A&P
Secreted during the first few days of an infant's life, is rich in essential proteins and provides immunity through IgA.
What is colostrum?
The only food a baby needs for the first 6-9 months of life.
What is Breast milk?
An alternative feeding method that works well when only small amounts of colostrum are present or needed.
What is spoon feeding?
This is a late sign of hunger and may mean baby needs soothing or comforting.
What is CRYING?
The first and best choice of food to supplement a newborn with if medically indicated.
What is mother's own milk?
2-10ml
What is the amount of supplement needed with each feeding in the first 24 hours of life?
Increased risk of risk of diabetes, ear infections, GI infections, asthma & obesity
What are risk of formula feeding?
Baby preferring fast flow, difficulty latching, baby becoming agitated at the breast, decreasing mother's confidence in her ability to breast feed.
What are the risks of using bottle nipples?
Stomach capacity on day #3
What is the size of a walnut?
A mother makes this when she receives information about the risks of formula feeding and decides to formula feed.
What is an informed decision?
What is Prolactin?
Accelerated weight loss, return to pre-pregnancy weight more quickly, decreased risk of ovarian and breast cancer, decreased risk of heart disease and post partum depression.
What are maternal benefits of breastfeeding?
Pushing EMM or formula via syringe into the baby's mouth.
What is a non-Summa approved supplementary feeding method often used many years ago for small amounts of colostrum or formula?
Symptomatic low blood sugar, consistently ineffective feedings, lethargy, physician order, signs of clinical dehydration
What are appropriate supplementation indications?
Encourages feeding cues, helps maintain blood sugar levels, helps with mother's milk production
What is skin to skin?
This may prevent full extension and movement of the tongue and cause nipple damage.
What is Tight lingual frenulum?
When supplementation is necessary, the baby has an easier transition returning to exclusive breastfeeding.
What are alternative feeding methods?
Cup feeding
What is the only alternative feeding method that has been supported by research?
The first 24 hours of life when a baby is sleepy and feeding well but not every 2-3 hours, a normal blood sugar level, adequate output, when a mother asks for formula because she is tired, because the RN is too busy to assist with breastfeeding.
What is when supplementation is not needed?
informed consent, volume of milk given, method used, medical indication.
What is proper documentation of supplementary feeding?
The time frame when colostrum starts forming in the body
What is at 16 weeks gestation?
These include protecting the environment from manufacturing waste products, plastics, and cans.
What are advantages of breastfeeding or breastmilk use?
A 5Fr feeding tube attached to an oral syringe or an actual Medela product that includes a canister attached to a pliable tubing that can be attached to the breast while feeding to provide larger volumes of milk when medically necessary.
What is an SNS (supplemental nursing system)?
Dry mucous membranes, low urine output, sunken fontanel, excess weight loss.
What are signs of dehydration?
This is good to use for tongue position problems, weak or disorganized suck, sleepy or groggy baby, to stimulate rooting or sucking response, and if mother is too sore to breast feed.
What is finger feeding?