Term
Can you describe how you
would teach a mother
to hand express? |
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Definition
*STIMULATE BREAST WITH MASSAGE AND NIPPLE STIMULATION.
***GENTLY GRASP THE BREAST WITH THUMB AND FOREFINGER AT THE APPROXIMATE LOCATION OF WHERE THE BABY'S LIPS WOULD BE LOCATED FOR A CORRECT LATCH, AND PRESS THE BREAST BACK AND TOWARD THE CHEST WALL.
***USE THE FOREFINGER AND THUMB TO GENTLY COMPRESS TOWARD THE NIPPLE IN A STEADY RHYTHM, WITHOUT SLIDING THE FINGERS ALONG THE SKIN.
*MILK MAY TAKE A FEW MINUTES TO FLOW.
*ROTATE FINGERS AROUND THE BREAST TO EXPRESS ALL QUADRANTS OF BOTH BREASTS.
(RESPONSE MUST INCLUDE BOTH STEPS MARKED WITH (***) & ONE OTHER STEP).
APPROPRIATE TO REFER FOR LACTATION CONSULT FOR INDIVIDUALIZED TEACHING. |
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Term
Why is it important for all
women to receive
information about the
benefits of breastfeeding? |
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Definition
TO ALLOW A
FULLY INFORMED
CHOICE |
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Term
Do you teach mothers
how to hand express breastmilk? |
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Definition
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Term
Do you teach mothers how
to position and attach
their babies for breastfeeding? |
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Definition
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Term
Can you demonstrate how to assist a mother to position and attach her infant for breastfeeding? |
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Definition
YES
(BE READY TO DEMONSTRATE WITH BREAST MODEL AND DOLL) |
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Term
List at least 3
reasons
why skin-to-skin is
important. |
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Definition
*REGULATES TEMPERATURE OF MOTHER AND INFANT *FACILITATES INITIATION OF BREASTFEEDING
*HAS POSITIVE IMPACT ON MOTHER/INFANT BONDING *CALMS MOTHER/INFANT
*REGULATES HEARTBEAT AND BREATHING
*REGULATES INFANT BLOOD GLUCOSE LEVELS TO PREVENT HYPOGLYCEMIA |
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Term
List at least 4 benefits of breastfeeding for mothers and/or babies. |
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Definition
BABY: REDUCED RISK OF SIDS, CHILDHOOD CANCERS, DIABETES & OBESITY. HIGHER IQ SCORES.
MOTHER: DECREASED RISK OF BREAST AND OVARIAN CANCER, ANEMIA & OSTEOPOROSIS. |
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Term
Why is it recommended that all breastfeeding mothers be taught to express their milk by hand?
List at least 3. |
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Definition
*TO HELP BABY TO ATTACH
*TO RELIEVE ENGORGEMENT
*TO DEAL WITH BLOCKED DUCTS
*TO BETTER EXPRESS COLOSTRUM
*HAND EXPRESSION MAY WORK BETTER THAN A PUMP |
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Term
How often should
mothers with a baby in the
NICU be advised to
express their milk? |
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Definition
AT LEAST 8 TIMES IN 24 HOURS; INCLUDING AT NIGHT. |
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Term
Why is correct positioning and attachment important for breastfeeding? |
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Definition
*EFFICIENT MILK TRANSFER
*SUFFICIENT MILK SUPPLY
*PREVENT SORE NIPPLES |
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Term
How long should skin-to-skin last in the immediate postpartum period? |
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Definition
*AS LONG AS THE MOTHER WISHES.
*AT LEAST UNTIL AFTER THE FIRST BREASTFEEDING; OR 1 HR IF FORMULA FEEDING. |
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Term
Why should artificial nipples and/or pacifiers be avoided during the establishment of breastfeeding? |
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Definition
*MAY MAKE IT MORE DIFFICULT FOR BABY TO ATTACH TO THE BREAST
*INTERFERES WITH CUE-BASED FEEDING, LEADING TO DECREASED MILK SUPPLY. |
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Term
Why is it important that all
pregnant women receive
information about the
management of breastfeeding? |
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Definition
TO PREPARE
THEM FOR
BREASTFEEDING |
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Term
Can you describe what important information non-breastfeeding mothers need to know in order to safely prepare formula and feed their babies?
List at least 4. |
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Definition
*SAFE STORAGE
*SAFE HANDLING
*APPROPRIATE RECONSTITUTION
*APPROPRIATE HYGIENE
*ACCURATE MEASUREMENT OF INGREDIENTS
*CLEANING OF UTENSILS AND EQUIPMENT
*APPROPRIATE FEEDING METHODS |
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Term
Why is cue-based feeding important for successful breastfeeding?
List at least 2. |
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Definition
*ENSURES A GOOD MILK SUPPLY
*PREVENTS ENGORGEMENT
*ENSURES A CONTENTED BABY |
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Term
What is the importance of avoiding supplementation of breastfed babies with formula when not clinically indicated?
List at least 2. |
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Definition
*DECREASED BREASTFEEDING LEADS TO REDUCED MILK SUPPLY
*MOTHER LOSES CONFIDENCE IN BREASTFEEDING
*ALLERGIC SENSITIZATION OF BABY |
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Term
Why is it important that
mothers with a baby in the
NICU be advised to express
their milk as soon as
possible after delivery? |
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Definition
*TO PROVIDE COLOSTRUM FOR THEIR BABY.
*TO STIMULATE MILK SUPPLY. |
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Term
Why is rooming-in important for breastfeeding?
List at least 3. |
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Definition
*MOTHER LEARNS FEEDING CUES
*MOTHER LEARNS HOW TO HANDLE AND COMFORT HER BABY
*SUPPORTS FEEDING ON DEMAND
*BABY LEARNS TO RECOGNIZE HIS/HER MOTHER |
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Term
When should
skin-to-skin be initiated? |
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Definition
*IMMEDIATELY FOLLOWING VAGINAL BIRTH
*AS SOON AS MOTHER IS ABLE TO RESPOND FOLLOWING A CESAREAN BIRTH
(UNLESS THERE ARE DOCUMENTED MEDICAL INDICATIONS NOT TO) |
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