indicated
7. Exercise "rooming-In" - allow moms and babies to stay together 24 hours an afternoon
(s2s and secure sleep guidelines to enhance protection had been evolved)
eight. Encourage BF on demand, encourage responsive feeding
nine. Supply no pacifiers or artificial nipples to BF babies
10. Foster the establishment of BF aid corporations and refer moms to them on d/c from
sanatorium or clinic
four-6 months - ANS-distractible
- may need to move to quieter location
- regular naps?
- separation tension
- night time feedings?
- teething
6-nine months - ANS-- cell
- teething
- everyday naps?
- night feedings?
- playful
- lengthy periods of awareness
- biting: want to explore why
nine-three hundred and sixty five days - ANS-- stand and walk
- normal mealtimes and snack nursings
- nursing before mattress and naps
,AAP weight loss stance in 2005 - ANS-"weight loss in the toddler of greater than 7% from
start weight indicates viable breastfeeding problems and calls for extra extensive evaluation
of breastfeeding and possible intervention to accurate troubles and improve milk
manufacturing and transfer"
AAP weight reduction stance in 2012 - ANS-introduced "evaluate body weight gain - frame
weight reduction no more than 7% from start and no similarly weight loss via day 5:
determine feeding and keep in mind greater common follow-up"
AAP's policy declaration on SIDS 2016 - ANS-"don't forget pacifier use at naptime and
bedtime.. For breastfed infants, postpone pacifier introduction until BF has been firmly
installed"
ABM protocol #20 - ANS-more time spent BF inside the first forty eight hours is related to
much less engorgement
abscess - ANS-- pus, now not milk
- as many as 60% can be positive for MRSA
- nursing on the opposite breast is viable
- no clear clinical consensus about nursing on breast with abscess earlier than of after
"drainage"
- surgical procedure may additionally reduce via ducts
- as an alternative, drainage of breast abscess with extremely-sound method has been
shown to be green and must be the first choice
in keeping with IFPS II - ANS-- 35% of pregnant ladies stated their place of business turned
into very supportive of BF... However...
- 52% of PP ladies stated their workplace become very supportive
- only about half of women in US are included with the aid of the Family Medical Leave Act
attaining a wholesome inter-pregnancy c program languageperiod - ANS-WHO
recommends:
- after a live start, the recommended c language earlier than trying the subsequent
pregnancy is at the least 24 months with the intention to lessen the threat of adverse
maternal, perinatal, and infant effects
adult GI hormones - ANS-also impacted by way of suckling
whilst mother suckles her gastrin and cholecystokinin pass up. This will increase the efficacy
of insulin and will increase the garage of ingested vitamins
after 1 12 months of lactation - ANS-has significantly multiplied fats and power contents
after 15 months - ANS-- part of self picture
- my blanket, my carseat, my "milk"
- time to think about a public name
after 2 years - ANS-- within the US, "closet" nursing
- everyday in different cultures
,- its changing!
Alcohol influences on BF - ANS-- low level ingesting at some point of BF isn't linked with
shorter BF length or detrimental effects up to three hundred and sixty five days of age
- questions stay about the impact at the toddler while mother combines smoking and
consuming, in particular binge drinking
- eating alcohol in extra of general beverages consistent with day for the duration of
lactation become located to be independently related to shorter BF length, even after
consideration of previously identified predictors of BF duration
alcohol while BF - ANS-- research display after ingesting 0.4g/kg dose of alcohol in OJ,
oxytocin tiers notably decreased however prolactin ranges elevated
- in another study, alcohol absolutely blocked the discharge of oxytocin
- infants won't like the flavor
- alcohol is water soluble, it passes inside and out of the milk as her blood alcohol will
increase, then decreases - it's miles NOT trapped in milk (pumping and dumping will not get
rid of the alcohol)
- another counseling trouble is set the safety of the baby if the determine(s) are inebriated or
incapacitated
all data on artificial feeding - ANS-including labels, must give an explanation for the
advantages of BF and the expenses and risks of artificial feeding
changing eating regimen to prevent hypersensitive reactions - ANS-most modifiable hazard
factors for child hypersensitive reaction are:
- maternal smoking
- kind of toddler feeding
- cesarean start
- may additionally also be that intake of "allergenic foods" in pregnancy reduces allergic
reaction and asthma in youngsters
anatomical problems - ANS-also can reason harm
- bottom or top lip became in or tongue ties
anatomy of human breast - ANS-glandular tissue made from clusters of alveoli and small
ducts, fat amongst the glandular tissue, milk ducts, areola, nipple with several duct openings
anatomy of milk cells - ANS-myoepithelial cells, connective tissue, capillaries, anteriole,
venule, alveolar cells
any recurrent feeding problem - ANS-desires evaluation/referral
any suspicious place or look - ANS-of breast, nipple, areola ought to be referred straight
away to a certified issuer
- will be MRSA or herpes, lethal for babies, so no BF or BM
assessing for pain - ANS-investigate for correct latch on, properly seal, infant's tongue,
swallowing sounds - and reteach as wanted
, - early stages of the little one's breast looking for and latching behaviors need to be found as
well as the actual feeding
uneven latch - ANS-child looks "off middle", greater of decrease part of breast goes in child's
mouth
at 11.Five years - ANS-- located discount in difficult ingesting attitudes in the regions where
EBF become promoted via the BFHI PROBIT intervention
at age 16 - ANS-found dating between intricate ingesting and weight problems
infants show greater cues - ANS-- while they're near the supply of the milk
- while cues are overlooked or country isn't most beneficial babies fret or sleep at the breast
- solution - s2s and re-teach feeding cues
- while toddler is in best nation for studying and feeding, the infant can have long durations
of awareness, commonly at some point of REM and quiet alert
infants with DS - ANS-often struggling with skill of BF
- low tone - cues
- depressed reflexes (tough to latch on) - gape
- hypotonic perioral muscle mass, weak suck (sufficient to lower mother's milk supply) -
piston, ratio, sustian
- deficiency in clean tongue motion
- skeletal abnormalities of the mouth and skull will lower volume of the oral cavity
- tremendous improved development inside the suckling behavior over time is feasible
baby led weaning - ANS-- toddlers older than twelve months
- stop "imparting" to nurse and alternate to on-request only
babyled feeding - ANS-"the breast-fed child can regulate his fat consumption speedy and
thus mothers ought to be recommended to practice toddler-led feeding"
banked donor milk - ANS-is..
- preventative - reduces long time morbidity
- reduces mortality, rely or life or death for some toddlers
- decreases NEC
- value-effective in lots of cases
- sage
BF counseling dreams - ANS-- circle of relatives concerns are heard and valued
- infant feels heard and valued
- counselor elicits "the whole story" before imparting feedback or intervention
- adults, infant, and counselor are absolutely worried in hassle fixing
- protection is continually the primary awareness (even over breastfeeding)
- technology andd devices are used very carefully
- keep away from loaded and judging words
