BREASTFEEDING
COUNSELOR EXAM
How much vitamin D does a baby need? When to supplement -
ANSWERS-400/day. Supplement if mom is deficient.
Cause for sore nipples, how to fix - ANSWERS-Improper latch, correct
position. Open wide mouth, body in straight line, nipple in between two
palates. Feed on less tender side, warm compresses.
3 causes of engorgement - ANSWERS-Congestion/ vascularity,
accumulation of milk, edema
How to treat engorgement? - ANSWERS--Alt which breast offered first,
completely empty breast, reverse pressure softening, compress areola for
latch. No pumping. Supportive bra, gentle massage, green cabbage.
RICE: rest, ice, ocmpression (bra), elevate
Plugged duct: what is it, how to treat - ANSWERS-- Incomplete
drainage. Must empty side. Massage, moist heat. Lecithin supplement
What is mastitis, s/s,how to treat - ANSWERS-Infx of plugged duct. Flu,
fever, pain. Cold pack after feeding, abx.
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, PCE CERTIFIED LATEST
BREASTFEEDING
COUNSELOR EXAM
Breast abscess: what is it, treatment? - ANSWERS-Collection of puss d/t
mastitis. Surgically drained. Abx, frequent feeds and warm compress.
Candidiasis/ thrush: what is it? symptoms? - ANSWERS-Overgrowth of
fungus in mouth.
Infant: No symptoms, red rash at anus, refusal to nurse
Mom: Burning, itching, nipple pain, dark color
How to treat thrush? - ANSWERS-Both treated nystatin topical. Gentian
violet in mouth. Jack newman's all purpose nipple, wash items daily. Try
pumping or shells for pain
What to expect w/ late preterm baby? - ANSWERS-Some coordination
and cues. Maybe sleepy. Monitor stress. Difficult to maintain body temp
and sugars.
10 steps for preterm - ANSWERS-Informed, milk supply, milk
management, oral care, skin to skin, non nutritive suckling, transition to
breast, measure milk transfer, prep for discharge
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