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NSPN – 7150 EXAM COMPLETE ACTUAL EXAM WITH ALL 175 QUESTIONS AND VERIFIED ANSWERS GRADED A+ LATEST VERSION

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NSPN – 7150 EXAM COMPLETE ACTUAL EXAM WITH ALL 175 QUESTIONS AND VERIFIED ANSWERS GRADED A+ LATEST VERSION

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NSPN – 7150
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December 3, 2024
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NSPN – 7150 EXAM COMPLETE ACTUAL EXAM WITH ALL 175
QUESTIONS AND VERIFIED ANSWERS GRADED A+ LATEST VERSION
2024-2025

Each mother's milk is? - ANSWER-is unique

changes to meet the needs of her infant

changes depending on gestational age and health of her infant, time of day, and the time during feeding.



Properties of pretem milk - ANSWER-Preterm milk is higher in protein and anti-infective properties to
meet the need of preterm infants.



Three stages of lactation - ANSWER-Stage I—Most women begin to produce colostrum in the last
trimester of pregnancy and for about 2-4 days after birth

Stage II—the onset of copious milk secretion after birth (days 2-3 to 8 postpartum)

Stage III—secretion of mature milk



properties of colostrum - ANSWER-3rd trimester to day 2-3

It has high density and low volume, which is perfect for newborn stomach capacity. It also is very high in
immunoglobulins, especially IgA.

Lactose, which prevents hypoglycemia, helps secrete meconium, Whey/Casein, all 10 amino acids and
high levels of stem cells.



When is fat content in milk the highest? - ANSWER-At night, but there is less of it. There is more milk in
the morning.



foremilk / hidmilk - ANSWER-Foremilk (95% of volume)/hindmilk (5% of volume)



does the maternal diet effect the milk? - ANSWER-The total amount of fat in the mother's diet does not
affect the amount of fat in human milk, but the types of fat in her diet influence the fatty acids in her
human milk.

,How does the infant change the type of milk it needs? - ANSWER-The infant's salivary amylase fine-tunes
what is in the breast milk to provide exactly what the infant needs.



Does illness in the mother matter to the infant? - ANSWER-The mother's immune system will create
antibodies in response to pathogens her infant is exposed to



Average volume of human milk - ANSWER-24 hrs: colostrum 7 - 123mls

25-96 hrs: gradual increase

Day 5: 500mls a day

Month 6: 800ml a day if fully breastfeeding



What are the 4 stages of lacation? - ANSWER-Mammogenesis (growth and development of the
mammary gland)

Lactogenesis (the functional change of the breasts to produce milk)

Galactopoiesis (maintaining the production of milk - Lactogenesis Stage 3)

Involution (termination of milk production)



Lactogenesis I and II - ANSWER-1. Under the influence of the hormones of pregnancy, particularly
prolactin, the alveolar structures differentiate into milk-producing cells. Thus, colostrum is secreted by
the second trimester of pregnancy and is the first milk the baby receives. Progesterone acts to inhibit the
production of milk. The delivery of the placenta—the major source of progesterone—is the trigger to
initiate milk production or lactogenesis stage II

2. This occurs 2-3 days postpartum and is the onset of copious milk production. Mothers feel this stage
as the milk "coming in.



Breast lobules - ANSWER-Each lobe, a cluster of lobules, contains 10 to 100 alveoli, and the breast
contains 15-25 lobes



nutrition facts on human milk - ANSWER-water 87%

lactose 7%

fat 4%

, protein 1%

other 1%



why are women thirsty soon after starting to breastfeed? - ANSWER-triggered by oxytocin, which is
released when breastfeeding and is a natural cue for breastfeeding women to drink enough water to
hydrate themselves and make breast milk



carbohydrates in breastmilk (lactose and Oligosaccharides) - ANSWER-lactose is the main one. Carbs are
7% the composition of mature milk. which supplies 40% of the body's caloric needs. Lactose metabolizes
readily into galactose and glucose, which supply energy for brain growth and prevent hypoglycemia. Also
helps pass the meconium.



how do oligosaccharides (carbohydrates) assist the baby? - ANSWER-protecting the gut from harmful
organisms by promoting the growth of bifidus factors. Bifidus factors promote colonization with
lactobacillus bifidus (probiotics), increase the acidity in the intestinal environment (prevent necrotizing
enterocolitis, NEC), and inhibit the growth of pathogenic bacteria



how many protiens in human milk? - ANSWER-over 400



2 main types of protiens? - ANSWER-whey and casein



whey? - ANSWER-Whey is a smooth protein that forms soft curds that are quickly digested, giving a
continuous supply of nutrients to the infant = loose runny stools



Casein? - ANSWER-forms a tough and less digestible curd that requires a high expenditure of energy for
an incomplete digestive process. Enhances the absorption of iron!



lactoferrin? (whey protein) - ANSWER-Lactoferrin is bacteriostatic by depriving pathogens of iron, which
prevents overgrowth of potentially harmful organisms.



lipids in milk? - ANSWER-main source of energy for the babe, 50% of the infants caloric needs. Long-
chain polyunsaturated fatty acids (LCPUFAs) are known to have protective properties for human health.

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