NSPN 7100 Final Exam
10 steps for promoting and protecting breastfeeding - ANS-1. Informed choice
2. Establishment and preservation of milk supply
3. Human milk management
4. Oral care and feeding of human milk
five. Pores and skin to skin
6. Non nutritive sucking
7. Transition to breast
eight. Dimension of milk switch
9. Guidance for discharge
10. Suitable follow up
three sign of reaction misery - ANS-grunting, nasal flaring, indrawing
four causes of PPH - ANS-Tone
Thrombin
Tissue
Trauma
four levels of fetal version - ANS-1. Physiological desires
2. Motor enterprise
three. State law
4. Interest and social interaction
four stages of maternal role attainment - ANS-1. Commitment: coaching throughout
pregnancy
2. Attachment: getting to know to care for infant
3. Moving: towards a new regular
4. Achievement: new discovered maternal identity
five Areas of Knowing - ANS-1. Knowing the career: scope of exercise/competencies
2. Knowing the case: concept expertise
three. Knowing the character: people wishes/alternatives
four. Knowing the patient: know-how in their admission/hx/chance elements
5. Knowing the self: cognizance of strengths/limitations
five P's - ANS-Passenger, passage, powers, function, psyche
6 sleep wakeful states - ANS-Deep sleep, active sleep, drowsy, quiet alert, energetic alert,
crying
An prepared infant is one that - ANS-keeps physiological balance, maintains proper tone,
can transition smoothly between states and interact with surroundings
,Anti-infective properties in breast milk - ANS-Neutophils are maximum not unusual WBC
T and B cell lymphocytes:
- create antibodies
- kill infected cells
- enhance babies immune response
APGAR - ANS-Appearance
Pulse
Grimace
Activity
Respiration
Assessed at 1 and five mins a rating of 7 or much less at 5 mins warrants in addition
assessment
Asymmetrical IUGR - ANS-- regularly takes place later on
- boom of head and body do no longer fit
- often due to HTN, CVD, renal ailment
Average blood loss in a c-segment - ANS-500-1000ml
Average blood loss in a vaginal beginning - ANS-300-500ml
Benefits of breastfeeding for mother - ANS-- decreased PPH prevalence
- uterine involution
- reduced threat of ovarian and breast most cancers
- reduced threat of PPD
Benefits of breastfeeding for neonate - ANS-- stronger immunity
- decreased chance of GI contamination/celiac/bronchial asthma/resp infection/SIDS/weight
problems/diabetes
- more desirable development for preterm/weight advantage
Benefits of breastfeeding untimely babies - ANS-- decreased prevalence of NEC
- reduced risk for hypersensitive reaction
- expanded feeding tolerance
- progressed retinal function
- progressed neurocognitive development
- decreased heart disease later in existence
- faster weight gain
Benefits of preconception care - ANS-- reduced pre time period births
- reduced incidence of unintentional pregnancies
- better neonatal fitness results
- better maternal health effects
- reduced hazard of environmental exposure to teratogens/pollutants
, Blood flow from placenta to fetus and lower back - ANS-placenta --> umbilical vein -->
ductus venous --> IVC --> RA --> FO --> LA --> LV --> aorta --> umbilical arteries
or
placenta --> umbilical vein --> ductus venous --> IVC --> RA --> RV --> pulmonary arteries
--> ductus arteriosus --> aorta --> umbilical arteries
Breastmilk hormonal body structure - ANS-Estrogen and progesterone assist prepare the
breasts for lactation
After beginning progesterone stages drop triggering the release of prolactin which regulates
deliver and demand
Oxytocin is responsible for milk ejection reflex
BUBBLES - ANS-Breast
Uterus
Bowel
Bladder
Lochia
Episiotomy
Supports
Caput vs cephalhematoma - ANS-Caput: generalized edema over cranium, crosses suture
line
Cephal: collection of blood, does not pass suture line
Carbohydrates in breastmilk - ANS-- important one is lactose, without problems digested into
galactose and glucose providing energy for brain boom and preventing hypoglycaemia
- oligosaccharides sell bifidus issue (probiotic) for intestine health
Catecholamine surge responsible for: - ANS-- expanded BP after birth
- adaptation of strength metabolism
- initiation of thermogenesis from brown fat
Cervical modifications consist of - ANS-- cervix transferring from posterior to anterior
- effacement
- dilation
Components of amniotic fluid - ANS-Dissolved solids, fetal skin/hair, vernix caseosa
Contraindications for breastfeeding - ANS-Maternal HIV
Active untreated TB
Ebola
Herpes lesions on breast
Chicken pox
Drug use
10 steps for promoting and protecting breastfeeding - ANS-1. Informed choice
2. Establishment and preservation of milk supply
3. Human milk management
4. Oral care and feeding of human milk
five. Pores and skin to skin
6. Non nutritive sucking
7. Transition to breast
eight. Dimension of milk switch
9. Guidance for discharge
10. Suitable follow up
three sign of reaction misery - ANS-grunting, nasal flaring, indrawing
four causes of PPH - ANS-Tone
Thrombin
Tissue
Trauma
four levels of fetal version - ANS-1. Physiological desires
2. Motor enterprise
three. State law
4. Interest and social interaction
four stages of maternal role attainment - ANS-1. Commitment: coaching throughout
pregnancy
2. Attachment: getting to know to care for infant
3. Moving: towards a new regular
4. Achievement: new discovered maternal identity
five Areas of Knowing - ANS-1. Knowing the career: scope of exercise/competencies
2. Knowing the case: concept expertise
three. Knowing the character: people wishes/alternatives
four. Knowing the patient: know-how in their admission/hx/chance elements
5. Knowing the self: cognizance of strengths/limitations
five P's - ANS-Passenger, passage, powers, function, psyche
6 sleep wakeful states - ANS-Deep sleep, active sleep, drowsy, quiet alert, energetic alert,
crying
An prepared infant is one that - ANS-keeps physiological balance, maintains proper tone,
can transition smoothly between states and interact with surroundings
,Anti-infective properties in breast milk - ANS-Neutophils are maximum not unusual WBC
T and B cell lymphocytes:
- create antibodies
- kill infected cells
- enhance babies immune response
APGAR - ANS-Appearance
Pulse
Grimace
Activity
Respiration
Assessed at 1 and five mins a rating of 7 or much less at 5 mins warrants in addition
assessment
Asymmetrical IUGR - ANS-- regularly takes place later on
- boom of head and body do no longer fit
- often due to HTN, CVD, renal ailment
Average blood loss in a c-segment - ANS-500-1000ml
Average blood loss in a vaginal beginning - ANS-300-500ml
Benefits of breastfeeding for mother - ANS-- decreased PPH prevalence
- uterine involution
- reduced threat of ovarian and breast most cancers
- reduced threat of PPD
Benefits of breastfeeding for neonate - ANS-- stronger immunity
- decreased chance of GI contamination/celiac/bronchial asthma/resp infection/SIDS/weight
problems/diabetes
- more desirable development for preterm/weight advantage
Benefits of breastfeeding untimely babies - ANS-- decreased prevalence of NEC
- reduced risk for hypersensitive reaction
- expanded feeding tolerance
- progressed retinal function
- progressed neurocognitive development
- decreased heart disease later in existence
- faster weight gain
Benefits of preconception care - ANS-- reduced pre time period births
- reduced incidence of unintentional pregnancies
- better neonatal fitness results
- better maternal health effects
- reduced hazard of environmental exposure to teratogens/pollutants
, Blood flow from placenta to fetus and lower back - ANS-placenta --> umbilical vein -->
ductus venous --> IVC --> RA --> FO --> LA --> LV --> aorta --> umbilical arteries
or
placenta --> umbilical vein --> ductus venous --> IVC --> RA --> RV --> pulmonary arteries
--> ductus arteriosus --> aorta --> umbilical arteries
Breastmilk hormonal body structure - ANS-Estrogen and progesterone assist prepare the
breasts for lactation
After beginning progesterone stages drop triggering the release of prolactin which regulates
deliver and demand
Oxytocin is responsible for milk ejection reflex
BUBBLES - ANS-Breast
Uterus
Bowel
Bladder
Lochia
Episiotomy
Supports
Caput vs cephalhematoma - ANS-Caput: generalized edema over cranium, crosses suture
line
Cephal: collection of blood, does not pass suture line
Carbohydrates in breastmilk - ANS-- important one is lactose, without problems digested into
galactose and glucose providing energy for brain boom and preventing hypoglycaemia
- oligosaccharides sell bifidus issue (probiotic) for intestine health
Catecholamine surge responsible for: - ANS-- expanded BP after birth
- adaptation of strength metabolism
- initiation of thermogenesis from brown fat
Cervical modifications consist of - ANS-- cervix transferring from posterior to anterior
- effacement
- dilation
Components of amniotic fluid - ANS-Dissolved solids, fetal skin/hair, vernix caseosa
Contraindications for breastfeeding - ANS-Maternal HIV
Active untreated TB
Ebola
Herpes lesions on breast
Chicken pox
Drug use
