NSG 3111 Final Exam – Questions With Definite
Answers
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Terms in this set (155)
WHO recommendations for Exclusively for 6 months
breastfeeding Continued for 2 years with supplementation/food
How can you be inclusive Ask about terms used
to trans women (IRT May want to use "chest feeding"
breastfeeding)
Increased risk for:
- diarrhea
- ear infections
- chest infections
Risks of not breastfeeding
- GI infection
for infant
- asthma
- obesity
- diabetes
- SIDS
Increased risk for:
- postpartum hemorrhage
- ovarian cancer
Risks of not breastfeeding - breast cancer
for mother - osteoporosis
- rheumatoid arthritis
- stress and anxiety
- maternal diabetes
Milk will change with baby's needs
Gives immunity to baby
Nutrients easily absorbed
Benefits for breastfeeding
Increases bonding
Environmental benefits
Free, convenient
, Pathogen contamination
Manufacturing errors and warehouse contamination
Hazards of bottle/formula
Adulteration of formula
feeding
Phytoestrogens in soy milk
BPA in feeding bottles
When mother is having chemotherapy or radiation
Newborns with galactosemia
Mothers with HTLV
When is breastfeeding
Mothers with active TB
contraindicated?
Mothers with active herpes simplex virus on breast
Mothers with HIV (in N.A. - still breastfeed in
developing countries)
When mother has Hep C
When is breastfeeding not When mother has positive HBsAg
contraindicated When mother has fever
When mother is CMV positive
Decrease in estrogen and progesterone levels trigger
release of prolactin from anterior pituitary
Lactogenesis Prolactin prepares breast to secrete milk
pathophysiology Oxytocin stimulates let down reflex
Prolactin produced in response to infant suckling
Supply meets demand system
Hypothalamus to trigger anterior pituitary to produce
What does infant suckling prolactin which increases milk production
trigger? Hypothalamus to trigger posterior pituitary to produce
oxytocin which is responsible for the let down reflex
Colostrum: 1-4 days pp; rich in antibodies
Transition milk: 3-5 days pp; milk of colostrum and
mature milk
Mature milk: 2 weeks pp
Tyoes of human milk
Foremilk: obtained at beginning of feed; high water
content
Hind milk: released after 20 minutes of breastfeeding;
high in fat and energy content
Stage 1: begins 16-18 weeks of gestation
Stages of Breast Milk
Stage 2: begins with delivery of placenta
Production (Lactogenesis)
Stage 3: mature milk is established (10-14 days pp)
, Carbs
Fat (40-50% of calories) - important for neurological
development and visual function
Protein
Nutrients in breast milk
Vitamin D - not in human milk, need to supplement
Vitamin K - required for blood coagulation
Vitamin B12 - can be impacted if mom is vegan
Iron - easy to absorb in breast milk
How often should you Every 2-3 hours
breastfeed? 10-12 feedings in 24 hours
How long should you 20+ minutes per side to access hind milk
breastfeed for?
L - latch characteristics (flared lips, chin to breast)
A - audible swallowing
LATCH model T - type of nipple (everted/flat/inverted)
C - comfort (of mother during feed)
H - holding skills
What % is a normal weight BPG states 7%
loss in infants?
6-8 hours at room temperature
Storing expressed breast 5 days in fridge
milk 2 weeks in freezer
12 months in deep freezer
Repositioning
Achieving better latch
Treatment for sore nipples
Lanolin ointments
Expressing colostrum in nipples and allowing to air dry
Overly full and congested breasts
Can be painful
What is engorgement of
Treat by placing warm cloths before feeds, cold
the breasts?
compress between feeds, cabbage leafs, frequent
feeds, good latch, analgesics
Infection of the breast
Mastitis
Accompanied with fevered pain, redness
Continue nursing and pump as needed
Antibiotics
Mastitis treatment
Analagesics
Bed rest
Answers
Save
Terms in this set (155)
WHO recommendations for Exclusively for 6 months
breastfeeding Continued for 2 years with supplementation/food
How can you be inclusive Ask about terms used
to trans women (IRT May want to use "chest feeding"
breastfeeding)
Increased risk for:
- diarrhea
- ear infections
- chest infections
Risks of not breastfeeding
- GI infection
for infant
- asthma
- obesity
- diabetes
- SIDS
Increased risk for:
- postpartum hemorrhage
- ovarian cancer
Risks of not breastfeeding - breast cancer
for mother - osteoporosis
- rheumatoid arthritis
- stress and anxiety
- maternal diabetes
Milk will change with baby's needs
Gives immunity to baby
Nutrients easily absorbed
Benefits for breastfeeding
Increases bonding
Environmental benefits
Free, convenient
, Pathogen contamination
Manufacturing errors and warehouse contamination
Hazards of bottle/formula
Adulteration of formula
feeding
Phytoestrogens in soy milk
BPA in feeding bottles
When mother is having chemotherapy or radiation
Newborns with galactosemia
Mothers with HTLV
When is breastfeeding
Mothers with active TB
contraindicated?
Mothers with active herpes simplex virus on breast
Mothers with HIV (in N.A. - still breastfeed in
developing countries)
When mother has Hep C
When is breastfeeding not When mother has positive HBsAg
contraindicated When mother has fever
When mother is CMV positive
Decrease in estrogen and progesterone levels trigger
release of prolactin from anterior pituitary
Lactogenesis Prolactin prepares breast to secrete milk
pathophysiology Oxytocin stimulates let down reflex
Prolactin produced in response to infant suckling
Supply meets demand system
Hypothalamus to trigger anterior pituitary to produce
What does infant suckling prolactin which increases milk production
trigger? Hypothalamus to trigger posterior pituitary to produce
oxytocin which is responsible for the let down reflex
Colostrum: 1-4 days pp; rich in antibodies
Transition milk: 3-5 days pp; milk of colostrum and
mature milk
Mature milk: 2 weeks pp
Tyoes of human milk
Foremilk: obtained at beginning of feed; high water
content
Hind milk: released after 20 minutes of breastfeeding;
high in fat and energy content
Stage 1: begins 16-18 weeks of gestation
Stages of Breast Milk
Stage 2: begins with delivery of placenta
Production (Lactogenesis)
Stage 3: mature milk is established (10-14 days pp)
, Carbs
Fat (40-50% of calories) - important for neurological
development and visual function
Protein
Nutrients in breast milk
Vitamin D - not in human milk, need to supplement
Vitamin K - required for blood coagulation
Vitamin B12 - can be impacted if mom is vegan
Iron - easy to absorb in breast milk
How often should you Every 2-3 hours
breastfeed? 10-12 feedings in 24 hours
How long should you 20+ minutes per side to access hind milk
breastfeed for?
L - latch characteristics (flared lips, chin to breast)
A - audible swallowing
LATCH model T - type of nipple (everted/flat/inverted)
C - comfort (of mother during feed)
H - holding skills
What % is a normal weight BPG states 7%
loss in infants?
6-8 hours at room temperature
Storing expressed breast 5 days in fridge
milk 2 weeks in freezer
12 months in deep freezer
Repositioning
Achieving better latch
Treatment for sore nipples
Lanolin ointments
Expressing colostrum in nipples and allowing to air dry
Overly full and congested breasts
Can be painful
What is engorgement of
Treat by placing warm cloths before feeds, cold
the breasts?
compress between feeds, cabbage leafs, frequent
feeds, good latch, analgesics
Infection of the breast
Mastitis
Accompanied with fevered pain, redness
Continue nursing and pump as needed
Antibiotics
Mastitis treatment
Analagesics
Bed rest
