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What are the 4 P's of bf? - ANSWER-Patience
perseverance
practice
plan to protect the baby and milk supply while learning
What type of pain is normal for bf? - ANSWER-Initial latch pain that fades as
feeding progresses
tugging or pulling sensation
What is abnormal pain for bf? - ANSWER-Pain throughout the entire feeding
deep ductal pain
obvious trauma to nipples
What is the second most reason for stopping bf? - ANSWER-Nipple pain, but
most common for reason before they leave the hospital
How many days does the dark sticky meconium stools usually last after birth? -
ANSWER-2-3 days
How many days does the lighter in color and not as sticky stools last after birth?
- ANSWER-3-4 days
,What are the five strategies of gestalt bf? - ANSWER-Parent semi-reclined with
infant chest and abdomen flat against body and breasts.
infants bare hands move freely
firm pressure of infant chin and lower lip
infant in alignment with maternal body
support infant's core
What should we do if the pt is having sore nipples? - ANSWER-Deep the latch
look for different cause (sucking, jaw, short frenulum, candidiasis/ bacterial
infection, dermatological condition (darmangeat)
What is AFLOW mean for feeding assessments? - ANSWER-A- ask
F-feeding and feel
L- latching
O- output
W- weight
What types of complications does mom present with if having persistent nipple
pain? - ANSWER-Compression stripes
blisters
cracks and fissures
bleeding from loss of skin integrity
blanching of nipple
or they may look fine
causes: poor latching/ineffective latch
What can playing tug of war with the nipples lead to? - ANSWER-Plugged
ducts
, How should baby be positioned to prevent sore nipples? - ANSWER-Whatever
is comfortable
positional stability
chest and abdomen flat against mom's body/breasts
ears, shoulders, and hips aligned
baby's nose lined up with nipple
hands free to touch the breast
What is twiddling? - ANSWER-When the baby is preparing the other breast for
bf by stimulation for MER
What is important to teach mother/support persons about baby sucking? -
ANSWER-The difference between nutritive and non nutritive suckling
How can we encourage active feedings for infant? - ANSWER-Breast
compressions
switch breasts when not swallowing
skin to skin
How many hours/days does the baby have at least 3 voids? - ANSWER-48-72
hours
2-3 days
When should a baby be back to birth weight? - ANSWER-No later than 2 weeks
At what point after birth should baby stop losing weight? - ANSWER-After 5
days