IBCLC Questions And Answers All Correct A+

IBCLC Questions And Answers All Correct A+ Swaddling - >routine swaddling is associated with a delay in first BF, less effective suckling, dec intake, greater infant weight loss, respiratory illness, hip dysplasia, SIDS, overheating -limits babys movements -stress = more calories -skin to skin more effective at maintaining temp 10 steps to successful breastfeeding - >1. Have a written breastfeeding policy that is routinely communicated to all health care staff. 2. Train all heath care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding. 4. Help mothers initiate breastfeeding within a half an hour of birth 5. Show mother how to breastfeed and how to maintain lactation, even if they should be separated from their infant. 6. Give a newborn infant no food or drink other than breast milk unless medically necessary. 7. Practice rooming in, allow mothers and infants to remain together 24hrs a day 8. Encourage breastfeeding on demand 9. Give no artificial teats or pacifiers to breastfeeding infants 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. Vaginal birth v c section and BF - >-vaginal assoc with more milk transfer, faster first feeding -csection associated with delayed lacotgenesis II -anesthesia effects BF process Epidural va no epidural - >no epidural associated with greater breast milk supply IV fluids in labor - >-Baby will be heavier due to edema post birth -will lose more weight than if no IV fluids due to diuresis -- no need for supplementation to make up for weight loss -can contribute to fluid breast engorgement Physiologic engorgement vs. Pathologic engorgement - >Physiologic engorgement is normal increase in milk production of lactogenesis II. Pathologic engorgement is excessive fullness due to restrictive feeding practices or ineffective milk removal. May have fever, nipple may become flat when to have the first feeding - >within first hour after birth "golden hour" -skin to skin will facilitate finding the breast and nipple sudden unexpected post natal collapse (SUPC) - >rare but catastrophic -early infant death -most occur when baby is in prone position (ie. skin to skin) -advice mom with watch infant and listen to breathing -lift the HOB a bit so baby is not prone pacifier use - >bad: -earlier pacificer use assoc with shorter BF duration Good: -reduces incidence of SIDS when can you start using pacifiers - >once BF is established offering the breast tips - >-sandwich breast -stroke nipple from nose to chin rolling out the lower lip -bring baby to breast, not breast to baby effecting latch - >-position thumb by babys nose -fingers well back from the areola -position nose to nipple -position head back slightly -angle of lips at 140 degrees or greater -lips flanged -no sharp pain, nipple not distorted -chin into breast mammogenesis - >development of the mammary gland from neonatal thru peuberty breast placement - >vertical axis - covers 2-6 rib horizontal axis - covers sternum to axilla 50% of breast cancers occur where - >upper outer quadrant nipple location - >4th intercostal space Which breast is usually larger? - > CONTINUES...