NSPN 7150 Final
____ fl ouncesare precise bottle sizes for newborns, and ____ fl ouncesare properly for
bigger toddlers - ANS-4 and eight
10 steps for fingers-on pumping - ANS-Start pumping with a sanatorium-grade pump as
quickly as you could after the infant is born
Pump 8+ instances each 24 hours, even at night time
Massage breasts before pumping to assist with allow-down (small circles, take note of outer
part of breasts)
Stroke both breasts from the out of doors in closer to the nipple. Use a light touch to relax
and assist with the permit-down.
Start pumping each breasts and maintain massaging.
Adjust suction to the best comfortable degree.
Watch for sprays of milk, maintain pumping till sprays prevent. If milk does not spray, watch
for whilst the glide slows down.
Finish through unmarried pumping with massage or hand expressing.
Alternate sides and hold massaging. Keep operating on company or lumpy areas.
Pumping is finished while breasts sense gentle and properly-tired.
10 Strategies for successful breastfeeding of the preterm little one: - ANS-SSC as quickly as
viable to assist mothers apprehend toddlers' feeding cue behaviors
Mothers can put gentle strain on the toddler's again/chest with an open hand to help infants
arrange themselves
Mothers who do now not plan to breastfeed and are looking ahead to preterm babies ought
to still express milk
Mothers can hand-explicit drops for the infant to lick (stress the high-quality of the
connection, not the amount of milk)
The little one's competency will increase (sucking and swallowing) and balance with feedings
will occur (no bradycardia or de-saturations). Amount of EBM depends on the amount of
energetic suckling (as milk transfer increases, pinnacle-united stateslower), and can be
decided via every day weights or test weights.
Supplements can lower as powerful breastfeeding increases in frequency. Continue to
specific milk till self assurance about the quantity of milk consumption by the little one is
executed.
Latching preterm toddlers on even though they do no longer suckle effectively can launch
oxytocin, stimulating a letdown and increasing milk supply.
When the toddler isn't always breastfeeding efficiently, pumping or hand=expressing is
important to set up and maintain milk production
Bottle use may additionally interfere with breastfeeding effectiveness (opportunity: cup)
Provide extra support for the dyad (observe-ups, smartphone calls, lactation seek advice
from)
,2 strategies that don't support mothers with a generous deliver - ANS-- Hand expression or
pumping to "pass the milk" as rapid as she can
- Gravity position to facilitate natural milk waft
2 techniques to ensure rule #2 is met - ANS-Having an little one who effectively feeds at the
breast, that's the maximum green method to move the milk
Expressing milk for the little one by way of hand or breast pump
21 dangers of toddler components (for both the child and the mother) - ANS-For the kid:
while feeding an toddler system, they're at an improved hazard of having allergies,
hypersensitive reactions, ear infections, high blood strain and coronary heart disorder,
breathing infections, lower IQ and cognitive development, obesity, iron-deficiency anemia,
SIDS, diabetes, digestive troubles, childhood cancers, publicity to environmental
contaminants, sleep apnea, and dental troubles and malocclusions
For the mother: whilst the mother doesn't breastfeed, she is at an multiplied chance of
developing diabetes, overweight and obesity, osteoporosis, breast most cancers, ovarian
most cancers, and uterine cancer, high blood pressure and cardiovascular ailment, and
reduced infant spacing
three Benefits of human milk for the survival and development of the preterm little one -
ANS-Improved host defenses (greater immune device), digestion, and absorption of vitamins
Decreased morbidity and mortality prices (respiratory benefits, reduced diarrheal episodes,
reduced acute otitis media, reduced SIDS, decreased NEC, decreased infections by means
of creation of determine's proper bacteria)
Increased neurological improvement (stepped forward visual acuity, better help for brain
increase and development, more advantageous neurocognitive results, expanded
maternal-infant bonding)
3 key matters approximately breastfeeding positions - ANS-do no longer bend over (convey
toddler to mother, no longer mom to little one), maintain toddler's body and head aligned
immediately, use pillow(s) to aid mom's arms and the toddler (comfort)
three rationales for continuing BFing past 6 months - ANS-Still an crucial supply of vitamins
and power
The stage of antibodies in human milk is the equal for both babies and newborns. Toddlers
want extra safety (crawling, setting matters in mouth), so human milk maintains to aid their
immune device.
Helps babies and mom reconnect if the mom works faraway from domestic
3 Reasons why human milk is precious for preterm babies: - ANS-Contains higher ranges of
immunologic factors that support preterm babies' extra immature systems, thereby providing
as tons safety as viable
Contains better ranges of protein, fatty acids, sodium, chloride, and iron
,Colostrum and early milk are used to top the gut as "trophic feeds" in very early preterm of
very low birth weight toddlers - very small quantities of balanced enteral vitamins used to ft
the intestine, triggering maturation. Preterm toddlers given human milk as trophic feeds
attain full feeds greater fast.
3 signs and symptoms that toddlers are full - ANS-whilst sucking and swallowing slows or
stops, toddlers close their mouths or push faraway from the breast after feeding, and
toddlers are content material or comfortable after feeding
three things to assess When toddler weight advantage or loss issues are identified: - ANS-If
toddler is adequately fed (supplementation may be required)
What the foundation motive(s) of low milk manufacturing (ex. Jaundice, hydration, trendy
health, feeding, congenital malformation, etc.)
Present seeing that delivery? When did it become apparent? Breastfeeding management
problems? Primary factors related to the discern? Reason for toddler's inability to cast off
milk if milk stays within the breast after feeding?
Milk manufacturing aid to address troubles as quickly as possible
5 possible motives for lumps in breast - ANS-Plugged ducts
Mastitis
Galactocele (a milk-filled cyst): a portable lump due to a plugged duct or pressure on a duct.
Close to the nipple, it could be uncomfortable or it is able to intrude with the latch. Diagnosis
thru ultrasound, remedy through aspiration. WIll resolve on personal after lactation, and can
be alleviated with cool compresses, ice packs, and cushty aid bras.
Fibrocystic breast changes: fibroadenomas are the maximum common benign breast
tumors. Diagnosed via imaging tests, do now not require treatment, and do not improve the
threat of breast cancer.
Malignancy within the breast: 17% of girls with breast most cancers are diagnosed inside the
infant-bearing years (1 in eight girls). Prolonged breastfeeding reduces the danger of
developing breast cancer. MRI testing is used to diagnose. Breast lumps ought to be
investigated. Inflammatory breast cancer can mimic mastitis.
Five motives to wait to introduce solid meals until 6 months? - ANS-Milk manufacturing may
lower due to less call for from the little one
Introducing stable foods too soon can also interfere with their potential to absorb an
adequate wide variety of calories or vitamins
Young toddlers do not have the coordination or skills to safely swallow stable meals (chance
of aspiration)
Infants have the extrusion reflex till 4-five months of age which reasons them to raise the
tongue and push towards any object placed between their lips, making spoon-feeding tough
for each the infant and the caregiver
, By 6 months, the little one's intestine produces enough immunoglobulins to prevent the
absorption of food antigens and minimize the improvement of meals allergic reactions
7 fundamental guiding principles of breastfeeding counselling: - ANS-Self-reflection: how will
health care providers' attitudes, ideals, and values have an effect on the way they have
interaction with breastfeeding moms?
Empathy: enables set up rapport and definitely impacts scientific results by way of expertise
situations from the breastfeeding female's factor of view
Respect: health care companies want to be non-judgemental and supportive (even if they do
no longer accept as true with the lady's decisions), keep confidentiality, and fee ladies's
information/choices/subculture/ideals (concerning them with curiosity and inclusion in
choice-making)
Encouraging interactions: verbal exchange is unhurried, listening is attentive, no
interruptions
Building on contemporary understanding and capabilities: health care providers need to
evaluate a girl's contemporary knowledge and permit the woman to question, speak, and
combine new thoughts inside her existing know-how base
Shared problem-fixing: non-directive approach permits girls and their families to share in the
trouble-fixing technique, regularly resulting in a renewed willingness to observe the plan due
to the fact they had been involved in finding the answer
Tailoring discussion to girls's particular needs: offer records applicable to the specific
scenario of the own family based on their beliefs, expectancies, and wishes
7 wellknown steps of hand expression - ANS-Wash hands and get snug
Have a smooth spoon, cup, bowl, or jar prepared to trap the milk
Gently massage breast in a circular motion (shoulder to nipple)
It may additionally take several minutes to peer any milk on the tip of the nipple - this is
everyday
Put your hand in a C-shape in your breast. Put hands on the bottom and your thumb at the
pinnacle at the outer edge of the areola.
Gently push your thumb and arms again closer to your chest, then squeeze them together
whilst you pass them closer to the nipple. Do not pinch the nipple.
Move your fingers across the areola in a circle to explicit from distinctive components of your
breast. Press and launch, and repeat the movement on your breast. Switch breasts every
few minutes.
Eight techniques to make sure rule #1 - ANS-Increase frequency and length of feedings
(such as at night)
Improve role and latch (if it is a hassle)
Provide pores and skin-to-skin contact to conserve electricity for the toddler
Help the determine perceive the toddler's cues and sell the release of oxytocin and letdown
reflex
Stimulate the little one to make sure wakefulness all through feeds
Do breast compression while breastfeeding
Offer both breasts at each feeding
Older babies: quiet surroundings, relieving ache from teething, distinct feeding positions
____ fl ouncesare precise bottle sizes for newborns, and ____ fl ouncesare properly for
bigger toddlers - ANS-4 and eight
10 steps for fingers-on pumping - ANS-Start pumping with a sanatorium-grade pump as
quickly as you could after the infant is born
Pump 8+ instances each 24 hours, even at night time
Massage breasts before pumping to assist with allow-down (small circles, take note of outer
part of breasts)
Stroke both breasts from the out of doors in closer to the nipple. Use a light touch to relax
and assist with the permit-down.
Start pumping each breasts and maintain massaging.
Adjust suction to the best comfortable degree.
Watch for sprays of milk, maintain pumping till sprays prevent. If milk does not spray, watch
for whilst the glide slows down.
Finish through unmarried pumping with massage or hand expressing.
Alternate sides and hold massaging. Keep operating on company or lumpy areas.
Pumping is finished while breasts sense gentle and properly-tired.
10 Strategies for successful breastfeeding of the preterm little one: - ANS-SSC as quickly as
viable to assist mothers apprehend toddlers' feeding cue behaviors
Mothers can put gentle strain on the toddler's again/chest with an open hand to help infants
arrange themselves
Mothers who do now not plan to breastfeed and are looking ahead to preterm babies ought
to still express milk
Mothers can hand-explicit drops for the infant to lick (stress the high-quality of the
connection, not the amount of milk)
The little one's competency will increase (sucking and swallowing) and balance with feedings
will occur (no bradycardia or de-saturations). Amount of EBM depends on the amount of
energetic suckling (as milk transfer increases, pinnacle-united stateslower), and can be
decided via every day weights or test weights.
Supplements can lower as powerful breastfeeding increases in frequency. Continue to
specific milk till self assurance about the quantity of milk consumption by the little one is
executed.
Latching preterm toddlers on even though they do no longer suckle effectively can launch
oxytocin, stimulating a letdown and increasing milk supply.
When the toddler isn't always breastfeeding efficiently, pumping or hand=expressing is
important to set up and maintain milk production
Bottle use may additionally interfere with breastfeeding effectiveness (opportunity: cup)
Provide extra support for the dyad (observe-ups, smartphone calls, lactation seek advice
from)
,2 strategies that don't support mothers with a generous deliver - ANS-- Hand expression or
pumping to "pass the milk" as rapid as she can
- Gravity position to facilitate natural milk waft
2 techniques to ensure rule #2 is met - ANS-Having an little one who effectively feeds at the
breast, that's the maximum green method to move the milk
Expressing milk for the little one by way of hand or breast pump
21 dangers of toddler components (for both the child and the mother) - ANS-For the kid:
while feeding an toddler system, they're at an improved hazard of having allergies,
hypersensitive reactions, ear infections, high blood strain and coronary heart disorder,
breathing infections, lower IQ and cognitive development, obesity, iron-deficiency anemia,
SIDS, diabetes, digestive troubles, childhood cancers, publicity to environmental
contaminants, sleep apnea, and dental troubles and malocclusions
For the mother: whilst the mother doesn't breastfeed, she is at an multiplied chance of
developing diabetes, overweight and obesity, osteoporosis, breast most cancers, ovarian
most cancers, and uterine cancer, high blood pressure and cardiovascular ailment, and
reduced infant spacing
three Benefits of human milk for the survival and development of the preterm little one -
ANS-Improved host defenses (greater immune device), digestion, and absorption of vitamins
Decreased morbidity and mortality prices (respiratory benefits, reduced diarrheal episodes,
reduced acute otitis media, reduced SIDS, decreased NEC, decreased infections by means
of creation of determine's proper bacteria)
Increased neurological improvement (stepped forward visual acuity, better help for brain
increase and development, more advantageous neurocognitive results, expanded
maternal-infant bonding)
3 key matters approximately breastfeeding positions - ANS-do no longer bend over (convey
toddler to mother, no longer mom to little one), maintain toddler's body and head aligned
immediately, use pillow(s) to aid mom's arms and the toddler (comfort)
three rationales for continuing BFing past 6 months - ANS-Still an crucial supply of vitamins
and power
The stage of antibodies in human milk is the equal for both babies and newborns. Toddlers
want extra safety (crawling, setting matters in mouth), so human milk maintains to aid their
immune device.
Helps babies and mom reconnect if the mom works faraway from domestic
3 Reasons why human milk is precious for preterm babies: - ANS-Contains higher ranges of
immunologic factors that support preterm babies' extra immature systems, thereby providing
as tons safety as viable
Contains better ranges of protein, fatty acids, sodium, chloride, and iron
,Colostrum and early milk are used to top the gut as "trophic feeds" in very early preterm of
very low birth weight toddlers - very small quantities of balanced enteral vitamins used to ft
the intestine, triggering maturation. Preterm toddlers given human milk as trophic feeds
attain full feeds greater fast.
3 signs and symptoms that toddlers are full - ANS-whilst sucking and swallowing slows or
stops, toddlers close their mouths or push faraway from the breast after feeding, and
toddlers are content material or comfortable after feeding
three things to assess When toddler weight advantage or loss issues are identified: - ANS-If
toddler is adequately fed (supplementation may be required)
What the foundation motive(s) of low milk manufacturing (ex. Jaundice, hydration, trendy
health, feeding, congenital malformation, etc.)
Present seeing that delivery? When did it become apparent? Breastfeeding management
problems? Primary factors related to the discern? Reason for toddler's inability to cast off
milk if milk stays within the breast after feeding?
Milk manufacturing aid to address troubles as quickly as possible
5 possible motives for lumps in breast - ANS-Plugged ducts
Mastitis
Galactocele (a milk-filled cyst): a portable lump due to a plugged duct or pressure on a duct.
Close to the nipple, it could be uncomfortable or it is able to intrude with the latch. Diagnosis
thru ultrasound, remedy through aspiration. WIll resolve on personal after lactation, and can
be alleviated with cool compresses, ice packs, and cushty aid bras.
Fibrocystic breast changes: fibroadenomas are the maximum common benign breast
tumors. Diagnosed via imaging tests, do now not require treatment, and do not improve the
threat of breast cancer.
Malignancy within the breast: 17% of girls with breast most cancers are diagnosed inside the
infant-bearing years (1 in eight girls). Prolonged breastfeeding reduces the danger of
developing breast cancer. MRI testing is used to diagnose. Breast lumps ought to be
investigated. Inflammatory breast cancer can mimic mastitis.
Five motives to wait to introduce solid meals until 6 months? - ANS-Milk manufacturing may
lower due to less call for from the little one
Introducing stable foods too soon can also interfere with their potential to absorb an
adequate wide variety of calories or vitamins
Young toddlers do not have the coordination or skills to safely swallow stable meals (chance
of aspiration)
Infants have the extrusion reflex till 4-five months of age which reasons them to raise the
tongue and push towards any object placed between their lips, making spoon-feeding tough
for each the infant and the caregiver
, By 6 months, the little one's intestine produces enough immunoglobulins to prevent the
absorption of food antigens and minimize the improvement of meals allergic reactions
7 fundamental guiding principles of breastfeeding counselling: - ANS-Self-reflection: how will
health care providers' attitudes, ideals, and values have an effect on the way they have
interaction with breastfeeding moms?
Empathy: enables set up rapport and definitely impacts scientific results by way of expertise
situations from the breastfeeding female's factor of view
Respect: health care companies want to be non-judgemental and supportive (even if they do
no longer accept as true with the lady's decisions), keep confidentiality, and fee ladies's
information/choices/subculture/ideals (concerning them with curiosity and inclusion in
choice-making)
Encouraging interactions: verbal exchange is unhurried, listening is attentive, no
interruptions
Building on contemporary understanding and capabilities: health care providers need to
evaluate a girl's contemporary knowledge and permit the woman to question, speak, and
combine new thoughts inside her existing know-how base
Shared problem-fixing: non-directive approach permits girls and their families to share in the
trouble-fixing technique, regularly resulting in a renewed willingness to observe the plan due
to the fact they had been involved in finding the answer
Tailoring discussion to girls's particular needs: offer records applicable to the specific
scenario of the own family based on their beliefs, expectancies, and wishes
7 wellknown steps of hand expression - ANS-Wash hands and get snug
Have a smooth spoon, cup, bowl, or jar prepared to trap the milk
Gently massage breast in a circular motion (shoulder to nipple)
It may additionally take several minutes to peer any milk on the tip of the nipple - this is
everyday
Put your hand in a C-shape in your breast. Put hands on the bottom and your thumb at the
pinnacle at the outer edge of the areola.
Gently push your thumb and arms again closer to your chest, then squeeze them together
whilst you pass them closer to the nipple. Do not pinch the nipple.
Move your fingers across the areola in a circle to explicit from distinctive components of your
breast. Press and launch, and repeat the movement on your breast. Switch breasts every
few minutes.
Eight techniques to make sure rule #1 - ANS-Increase frequency and length of feedings
(such as at night)
Improve role and latch (if it is a hassle)
Provide pores and skin-to-skin contact to conserve electricity for the toddler
Help the determine perceive the toddler's cues and sell the release of oxytocin and letdown
reflex
Stimulate the little one to make sure wakefulness all through feeds
Do breast compression while breastfeeding
Offer both breasts at each feeding
Older babies: quiet surroundings, relieving ache from teething, distinct feeding positions
