WITH ANSWERS GRADED A+
◉ Key paradigm shifts for preterm infants . Answer: Understanding the
value of human milk for preterm infants
Importance of skin to skin (kangaroo care)
breastfeeding
◉ Teaching for mothers of preterm infants . Answer: importance of
their milk for their infant and hand expression
value of skin to skin contact
therapeutic value of expressing pumping milk
◉ Differences in preterm milk . Answer: higher levels of immunologic
factors
higher levels of protein, fatty acids, Na, Cl, Fe
Colostrum and early milk are used to prime the gut
◉ Kangaroo Mother Care . Answer: combining skin to skin contact with
exclusive breastfeeding used in Nicu. Preterm infants are more stable sts
than in isolet.
◉ Age of late preterm . Answer: 34-36+6
, ◉ Risks and issues with age of late preterm infants . Answer: higher
risk for readmission
jaundice
temp instability
hypoglycemia
resp distress
poor feeding
◉ Proactive interventions for late preterms . Answer: frequent attempts
followed by hand expression
give any milk expressed by spoon cup or syringe
skin to skin
assessments
less weight loss is tolerated than for a term
◉ determining factors for readiness to breastfeed . Answer: oportunity
for skin to skin
maturity is a better indicator or readiness than weight or gestational age
watch for cue behaviours
ability to breastfeed depends on coordination of innate suck, swallow
and breathe