CLC Test Module 2 Questions and Answers/ Verified Answers

CLC Test Module 2 Questions and Answers/ Verified Answers How does cannabis effect mother and baby? Understudied, but there's not safe exposure threshold for anything that involves smoking. There has been a correlation between increased risk of preterm birth and low birth weight among pregnant cannibis users. Urge mom to be careful or quit using since there is a lack of data. Also Delta 9 was still measured in breastmilk up to 6 days after maternal use. How do you counsel someone who is tandem nursing? May require specific teaching to help manage flow (australian posture is good for this) Less chance of engorgement Help parents respond to different needs of children. Nurse newborn first and more frequently Find ways to spend time with other child How do we counsel someone who has a baby using a pacifier? Ask questions about why they are using a pacifier. Often this means they are compensating for another issue. What are potential health issues that could occur from using a pacifier? More likely to not be breastfeeding at 18 months if used pacifier, pacifiers are dropped and contain a lot of germs, could increase risk of diarrhea or ear infections What is the connection between pacifiers and SIDS(3)? Pacifier use is connected to a DECREASE risk of SIDS because babies sleep lighter and are more alert. BUT breastfeeding protects from SIDS more than pacifier. Also, if a baby gets used to sleeping with a pacifier and then you take it away, this increases SIDS What does the AAP say about pacifiers? delay use until breastfeeding is firmly established Are pacifiers beneficial for premies? Yes! They may have an earlier hospital discharge, tube fed babies gain weight faster with pacifiers because they help improve physiologic responses (like suckling) Do nipple shields help with breastfeeding? No! They can a decrease in milk supply by almost 60% (they are covering the nerves so sensation isn't as strong). Increased risk of readmission due to weight loss and hypernatremic dehydration. Babies get too used to being breastfed this way, if they are lost is difficult to feed, also risk of early weaning.