The Latch
Safety
Communication
Milking it
100
These hormones are responsible for bonding during breastfeeding, name both of them.
1. Prolactin (decreases stress and anxiety)
2. Oxytocin (the love hormone)
100
Describe at least 2 safety aspects to assess when mother and baby are skin-to-skin during the postpartum hospitalization, regardless of method of birth.
Hint: Think about basic nursing care and environment of safety in the hospital setting...
Call Bell within reach
Vital signs
Positioning/comfort
Bed locked & lowest position
at least 2 rails up
bedside table within reach
100
How can you connect a patient to our lactation team?
1. Phone (407)764-4207
2. Consult in EPIC
3. During transfer in person (office on MIU)
100
The American Academy of Pediatrics recommends Exclusive Breastfeeding for how long?
a. 2 years
b. 1 year
c. 1 month
d. 6 months
d. 6 months (may begin baby food around this time).
200
There are many ways to position an infant for breastfeeding, name or describe the four basic positions.
200
Describe at least 2 safety aspects to assess when mother and baby are skin-to-skin during the first 2 hours postpartum, regardless of method of birth.
Hint: Think about psychological safety in basic nursing care that applies to our immediate postpartum period...
Maternal Stability/transition
Pt comfort level
newborn stability/transition
200
Name a vulnerable population that is less likely to breastfeed.
Young
Low-income
African American
Unmarried
SNAP/WIC participants.
Overweight/Obesity
Unintended pregnancy
200
There are many maternal benefits to breastfeeding, name three diseases that have a reduced rate of occurrence after breastfeeding.
Mothers who breastfeed have a lower risk of developing:
1. breast cancer
2. ovarian cancer
3. heart disease
4. stroke
5. type-2 diabetes
6. postpartum depression
300
A good latch is important to improve the chances of a successful breastfeeding journey. Name or describe three characteristics of a good latch.
No pain
Tummy to Mummy or Belly to Belly
Aereola completely or nearly all covered by mouth
Lips flanged outward
Tongue cupped under breast
Audible swallows
Chin to breast
No gaps or 'air-leaks'
300
Frozen Breastmilk is stable for how long?
a. 2 years
b. 1 month
c. 18 months
d. 12 months
d. 12 months (any freezer)
300
When educating a patient what communication techniques would be helpful to increase receptiveness? Describe three.
Active listening
Unbiased counseling (nonjudgemental)
Eye contact
Get on their level
300
Name one of the ingredients in Human Colostrum.
1. Immunoglobulin A
2. Lactoferrin
3. Leukocytes
4. Epidermal Growth Factor
5. Glucose
6. Fat
7. Protein
8. Carbohydrates
400
As nurses, we want to ensure the safety of our newborn (in the first 2 hours especially), what steps can you take to ensure the couplet is safe and ready to latch? List at least 3 steps.
Skin-to-skin
head aligned with body
blanket on the back of baby
Mom awake/alert and oriented
feeding cues- rooting/hands to mouth
400
Breastfeeding is known to reduce many morbidity/mortality risks to newborn, name two (think of chronic illnesses).
SIDS
Respiratory Infections
Type 2 Diabetes
Asthma
Childhood Obesity
400
What are some non-verbal behaviors of the nurse that improve communication between the nurse and the patient? Describe two.
Get on their level.
Remove physical barriers (WOW, equipment in hands).
Avoid distractions.
Take your time.
Use touch appropriately and with permission.
400
These colostrum ingredients (3), assist with newborn immunity, what are they?
1. Immunoglobulin A (an antibody)
2. Lactoferrin (a protein that helps prevent infection).
3. Leukocytes (white blood cells)
500
There are many ways to help a mother achieve a comfortable and safe position for breastfeeding within the first 6 hours after birth and later as needed during the hospital stay, describe the steps to achieving and maintaining a latch.
Help pt to get in a comfortable/relaxed position with baby using pillows for support.
Placed baby skin-to-skin, “tummy to mommy”, with baby’s nose aligned with pt’s nipple
Allow the baby to open the mouth wide, use gentle stimulation as needed (rubbing pt’s nipple on baby’s lips)
When baby opens wide, swiftly bring the baby onto the breast deeply
The baby’s chin to touch the breast first, most of the areola should be in the baby’s mouth, nose should be free
Baby’s suck should be rhythmic with round cheeks and no pain to pt.
Listen for swallows, use breast compression and stimulation as needed.
500
Explain how to safely maintain skin-to-skin during transfer of mother and infant to another room or other recovery area.
Hint: Could be in a wheelchair or a stretcher...
Ambulatory: Assist pt to locked wheelchair. Place Infant skin to skin. Cover with a blanket & hat.
Non-Ambulatory: Transfer pt with all side rails up, bed in lowest position, with HOB elevated to at least 300. Place infant skin to skin. Cover with Blanket & hat.
500
Define the LATCH scoring system of the key components of breastfeeding.
HINT: This is charted in EPIC with every head-to-toe assessment.
L= How well the infant latches to the breast
A= Amount of audible swallowing
T= Type of nipple
C= Maternal Comfort during BF
H= Hold
Each item is scored 0, 1, or 2
500
Describe at least 4 signs of adequate transfer of milk in the first few days of life.
Appropriate output per day of life (voids/stools)
Visible/Audible swallows
Content/Satiated between feeding sessions.
Feeds at least 8-12x a day (on demand)