Term
| rule to use when experiencing postpartum nipple soreness |
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Definition
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Term
| common reasons for early postpartum nipple pain |
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Definition
-extra suction created by baby because of low colostral volume
-nipples not used to stretching
-high prolactin levels producing extra sensitivity |
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Term
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Definition
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Term
| time early postpartum nipple pain resolves in |
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Definition
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Term
| wounds occuring at the base of the nipple are likely to be caused by |
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Definition
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Term
| two primary physical causes of nipple damage |
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Definition
1. suction damage
2. compression damage |
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Term
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Definition
superficial pain
intact skin
may have redness, bruising, or swelling |
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Term
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Definition
-superficial pain
-tissue breakdown
-abrasion, shallow fissue, compression stripe, blistering |
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Term
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Definition
-partial thickness erosion
-skin breakdown to the lower layers of the dermis, deep fissures |
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Term
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Definition
-full thickness erosion
-full erosion through the dermis |
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Term
| why low milk flow might lead to nipple damage |
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Definition
| when milk flows suction pressure diminishes, babies may use excessive suction to over compensate for low milk flow |
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Term
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Definition
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Term
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Definition
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Term
| may create a star burst pattern on the face of the nipple |
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Definition
| sucking lesions caused by baby sucking hard to obtain milk from a breast that is flowing slow due to edema |
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Term
| one reason nipple damage is common during periods of engorgement |
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Definition
| because the nipple skin is stretched thin and is more fragile |
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Term
| resulting in compression lesions |
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Definition
-shallow latch
-tongue tie
-anomolies of infant mouth or maternal nipple
-or compensatory behaviors |
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Term
| comonly presents on nipples of mothers who's babies have a shallow latch |
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Definition
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Term
| may aid in wound debridement |
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Definition
negative pressure
breastfeeding or pumping may remove debry from nipple injuries |
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Term
| WHO UNICEF recomendation to avoid nipple pain |
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Definition
| keep nipples clean and dry |
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Term
| Applying expressed milk to breast may help |
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Definition
| reduce pain and speed healing of cracked nipples |
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Term
| when Hydrogel dressings should be thrown out |
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Definition
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Term
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Definition
| rapid onset or short course |
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Term
| Reasons why postpartum women may suffer from slow wound healing and increased suseptability to infection |
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Definition
| because thier immune systems are temorarily suppressed |
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Term
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Definition
a protective coating generated by bacteria
stimulated by infant saliva
may prevent antibacterial ointment from entering a wound |
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Term
| care that should be given when cracked nipples apear |
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Definition
standard first aid
-cleanse nipple wounds once a day with warm, soapy water.
-flush nipples with warm water or saline solution after each feeding
-air or pat dry then apply lanolin, antibiotic ointment , or hydrogel dressing |
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Term
| 3 features of nipples that are chronic and do not heal in a timely manner |
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Definition
1. accumulation of dead skin
2. pathogen imbalance
3. altered exudate levels (secretion from the wound) |
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Term
| meaning of terms "local infection" and "critical colonization" |
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Definition
| wounds that will not heal but don't display common signs of infection |
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Term
| 4 LC responsibilities for avoiding infection of cracked nipples |
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Definition
1. correct cause
2. provide first aid care
3. teach and emphasize hygiene
4. close followup |
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Term
| where S.aureus and MRSA are carried |
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Definition
| nasally, can be passed by the infant to the mother orally |
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Term
| excellent preventative topical antibiotic |
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Definition
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Term
| indicates potential for speading of the infection to underlying tissue and ducts |
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Definition
pus
not appropriate to use hydrogel dressings |
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Term
| conditions commonly mistaken for fungal infection of the breast |
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Definition
vasospasm
dermatitis
bacterial infection |
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Term
| properties gentian violet has |
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Definition
antiseptic
antibacterial
antifungal |
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Term
| research on deep pain points to most frequent cause being |
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Definition
| bacterial rather then fungal |
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Term
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Definition
| combination of bacterial and fungal organisms |
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Term
| treatment needed for women with dimpled nipples |
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Definition
| retract skin to rinse and air dry the nipple after feeding |
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Term
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Definition
| antifungal, antibacterial, steroid |
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Term
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Definition
| nerve regeneration may need to occur causing sensitivity |
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Term
| triggers of alergic dermatitis on the breast |
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Definition
-detergent, soap, doderant, sprays
-creams, ointment, medications
-material in breastfeeding equipment
-saliva (solids, teething)
-infant teething gel or meds
-dermatitis on other parts of body or history |
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Term
| exacerbation of symptoms after medication should prompt |
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Definition
| evaluation for allergic reaction |
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Term
| appearance of eczema on nipples |
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Definition
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Term
| other areas eczema might manifest |
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Definition
behind knees
hands and feet
any area the skin is exposed to stress |
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Term
| seems to aggravate eczema |
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Definition
hot water
chlorine
synthetic clothing |
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Term
| prescribed treatment for an eczema breakout |
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Definition
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Term
| form of nipple cancer that looks like eczema |
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Definition
| Paget's Disease of the Nipple |
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Term
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Definition
| patchy areas that are salmon colored with silvery scales |
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Term
| reasons a mother might develpe white spots on her nipple |
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Definition
1. caked duct, or blocked nipple pore
2. accumulations of dead skin- painless
3. moisture in a bite wound
4. cysts
5. vaspospasm |
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