Nipple Shields
These are the two sizes of nipple shield that we have.
What is 20mm and 24mm?
Within this timeframe from delivering a NICU mom needs to start pumping.
What is 6 hours or less?
This activity is very important to do in the first 24 hours for bonding and breastfeeding.
What is skin to skin?
This is the best option for supplementing a breastfeeding baby.
What is expressed colostrum/breastmilk or human donor milk?
According to the breastfeeding basic handout that we give moms, these items can help sore nipples.
What is colostrum/breastmilk, lanolin, hydrogels/comfort gels, olive oil or coconut oil?
Two reasons you could use a nipple shield.
What are flat nipples, inverted nipples, tongue tie, late preterm, transitioning from bottle feeding?
The square opening or numbers or "smiley face" of this device needs to be facing up when mom is pumping.
What is colostrum collector?
Appropriate supplementation amount in the first 24 hours.
What is 2-10ml?
Baby's stomach is the size of cherry and usually holds 5-7ml.
This needs to be completed before you give baby human donor milk.
What is a human donor milk consent form?
According to the breastfeeding basic handout these interventions can help with engorgement.
What is Motrin, ice, supportive bra, hand expression or pumping, frequent feedings?
Avoid heat:)
This activity is done after breastfeeding with a shield and can help establish milk supply.
What is pumping or hand expression?
Name two reasons you might start a mom pumping.
What is NICU mom, late preterm baby, twins, supplementation, low blood sugar, nipple shield, low supply, poor feedings?
This is the minimum number of voids and stools that infant needs to have in the first 24 hours.
What is 1-2 wet and dirty diapers?
This needs to happen when a late preterm baby has lost >7% of their birth weight.
What is supplementation?
As a nurse we can tell our moms to do this after discharge if she is having breastfeeding questions or difficulties.
What is call lactation, office visits and Mommy & Me?
This activity can help the shield stay in place better.
This needs to be filled out when another unit borrows a pump.
What is a breast pump log?
It is located at the front desk. Lactation office has extra pumps to loan out.
This is when mom's milk starts "coming in".
What is 2-5 days?
This is an appropriate weight loss for term baby.
What is 10% or less?
This is what you should do if mom states that she has "no milk".
What is education regarding colostrum/breastmilk?
Best practice to apply a nipple shield.
what is turning the shield halfway inside out?
Freshly expressed colostrum/breastmilk is good for this many hours at room temperature.
What is 4 hours?
This is how a baby displays hunger cues.
What is stirring, rooting, hands to mouth, lip smacking, sticking their tongue out, becoming more alert and active?
Crying is a late hunger cue.
This is how you should bottle feed/supplement a breastfeeding baby.
What is paced bottle feeding?
An infection of the breast tissue that can cause pain, swelling, redness, a tender lump and fever.
What is mastitis?