NSG 3500 Exam 3 | Maternal Health | (2026) Study Guide PDF | Galen Nursing

NSG 3500
EXAM 3 STUDY GUIDE
Unit 7 & 8 Study Guide
Nursing Practice – Maternal Health
Galen College of Nursing

, Exam 3
 Breast feeding
o Education:
 Cannot breast feed if they have HIV
 Feed baby on demand (Q3-4HR)
 Feeding cues
 Hands in mouth, making fists, rooting, smacking lips, crying (last
sign)
 Baby should be calm and relaxed after feeds if they received
enough milk
 If breasts remain firm after feeds make sure baby has a good latch
 No heating pads on breasts
 Undress the baby to wake for feeds
 Do kangaroo care for 30 min before feeds
 Listen for swallowing (soft “C” sounds)
 Uterine cramping is normal with breast feeding (take NSAID 30 min prior
to feeding)
 Do not introduce artificial nipple for 3-4 weeks
 Report a painful latch (latch should never be painful and could negatively
impact mom and baby)
 First milk=colostrum
 Contains IgA that provides passive immunity. Mature milk comes
within 30-40 hours after which gives the IgA and other proteins
time to coat the baby’s intestines and respiratory tract.
 Breast size has nothing to do with ability to produce milk
o Proper latch:
 Line baby’s nose with mom’s nipple
 Tickle the baby’s lower lip with nipple
 Wait for the baby to open their mouth wide to latch
 Make sure baby’s mouth is surrounding more than just mom’s nipple and
their chin is tucked
o Milk let down
 Tingling in nipples (not always)
 Can hear baby swallowing
 Baby’s fast sucking turns slow
 Uterine cramps
 Lochia may be present
 Mom says she is relaxed during feeds
 Opposite breast may leak
o Breast milk storage:
 Fridge should be 34-39 degrees
 Milk is good for 4 hours at room temp
 5 days in the fridge
 5 months in freezer


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