ALPP CLC Exam
"you shouldn't eat spicy foods while BF" - ANS-- many anthropologists consider that the
flavors of the culture are conveyed to the child via milk even as lactating
- kids are acculturated to the taste of their native meals via BM
- longer length of BF is related to better meals range at three years
- meals that don't flavor familiar are more likely to be refused
10 steps for a hit BF - ANS-1. Have written BF policy that is automatically communicated to
all HC body of workers
2. Educate all HC workforce in abilities necessary to put into effect coverage
three. Inform all pregnant ladies about advantages and management of BF
4. Assist moms initiate BF within 1 hr of birth (key: instantaneous s2s, uninterrupted and
persevering with until of entirety of first feed)
five. Display moms a way to BF and the way to maintain lactation, even though they're
separated from their toddlers
6. Deliver infants no meals or drink other than BF until medically indicated
7. Exercise "rooming-In" - allow mothers and toddlers to stay collectively 24 hours an
afternoon (s2s and secure sleep pointers to improve protection were evolved)
eight. Inspire BF on demand, inspire responsive feeding
9. Supply no pacifiers or artificial nipples to BF babies
10. Foster the status quo of BF help corporations and refer mothers to them on d/c from
medical institution or clinic
4-6 months - ANS-distractible
- might also want to move to quieter vicinity
- everyday naps?
- separation tension
- night feedings?
- teething
6-9 months - ANS-- cellular
- teething
- everyday naps?
- night time feedings?
- playful
- long periods of concentration
- biting: need to discover why
9-one year - ANS-- stand and walk
- normal mealtimes and snack nursings
- nursing earlier than mattress and naps
AAP weight reduction stance in 2005 - ANS-"weight loss within the little one of greater than
7% from start weight suggests feasible breastfeeding problems and requires more intensive
,assessment of breastfeeding and viable intervention to correct troubles and enhance milk
manufacturing and switch"
AAP weight loss stance in 2012 - ANS-delivered "examine frame weight benefit - frame
weight loss no extra than 7% from birth and no in addition weight reduction through day five:
determine feeding and do not forget more frequent comply with-up"
AAP's policy announcement on SIDS 2016 - ANS-"remember pacifier use at naptime and
bedtime.. For breastfed infants, delay pacifier introduction till BF has been firmly set up"
ABM protocol #20 - ANS-more time spent BF inside the first forty eight hours is associated
with less engorgement
abscess - ANS-- pus, no longer milk
- as many as 60% may be high-quality for MRSA
- nursing on the other breast is feasible
- no clean medical consensus approximately nursing on breast with abscess earlier than of
after "drainage"
- surgical operation might also cut via ducts
- as a substitute, drainage of breast abscess with extremely-sound method has been proven
to be efficient and have to be the first choice
in line with IFPS II - ANS-- 35% of pregnant girls said their workplace became very
supportive of BF... But...
- 52% of PP ladies said their administrative center turned into very supportive
- most effective about 1/2 of ladies in US are protected by way of the Family Medical Leave
Act
achieving a healthy inter-being pregnant c language - ANS-WHO recommends:
- after a stay birth, the recommended interval before trying the next pregnancy is at the least
24 months a good way to lessen the chance of destructive maternal, perinatal, and infant
outcomes
adult GI hormones - ANS-additionally impacted by suckling
while mother suckles her gastrin and cholecystokinin pass up. This increases the efficacy of
insulin and increases the garage of ingested nutrients
after 1 year of lactation - ANS-has drastically improved fats and electricity contents
after 15 months - ANS-- a part of self image
- my blanket, my carseat, my "milk"
- time to consider a public name
after 2 years - ANS-- inside the US, "closet" nursing
- normal in different cultures
- its converting!
,Alcohol influences on BF - ANS-- low level drinking during BF isn't always linked with shorter
BF period or damaging effects as much as one year of age
- questions remain about the impact at the toddler when mother combines smoking and
drinking, in particular binge ingesting
- ingesting alcohol in excess of two standard liquids according to day for the duration of
lactation became determined to be independently associated with shorter BF length, even
after consideration of formerly identified predictors of BF period
alcohol whilst BF - ANS-- research display after ingesting zero.4g/kg dose of alcohol in OJ,
oxytocin degrees extensively decreased however prolactin stages increased
- in every other observe, alcohol absolutely blocked the release of oxytocin
- babies may not like the taste
- alcohol is water soluble, it passes in and out of the milk as her blood alcohol will increase,
then decreases - it's far NOT trapped in milk (pumping and dumping will now not take away
the alcohol)
- every other counseling problem is set the protection of the child if the parent(s) are
inebriated or incapacitated
all data on artificial feeding - ANS-along with labels, must explain the blessings of BF and
the charges and hazards of synthetic feeding
altering diet to save you hypersensitive reactions - ANS-most modifiable chance factors for
toddler hypersensitivity are:
- maternal smoking
- sort of toddler feeding
- cesarean birth
- may additionally also be that consumption of "allergenic foods" in pregnancy reduces
allergic reaction and bronchial asthma in youngsters
anatomical issues - ANS-also can purpose harm
- bottom or pinnacle lip turned in or tongue ties
anatomy of human breast - ANS-glandular tissue made of clusters of alveoli and small ducts,
fats among the glandular tissue, milk ducts, areola, nipple with several duct openings
anatomy of milk cells - ANS-myoepithelial cells, connective tissue, capillaries, anteriole,
venule, alveolar cells
any recurrent feeding problem - ANS-needs evaluation/referral
any suspicious place or look - ANS-of breast, nipple, areola should be referred straight away
to a qualified issuer
- can be MRSA or herpes, deadly for infants, so no BF or BM
assessing for ache - ANS-check for proper latch on, good seal, infant's tongue, swallowing
sounds - and reteach as needed
- early ranges of the little one's breast searching for and latching behaviors ought to be
observed in addition to the actual feeding
, uneven latch - ANS-baby appears "off center", greater of decrease part of breast goes in
baby's mouth
at 11.Five years - ANS-- discovered discount in intricate ingesting attitudes inside the
regions where EBF became promoted thru the BFHI PROBIT intervention
at age sixteen - ANS-located relationship among complicated consuming and weight
problems
toddlers display greater cues - ANS-- while they may be close to the supply of the milk
- while cues are neglected or state isn't foremost infants be anxious or sleep at the breast
- solution - s2s and re-teach feeding cues
- when baby is in most effective kingdom for gaining knowledge of and feeding, the toddler
will have lengthy durations of attention, commonly at some point of REM and quiet alert
toddlers with DS - ANS-regularly struggling with skill of BF
- low tone - cues
- depressed reflexes (hard to latch on) - gape
- hypotonic perioral muscle tissues, vulnerable suck (sufficient to decrease mom's milk
deliver) - piston, ratio, sustian
- deficiency in smooth tongue motion
- skeletal abnormalities of the mouth and cranium will lower volume of the oral cavity
- massive stepped forward development within the suckling conduct over time is feasible
baby led weaning - ANS-- babies older than 12 months
- stop "presenting" to nurse and trade to on-request most effective
babyled feeding - ANS-"the breast-fed toddler can modify his fat intake fast and
consequently mothers ought to be recommended to exercise child-led feeding"
banked donor milk - ANS-is..
- preventative - reduces long time morbidity
- reduces mortality, remember or existence or demise for a few toddlers
- decreases NEC
- cost-powerful in many cases
- sage
BF counseling goals - ANS-- circle of relatives worries are heard and valued
- child feels heard and valued
- counselor elicits "the entire tale" before supplying comments or intervention
- adults, child, and counselor are fully worried in problem solving
- safety is continually the primary awareness (even over breastfeeding)
- generation andd gadgets are used very carefully
- keep away from loaded and judging words
BF is discouraged throughout pregnancy whilst we: - ANS-- make BF appear hard or
"schoolish"
"you shouldn't eat spicy foods while BF" - ANS-- many anthropologists consider that the
flavors of the culture are conveyed to the child via milk even as lactating
- kids are acculturated to the taste of their native meals via BM
- longer length of BF is related to better meals range at three years
- meals that don't flavor familiar are more likely to be refused
10 steps for a hit BF - ANS-1. Have written BF policy that is automatically communicated to
all HC body of workers
2. Educate all HC workforce in abilities necessary to put into effect coverage
three. Inform all pregnant ladies about advantages and management of BF
4. Assist moms initiate BF within 1 hr of birth (key: instantaneous s2s, uninterrupted and
persevering with until of entirety of first feed)
five. Display moms a way to BF and the way to maintain lactation, even though they're
separated from their toddlers
6. Deliver infants no meals or drink other than BF until medically indicated
7. Exercise "rooming-In" - allow mothers and toddlers to stay collectively 24 hours an
afternoon (s2s and secure sleep pointers to improve protection were evolved)
eight. Inspire BF on demand, inspire responsive feeding
9. Supply no pacifiers or artificial nipples to BF babies
10. Foster the status quo of BF help corporations and refer mothers to them on d/c from
medical institution or clinic
4-6 months - ANS-distractible
- might also want to move to quieter vicinity
- everyday naps?
- separation tension
- night feedings?
- teething
6-9 months - ANS-- cellular
- teething
- everyday naps?
- night time feedings?
- playful
- long periods of concentration
- biting: need to discover why
9-one year - ANS-- stand and walk
- normal mealtimes and snack nursings
- nursing earlier than mattress and naps
AAP weight reduction stance in 2005 - ANS-"weight loss within the little one of greater than
7% from start weight suggests feasible breastfeeding problems and requires more intensive
,assessment of breastfeeding and viable intervention to correct troubles and enhance milk
manufacturing and switch"
AAP weight loss stance in 2012 - ANS-delivered "examine frame weight benefit - frame
weight loss no extra than 7% from birth and no in addition weight reduction through day five:
determine feeding and do not forget more frequent comply with-up"
AAP's policy announcement on SIDS 2016 - ANS-"remember pacifier use at naptime and
bedtime.. For breastfed infants, delay pacifier introduction till BF has been firmly set up"
ABM protocol #20 - ANS-more time spent BF inside the first forty eight hours is associated
with less engorgement
abscess - ANS-- pus, no longer milk
- as many as 60% may be high-quality for MRSA
- nursing on the other breast is feasible
- no clean medical consensus approximately nursing on breast with abscess earlier than of
after "drainage"
- surgical operation might also cut via ducts
- as a substitute, drainage of breast abscess with extremely-sound method has been proven
to be efficient and have to be the first choice
in line with IFPS II - ANS-- 35% of pregnant girls said their workplace became very
supportive of BF... But...
- 52% of PP ladies said their administrative center turned into very supportive
- most effective about 1/2 of ladies in US are protected by way of the Family Medical Leave
Act
achieving a healthy inter-being pregnant c language - ANS-WHO recommends:
- after a stay birth, the recommended interval before trying the next pregnancy is at the least
24 months a good way to lessen the chance of destructive maternal, perinatal, and infant
outcomes
adult GI hormones - ANS-additionally impacted by suckling
while mother suckles her gastrin and cholecystokinin pass up. This increases the efficacy of
insulin and increases the garage of ingested nutrients
after 1 year of lactation - ANS-has drastically improved fats and electricity contents
after 15 months - ANS-- a part of self image
- my blanket, my carseat, my "milk"
- time to consider a public name
after 2 years - ANS-- inside the US, "closet" nursing
- normal in different cultures
- its converting!
,Alcohol influences on BF - ANS-- low level drinking during BF isn't always linked with shorter
BF period or damaging effects as much as one year of age
- questions remain about the impact at the toddler when mother combines smoking and
drinking, in particular binge ingesting
- ingesting alcohol in excess of two standard liquids according to day for the duration of
lactation became determined to be independently associated with shorter BF length, even
after consideration of formerly identified predictors of BF period
alcohol whilst BF - ANS-- research display after ingesting zero.4g/kg dose of alcohol in OJ,
oxytocin degrees extensively decreased however prolactin stages increased
- in every other observe, alcohol absolutely blocked the release of oxytocin
- babies may not like the taste
- alcohol is water soluble, it passes in and out of the milk as her blood alcohol will increase,
then decreases - it's far NOT trapped in milk (pumping and dumping will now not take away
the alcohol)
- every other counseling problem is set the protection of the child if the parent(s) are
inebriated or incapacitated
all data on artificial feeding - ANS-along with labels, must explain the blessings of BF and
the charges and hazards of synthetic feeding
altering diet to save you hypersensitive reactions - ANS-most modifiable chance factors for
toddler hypersensitivity are:
- maternal smoking
- sort of toddler feeding
- cesarean birth
- may additionally also be that consumption of "allergenic foods" in pregnancy reduces
allergic reaction and bronchial asthma in youngsters
anatomical issues - ANS-also can purpose harm
- bottom or pinnacle lip turned in or tongue ties
anatomy of human breast - ANS-glandular tissue made of clusters of alveoli and small ducts,
fats among the glandular tissue, milk ducts, areola, nipple with several duct openings
anatomy of milk cells - ANS-myoepithelial cells, connective tissue, capillaries, anteriole,
venule, alveolar cells
any recurrent feeding problem - ANS-needs evaluation/referral
any suspicious place or look - ANS-of breast, nipple, areola should be referred straight away
to a qualified issuer
- can be MRSA or herpes, deadly for infants, so no BF or BM
assessing for ache - ANS-check for proper latch on, good seal, infant's tongue, swallowing
sounds - and reteach as needed
- early ranges of the little one's breast searching for and latching behaviors ought to be
observed in addition to the actual feeding
, uneven latch - ANS-baby appears "off center", greater of decrease part of breast goes in
baby's mouth
at 11.Five years - ANS-- discovered discount in intricate ingesting attitudes inside the
regions where EBF became promoted thru the BFHI PROBIT intervention
at age sixteen - ANS-located relationship among complicated consuming and weight
problems
toddlers display greater cues - ANS-- while they may be close to the supply of the milk
- while cues are neglected or state isn't foremost infants be anxious or sleep at the breast
- solution - s2s and re-teach feeding cues
- when baby is in most effective kingdom for gaining knowledge of and feeding, the toddler
will have lengthy durations of attention, commonly at some point of REM and quiet alert
toddlers with DS - ANS-regularly struggling with skill of BF
- low tone - cues
- depressed reflexes (hard to latch on) - gape
- hypotonic perioral muscle tissues, vulnerable suck (sufficient to decrease mom's milk
deliver) - piston, ratio, sustian
- deficiency in smooth tongue motion
- skeletal abnormalities of the mouth and cranium will lower volume of the oral cavity
- massive stepped forward development within the suckling conduct over time is feasible
baby led weaning - ANS-- babies older than 12 months
- stop "presenting" to nurse and trade to on-request most effective
babyled feeding - ANS-"the breast-fed toddler can modify his fat intake fast and
consequently mothers ought to be recommended to exercise child-led feeding"
banked donor milk - ANS-is..
- preventative - reduces long time morbidity
- reduces mortality, remember or existence or demise for a few toddlers
- decreases NEC
- cost-powerful in many cases
- sage
BF counseling goals - ANS-- circle of relatives worries are heard and valued
- child feels heard and valued
- counselor elicits "the entire tale" before supplying comments or intervention
- adults, child, and counselor are fully worried in problem solving
- safety is continually the primary awareness (even over breastfeeding)
- generation andd gadgets are used very carefully
- keep away from loaded and judging words
BF is discouraged throughout pregnancy whilst we: - ANS-- make BF appear hard or
"schoolish"
