FINAL NSPN 7150 MOD 5: Overcoming Breastfeeding Challenges. Exam Questions And Answers

©SIRJOEL EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. FINAL NSPN 7150 MOD 5: Overcoming Breastfeeding Challenges. Exam Questions And Answers What does Situated Clinical Decision Making Framework do - Answersa) assists to make decisions. b) used to guide retrospective reflection on decision-making processes and outcomes. c) socializes you to an understanding of the nature of decision-making in nursing d) fosters the development of knowledge, skill, and confidence. Components of situated clinical decision making - AnswersKnowledge Cues Judgement Decisions Evaluation of outcomes Components of Knowledge from SCDM in breastfeeding - AnswersKnow the self (limitations, skills, bias) Know the case (patho, patterns, lactogenesis, psychosocial, what impacts effective feeding, birth experience, behaviours, health) Know the client (baseline, norms, effective feeding, weight gain and loss, frequency of feeding) Know the person (pas experience in relation to health and illness, response to treatments and preferences) Components of Cues from SCDM in breastfeeding - Answers-Observations (variations that could indicate difficulty, Mothers breasts, presence of colostrum or milk, Babys age, health ©SIRJOEL EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. colour, oral anatomy, ability to latch, Feeding relationship (comfort of mother and baby with feeds, evidence of sufficient milk transfer. -atypical responses/data/behaviour. -statements from clients or others (attitudes toward bf, knowledge and beliefs, labs and assessment data, bilirubin, weight, lactogenesis, s+s of infection, nursing intuition Components of Judgement from SCDM in breastfeeding - AnswersWhat could be happening? (organize observations and history factors that affect mother, baby) What data/evidence supports this? Do i need more info and from whom? Who should i involve or consult (lactation consultatn, midwife physician) What priority does this have Components of Decisions from SCDM in breastfeeding - AnswersHow can we help mothers feed their infant (wait and watch, try something, inform someone, act, involve or consult someone else?) Apply 3 rules: Feed infant, move milk, help dyad learn how to breast feed Components of Evaluation of Outcomes from SCDM in breastfeeding - AnswersSupport mother's ability to evaluate. Did the decisions achieve what I wanted to happen? Should I make another decision? Should I collect more information? Who should I involve or consult? *Three breastfeeding Rules* - AnswersFeed the infant - is infant getting enough food appropriate to their age and weight to thrive? Move the milk - is milk production being effectively stimulated? ©SIRJOEL EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. Help the dyad learn to breastfeed - How is the relationship working for both partners, mother & infant? How to help infant feed better - Answersincreases feeding frequency and duration improve position & latch Skin to skin stimulate the infant to stay awake while feeding Offer both breasts breast compression while BF Help the parent identify the infant's cues and promote the release of oxytocin and letdown reflex. Older infant quiet environment relieving pain from teathing different feeding positions (to help feed better) What to feed - AnswersBreastmilk from breast Expressed breastmilk pasteurized donor milk Formula Considerations when determining how much to feed - Answers- Time since birth (in first 24 hours does not feed much, but needs opportunities to feed) - Gestation of infant (late preterm may need more milk than able to get from breast, hand expression after feeding) - Health and birth experience of the infant (low blood sugar can be resolved with small amounts of colostrum)