Latching
Bad Latch
Good latch
Misc.
100

This type of latch is when more of the top of the areola is visible than the bottom of the areola

assymetrical latch

100

during bad latch, nipple might appear...

lipstick shaped or flat, bruised, blistered

100

Where should nipple point prior to latching baby

under baby's nose above top lip

100

One of the best positions for early breastfeeding

cross cradle

200

Where should the nipple point once inside baby's mouth? Towards the palate or towards the tongue

the palate/roof of the mouth

200

At what birth weight loss should we re assess latch and milk transfer - possibly refer to lactation consultant

over 7-8% loss

200

True of False:  The baby's gape (corners of baby's mouth) should be about as wide as 140 angle

True

200

Mom requests baby be supplemented since baby won't latch. What is the first thing option for "supplementing"?

hand expressed/pumped colostrum followed by the second choice of donor milk

300

What should be in line with the baby's nose while breastfeeding

The top of the areola 

300

What sounds should NOT be heard

clicking or smacking

300

what mouth movements should you see with a good latch

jaw/ear movement or swallowing movement

300

Mom has flat or inverted nipples. BAby unable to latch. Name 3 things to try

wear breast shells in between feeds, use hand expression and hand pump 1-3 minutes prior to attempting to latch, Attempt to latch immediately after pumping while nipple everted. 

400

True or False: Baby's nose should tilt away from breast while chin is tucked into the breast

True

400

should you experience pain during breastfeeding

no!

400

how much weight should the baby gain

about 1oz per day

400

PPD #3 Baby is jaundice, tbili 11, had 1 meconium stool on day 2, only 1 wet so far today, weight loss 9% Mom says baby nursing all the time and cries whenever she takes him off. What is the main concern with this breastfeeding dyad and what is one thing you could suggest?

Baby isn't latching well or transferring milk well. Assess latch for effectiveness, if good latch, have mom pump - feed expressed colostrum. If unable to pump colostrum may offer donor milk after feeds per mother's consent.

500

4 signs of a good latch

Comfortable and pain free, baby tummy to tummy, baby's chin touches mom's breast, nose tilts away from breast, baby's mouth opens wide around the breast, not just the nipple, and baby's lips turn out, wide angle at corner of mouth

500

PPD #2 Mom reports Baby won't latch but you haven't seen baby attempt yet. So what is the first thing you as the nurse do?

observe a feeding, help with position and latch. Check for signs of a good latch and maternal comfort during feed 

500

what angle should corner of baby's mouth with a good latch?

140 degrees

500

Describe 4 signs of adequate transfer of milk in the first few days of life  

- Appropriate output per day of life (voids/stools)

- correct latch with Visible/Audible swallows - not just flutter sucks

- Content/Satiated between feeding sessions

- Feeds at least 8-12 times a day (on demand)

- less than 8% weight loss 

- bilirubin within normal limits for day of life


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