Bottles
Breasts
Nutrition/Hydration
Assessment
True or False?
100
Once the infant has started drinking a bottle, the bottle's contents should be consumed or discarded within this timeframe.
What is 1 hour?
100
Nipple stimulation releases this hormone, which causes the milk-ejection reflex.
What is oxytocin?
100
This is the "first milk" that a woman produces during pregnancy and in the first few days postpartum that is very high in protein, vitamins, and minerals and provides a big immunoglobulin boost.
What is colostrum?
100
Percentage of expected weight loss in the first days after birth
What is up to 10%?
100
In addition to breast milk or formula, newborns and infants require bottles of water to meet hydration needs.
What is FALSE?
Hydration needs are met by formula or breastmilk. Adding additional water to formula is unsafe.
200
Formula can be kept in the fridge for this amount of time
What is 48 hours?
200
Doing this during an episode of mastitis will worsen pain and may lead to absess formation.
What is weaning?
200
Age at which cow's milk can be safely introduced.
What is 12 months?
200
This reflex, which occurs when liquid hits the back of the tongue, is present in infants and persists through adulthood.
What is the swallow reflex?
200
Formula fed babies are less likely to die of SIDS than breastfed babies.
What is FALSE?
•Infants who are breastfed have decreased incidence of respiratory, gastrointestinal and urinary tract infections, otitis media, asthma, diabetes, necrotizing enterocolitis, some cancers, obesity, SIDS, and infant mortality
300
Calculate: The NICU baby consumes the following during a nurse's shift:
0800: 1.2oz, 1000: 1.5oz, 1300: 1 oz, 1500: 0.5oz, 1730: 0.7 oz.
What is the total intake recorded for the shift?
What is 147mL?
300
If suffering from mastitis, start nursing on this breast first.
What is the unaffected breast?
300
At what age can solid foods be introduced?
What is around 6 months?
300
Minimum number of wet diapers in a day to support assumption of good hydration
What is 6?
300
These are used for women with inverted or flat nipples to help the infant achieve a strong latch.
What is False?
Pictured: breast pads (should not be plastic lined) used to prevent milk leakage through bra and shirt.
Described: nipple shield
400
Frequency of feeding
Every 3-4 hrs / formula
Every 1.5 - 3 hours / breast milk
(TAKE AWAY - nutrients in formula are harder to digest = full longer)
400
Around days 2-4, when milk "comes in", *THIS* may happen -> breasts become edematous, hard, and tender, making feeding or even movement painful; can lead to nipple trauma or mastitis.
What is engorgement?
400
WILDCARD!
Because *THIS* is most likely to occur in the first hours after delivery, the nurse does fundal checks very frequently (for example: every 15 minutes for the first 1 hour; every 30 minutes for the next hour; every 4hrs for the first 24 hours, and so on).
What is hemorrhage?
400
The nurse should assess for placement of the infant's mouth in breastfeeding efforts. *THIS* is correct.
What is lips positioned over both the nipple and areola, with lips flared outward to promote good suction?
400
Rooting is a late sign of hunger.
What is FALSE?
500
After opening a container of formula powder, it should be used or discarded by this time
What is 3 months?
500
This breastfeeding position is particularly helpful to women who are recovering from C-Section
What is side-lying?
500
WILDCARD
Anticipated characteristics of lochia on day 8.
What is lochia serosa: brownish-pink color with gradually decreasing volume?
500
To introduce solid foods, these characteristics should be present.
What is age 4-6 months, interest shown in food, decreased tongue-thrust, and ability to hold head upright independently and sit upright supported/unsupported?
500
WILDCARD!
Moderate lochia volume
What is 4-6" stain on a peripad?