TIONS AND VERIFIED ANSWERS|COMPREHENSIVE STUDY
What is the normal weight loss for the infant during the first few days ? -
ANSWER
5-7% in the first 24hrs and below 10% in the first week
What type of supplement do most lactating vegans / bariatric patients take ? -
ANSWER
supplement Vitamin B12
How many calories does a lactating mom need
ANSWER
Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700
with most mons consuming around 2,200
How much vitamin D does a baby need ? When do they need to be supplemented ?
ANSWER
Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are defi-
cient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require
additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ?
ANSWER
Moms should consume a diet of normal foods - they should eat when they're hungry and
drink when they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-
30 % healthy fats
1
,When would a Habermen feeder be indicated ?
ANSWER
with Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ?
ANSWER
Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ?
ANSWER
The Tail of Spence refers to mammary gland tissue that extends to the axillary area that is
connected to the milk ducts . Symptoms include swollen armpits and even mastitis . Moms
can apply cold compresses to the area and take Motrin / Tylenol as needed for discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? -
ANSWER
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ?
ANSWER
There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Re-
laxation 3. Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? -
ANSWER
The baby's stomach is only the size of a marble , button or grape at birth . It can only hold 1-
7 mL or 1-2 teaspoons at this time .
2
, Standards of of practice for CBC -
ANSWER
Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ?
ANSWER
ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? -
ANSWER
Approximately 40 days
What are the common signs of milk " let down " ?
ANSWER
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? -
ANSWER
It is higher in protein and immune factors ( because the body KNOWS this is what the pree-
mie needs ! )
What component of breast milk is the most variable ?
ANSWER
3
What is the normal weight loss for the infant during the first few days ? -
ANSWER
5-7% in the first 24hrs and below 10% in the first week
What type of supplement do most lactating vegans / bariatric patients take ? -
ANSWER
supplement Vitamin B12
How many calories does a lactating mom need
ANSWER
Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700
with most mons consuming around 2,200
How much vitamin D does a baby need ? When do they need to be supplemented ?
ANSWER
Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are defi-
cient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require
additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ?
ANSWER
Moms should consume a diet of normal foods - they should eat when they're hungry and
drink when they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-
30 % healthy fats
1
,When would a Habermen feeder be indicated ?
ANSWER
with Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ?
ANSWER
Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ?
ANSWER
The Tail of Spence refers to mammary gland tissue that extends to the axillary area that is
connected to the milk ducts . Symptoms include swollen armpits and even mastitis . Moms
can apply cold compresses to the area and take Motrin / Tylenol as needed for discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? -
ANSWER
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ?
ANSWER
There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Re-
laxation 3. Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? -
ANSWER
The baby's stomach is only the size of a marble , button or grape at birth . It can only hold 1-
7 mL or 1-2 teaspoons at this time .
2
, Standards of of practice for CBC -
ANSWER
Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ?
ANSWER
ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? -
ANSWER
Approximately 40 days
What are the common signs of milk " let down " ?
ANSWER
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? -
ANSWER
It is higher in protein and immune factors ( because the body KNOWS this is what the pree-
mie needs ! )
What component of breast milk is the most variable ?
ANSWER
3
