What Makes it Work?
What Happens?
Weapons of Distruction
Who Should?
Why?
100
Position and this are important factors for successful nursing
What is latch
100
This USDA rule was implmented for the WIC Program to promote optimal health benefits and reduce risk of early weaning
What is the "no formula for the first month"
100
This bad habit passes into breastmilk within 20 minutes and levels tend to be higher in the milk than in the mother's blood for about 1-1.5 hours
What is Smoking Less than 1/2 PPD is recommended Recommended to eat more Vit C
100
In the United States should a Mom breatfeed her baby?
What is in the US breastfeeding is contraindicated. In situations where affordable sanitary formula is unanviable, WHO recommends EXCLUSIVE breastfeeding. Women with HIV are also taught how to pasteurize their own milk rather than use formula
100
The nutrients in human milk are called this because they are biologically designed for the growth and development of human infants
What is "species specific"
200
During the first days of birth baby and mom need lots of this
What is skin to skin
200
By the time a baby is 2 to 3 days old he should nurse how often.
What is 8-12 times per day or more. Important to remember each baby is different and feeding should be BABY LED and on DEMAND, not on a specific schedule. Or every 1.5-2.5 hours
200
Alcohol passes freely into the "mother milk". If a mom wants to have a drink what advice would you give her
What is the amount in the milk depends on the number of drinks consumed, the time frame and the mother's body weight (which affects how quickly the alcohol clears from the milk). With this considered one small drink per day is not harmful.So to be safe is it recommended to wait 2 hours so that the alcohol has time to clear from the milk. If drinking serveral drinks closely spaced she needs to wait 2-3 hours for each drink consumed. Mom should considered pump and dump. Excessive drinking not recommended with breastfeeding
200
This drug treatment is compatiable with breastfeeding however because of the potential of relapse health care providers may be reluctant to recommend breastfeeding or do so on a case to case basis
What is Methadone
200
The public health and social benefits of breastfeeding are well documented in scientific literature. Breastfeeding helps decrease health care cost, employment and sick leave. Please list 3 benefits for mom and 3 benefits for baby
What is Benefits for Mom -Uterine involution -Prevents PP uterine hemorrahage -Decrase risk breast/ovarian cancer/osteoporosis -Delays Periods/birth spacing -Earlier return to PP wt -Nightime feeding easier -Bonding -Save money; easier travel Baby -Species Specific/Immune Support -Protects against infections/illness/ allergies/Type 1DM -Reduces child/adult obesity -Improved brain development/IQ -Easy to digest -Less tooth decay -Helps develop sense of taste/hand eye coordination
300
This hormone stimulates milk production in the alveoli. It also creates a yearning for the infant. So it is is called the bonding or mothering hormone.
What is prolactin
300
These 3 "key players" are important for milk production
What is Frequency (How Often) Efficiency (Remove the milk from the breast) Exclusivity(Breast milk only no supplmental formula)
300
Birth Control is not recommended for moms until after 6 weeks PP. What are some examples of birth control
What is -Abstinence -Breastfeeding exlusively baby is less than 6months old, mother's period has not returned, nursing both breast 8x 24 hours and no pacifers, bottles or food. -Hormonal methods (Mini Pill Progesterone Only) other methods may decrease milk supply. The effectos of hormal methods on milk can vary from women to women. Ones with estrogen and progesterone have the most negative effect.
300
Please name 3 conditions that are compatible with breastfeeding
What is Active TB(ok to BF after mother is treated for 2wks) -Lyme Disease -Hep A, B,C -Herpes Simplex, -Chicken Pox -Measles -German Measles -CMV benefits vs risks considered. Freezing milk decrease activity - West Nile Virus -Swine Flu -PKU (if infant has PKU only can partially BF)
300
When promoting breastfeeding with pregnant women you will encounter three general attitudes what are they?
What is Motivated Reluctant Reistant
400
In response to nerve stimulation in the nipple area during suckling, the pituitary gland in the brain releases these into the bloodstream
What is prolactin and oxytocin
400
The first month or two a baby should have at least this many of these per day
What is at least 2-4 loose yellow seedy stool per day. Some babies have a dirty diaper after each feeding 8-10 per day. During the first week normally one wet diaper per day of age . Due to diapers today it is hard to tell how many diapers a baby actually wets a diaper. Wet diapers are not a reliable way to measure intake b/c output is difficult to determine.
400
The AAP considers MOST medications to be compatible with breastfeeding. If someone ask's you about breastfeeding and medication interaction, what reference guide would you refer too?
What is Dr. Hale Medications and Mother's Milk. WIC staff cannot make recommendations on specific medications. However we can provide participants with information they can share and discuss with their doctor
400
This extremely rare condition is when the infant lacks the enzyme to digest lactose (dairy) and usually fed soy based formula
What is Galactosemia
400
Why are breastfeed babies less likely to have SIDS, and what is it.
What is breastfeed babies are feeding more frequently so baby is not sleeping as often. SIDS stands for Suddon Infant Death Sydrome
500
When a mom experiences the following it is a sign of what: -One breast leaks while baby nurses from the other - Uterine contrations for mom during the first days of nursing -Baby slows down sucking and swallows differently
What are signs of let down
500
Name the 3 vitamins recommeded for babies and how old they need to be to take them.
What is -Vitamin D starting at birth 400IU (may see a increase in this number in the furture) -Iron 1mg/kg daily beginning at 4 months of age until appropriate iron containing foods are introduced -Flouride .25mg to be given daily to a infant older than 6 months of age.
500
Some health professionals and family may suggest to mothers to try herbals to increase her milk supply. Name 3 safe herbal supplments mom can take while breastfeeding
What is Gingko, Fenugreek, Blessed Thistle, Enchinacea, Herbal Teas(chamomile, chai spice etc)
500
If a women between the ages of 10-15 becomes pregnant can she breastfeed her baby?
What is Yes
500
The national health objectives for breastfeeding Healthy People 2020 include objectives for breastfeeding, initiation, duration and exclusivity. What are these numbers
What is Initiation 81.9 Duration at 6 months 60.6 Duration at 12 months 34.1 Exclusive at 3 months 46.2 Exclusive at 6 months 25.5 PA WIC fall well below these goals. (I) 51%, (D@6) 20% (D@12) 10%