ANATOMY
This vessel provides the greatest amount of blood supply to the breast. (60%)
What is the internal mammary artery?
Pages 87-88 (CC)
Page 51 (W)
Which is richer in carbohydrates, fat and some vitamins; colostrum or mature milk?
Which is richer in protein and minerals; colostrum or mature milk?
What is mature milk?
What is colostrum?
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Page 87 (W)
If a medication has a molecular weight of 950, will it be harder or easier for it to transfer into breastmilk?
What is harder?
Page 69 (CC)
Page 130 (W)
These are some of the side effects of kernicterus.
And this is another name for kernicterus.
What is cerebral palsy, deafness, paralysis of upward gaze of the eyes?
What is bilirubin encephalopathy?
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Page 359 (W)
In research, this variable is what the investigator is most interested in understanding, explaining or predicting.
What is the dependent (outcome) variable?
Pages 689 (W)
The nerve supply of the breast is derived from the ____ to the ____, _____________ nerves.
What is the 2nd to the 6th, intercostal nerves?
Pages 88-89 (CC)
Page 52 (W)
Volume of milk in the first 24 hours? (approximate)
Volume of milk by day 5? (")
Volume of milk at 6 months? (")
37
500
800
Page 88 (W)
True or false: The more lipid soluble a medication, the more likely it will transfer into human milk.
What is true?
Page 68 (CC)
Page 130 (W)
True or False: If you see unconjugated, insoluble or indirect bilirubin, you know that the bilirubin has been processed through the _______. (Also name the organ for processing.)
What is false?
What is the liver?
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Page 356 (W)
This type of research focuses on human experience that is holistic and occurs within a specific context.
What is qualitative research?
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This is the developing capacity of the mammary gland to secrete milk from mid-pregnancy to late pregnancy.
What is Lactogenesis I?
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Page 55 (W)
Why don't we give iron supplements to breastfed infants if breastmilk is a poor source of iron?
Which potent bacteriostatic iron-binding protein is rendered less effective if iron supplements are given?
1. Infants have their own stores of iron until at least 6 mos.
2. Additional iron can interfere with lactoferrin. Lactoferrin readily absorbs enteric iron, thereby preventing pathogenic organisms from the iron that is needed for their survival. If we give extra iron, the lactoferrin consumes it and leaves additional iron for the pathogens.
Pages 96-97 (W)
True or false: Poor bioavailability of a medication increases the risk of exposure to the infant.
What is false?
Page 131 (W) (The amount of drug that reaches the systemic circulation after administration.)
Page 69 (CC) (The measure of how much medication reaches the plasma.)
Name the type of jaundice:
Occurs after several days of breastfeeding
The infant is healthy, thriving and gaining weight
Normal, physiologic phenomenon that may be beneficial to the infant
What is BREASTMILK JAUNDICE?
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These 2 symptoms may differentiate a plugged duct from mastitis.
What is a fever and flu-like symptoms?
This is lactation that is controlled by milk removal.
This is lactation that is controlled by hormones.
Which comes first?
What is autocrine control?
What is endocrine control?
Endocrine control (first) allows lactogenesis II to occur without need for milk removal. It then switches to autocrine control where the removal of the milk from the breast prompts more milk to be made.
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This component of whey protein increases in activity at 6 months. Why might this be important?
(Name the enzyme, and the theory for why it increases then.)
Lysozyme
As a child takes in solids at 6 mos, the theory is that lysozyme increases to help protect the child from pathogens and diarrheal disease.
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The safety of a medication in breastmilk for the infant relies on these 4 major factors.
What is:
1 the amount of medication present in the milk
2 the oral bioavailability of the medication
3 the inherent toxicity of the drug
4 the ability of the infant to clear the medication
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Page 132 (W)
Name the type of jaundice:
Occurs within the first 24 hours of the infant's life
Not associated with breastfeeding
Could possibly be caused by hepatitis, galactosemia, cystic fibrosis to name a few
What is pathologic jaundice?
Pages 336-337 (CC)
True or False: If an infant is diagnosed with classic galactosemia, the mother cannot breastfeed.
What is true?
Page 371 (CC)
Page 653-654 (W)
Infant suckling early and often in the postpartum period encourages great milk production. (Name this theory.)
What is the Prolactin Receptor Theory?
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Page 59 (W)
This is the major immunoglobulin in human secretions.
Where is it synthesized and stored?
Does it increase or decrease if a child is ill?
sIgA
In the breast.
Increases
KNOW THIS!
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The __________ compartment is the only source of medication for the milk compartment.
What is the mother's plasma compartment?
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Page 134 (W)
Name the type of jaundice:
Also known as low-enteral intake jaundice
May be seen in the first few days after birth (but not < 24 hours of age)
This jaundice can be reversed by increasing the efficacy of breastfeedings
What is starvation jaundice?
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Pages 357-358 (W)
Per the Bellagio Consensus:
Breastfeeding provides more than ____% protection from pregnancy during the first _____ months postpartum if the mother is "fully" or nearly fully breastfeeding and has not experienced vaginal bleeding after the _____th day postpartum.
What is 98%?
What is 6 months?
What is the 56th day PP?
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