Breastfeeding Guidelines
Breastfeeding Issues
Feeding
Problems and Special Circumstances
Potpourri
100
This is the recommended time frame for initiating breastfeeding after birth
What is within the first hour of life?
100
A shallow latch may result in this common maternal complaint
What is nipple pain or soreness?
100
This is the minimum amount of times a newborn should eat
What is 8 or more times in 24 hours?
100
This is the recommended time frame that a mother who is separated from her newborn should begin hand expression or pumping
What is within 6 hours of delivery?
100
This method of feeding newborns involves offering the breast based on newborn hunger cues and allowing the baby feed to feed for as long as they want
What is on demand breastfeeding?
200
Nurses are responsible for assessing and documenting this at least once a shift
What is a latch assessment/score?
200
This normal newborn behavior involves frequent feeding sessions close together, often in the evening, and helps increase milk supply
What is cluster feeding?
200
List at least 2 hunger cues a newborn exhibits
What is lip smacking, tongue sucking, hand-to-mouth behavior, opening and closing mouth, rooting, head turning to look for breast, becoming more alert and active
200
Clicking sounds, nipple pain, and inadequate milk transfer are signs of this breastfeeding problem
What is a poor latch?
200
This is recommended to do when trying to calm a newborn who is fussy prior to breastfeeding
What is skin to skin?
300
This metric, rather than time spent on the breast, is the best way to determine if a newborn is feeding effectively
What is the number of wet/dirty diapers and evidence of weight gain
300
When breastfeeding is not possible temporarily, these two alternative feeding methods are recommended over bottles to protect the breastfeeding relationship and minimize nipple confusion
What is syringe feeding and cup feeding?
300
When supplementing, this method supports breastfeeding and gives baby more control at the bottle
What is paced bottle feeding?
300
This painful condition may present with fever, breast redness, and flu-like symptoms and sometimes requires antibiotics
What is mastitis?
300
This is the recommended time to wait to start bottle feeding or offering a pacifier to an exclusive breastfed newborn
What is 3-4 weeks or when breastfeeding is well established?
400
This is the least amount of wet and soiled diapers a newborn should have on day 2 of life
What is 2?
400
This audible sound during feeding can indicate a shallow latch or poor seal
What is clicking?
400
During a latch assessment, these 3 signs indicate effective milk transfer
What is audible swallowing, rhythmic jaw movement, and satisfied behavior after feeding?
400
To relieve breast engorgement, nurses should recommend these 3 strategies before and after feeds
What is frequent breastfeeding sessions, hand expression or pumping, and applying a cold compress?
400
Name at least 2 possible negative consequences artificial nipples and pacifiers may have on breastfeeding
What is lower mother’s milk supply, decrease duration of breastfeeding, nipple preference problems, increased incidence of sore nipples?
500
The World Health Organization (WHO) and the American Academy of Pediatrics recommend that infants be exclusively be breastfed for this length of time
What is at least six months of life?
500
This anatomical condition in babies may restrict tongue movement and make latching difficult
What is tongue-tie or tight lingual frenulum?
500
Name the three P's of breastfeeding that new parents need to remember
What is practice, patience, and persistence?
500
A baby born before 37 weeks gestation may have difficulty breastfeeding due to this
What is immature suck/swallow coordination?
500
Breastfeeding can reduce the risk of this type of cancer in the mother
What is breast cancer?