Milk Magic
This stage of milk is rich in immunoglobulins (IgA), high in protein, and produced in small volumes (7–14 mL/feed).
What is Colostrum
A “good latch” shows lips flanged > 120°, chin deep into breast, and THIS part of the areola covered more than the top
Skin-to-skin should begin immediately after birth and continue for at least this long uninterrupted.
What is 1-2 hours?
Engorgement usually occurs within the first week; name one evidence-based treatment.
What is: Warm before, cold after, frequent feeding, gentle massage
Health Canada recommends exclusive breastfeeding for the first __ months.
What is six?
Human milk’s whey:casein ratio starts at 90:10 in early lactation and shifts to THIS ratio in mature milk.
What is 60:40 ratio (whey: casein)?
This is one common position used in the immediate postpartum period to support effective latch.
DAILY DOUBLE - DEMO WITH THE INFANT MANNEQUIN
What is Cross-cradle, football, or side-lying?
Name two physiological benefit of skin-to-skin contact for the newborn.
What is?
Temperature / HR / RR / bonding / oxytocin / increased supply, decreased pain ... and...
Breast edema differs from engorgement; this compression technique helps relieve it before latch.
What is Areolar compression / reverse pressure softening
This global initiative, launched in 1991 by WHO & UNICEF, recognizes hospitals meeting 10 steps for successful breastfeeding.
What is the Baby Friendly Initiative (BFI)?
These two long-chain polyunsaturated fatty acids support myelination and visual development
What is DHA & ARA?
This hand technique, sometimes called the “sandwich”, helps babies latch when nipples are flat or inverted.
OR
What are techniques used for flat/inverted nipples or for babies with tongue tie
Skin-to-skin care increases production of these two hormones critical for milk supply and bonding
What is oxytocin & prolactin?
Continued milk removal and rest are key treatments for this inflammatory breast condition that may cause fever and flu-like symptoms
What is mastitis?
Name one risk factor identified by Gagnon et al. for unnecessary supplementation
Birth at night / anxiety in parents / maternal fatigue / nurse's belief in low colostrum
Human milk contains this hormone that helps regulate appetite, metabolism, and energy balance.
Babies in this behavioural state are most ready to feed and learn.
What is QUIET alert?
Skin-to-skin contact helps stabilize this metabolic parameter in the newborn
What is glucose?
Blocked ducts often resolve with this baby-led intervention by positioning the infant’s nose or chin toward the affected area.
What is a blocked duct?
IF medically indicated, acceptable supplementation volumes for the first 24 hours are between __ and __ mL per feed.
What is 2-10mL
These unique cells in human milk are abbreviated HAMLET, and have anti-malignancy properties.
What is Human Alpha Lactalbumin Made Lethal to Tumour cells? (Whew, aka: thank goodness that's an acronym)
This newborn enzyme contributes to the “post-feed drowsy" appearance after a good feeding.
A 2024 study by Lazarus et al. found a dose–response neurodevelopmental benefit for preemies with an average of this many minutes/day of STS care.
Both the parent and infant must be treated when this yeast infection affects the nipples or oral cavity.
What is thrush (or Candida)?
Ten percent weight loss is not an automatic indicator for supplementation but a prompt for this nursing action.
DAILY DOUBLE - What assessment questions will you ask?
Full feeding evaluation (baby + breast + parent assessment)