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Baby friendly 10 steps - Answer--Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced? - Answer-Alveoli
How is milk ejected into ducts from alveoli? aka let down -
Answer-Myoepitheal cells encase the aveoli, contract in
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response to oxytocin. In response to sucking oxytocin
increases
Different stages of breast development - Answer--
embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth
of ducts and buds
-Lactogensesis 1: Fullness and tenderness while
pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out.
D/t increase of prolactin when progestrone decreases.
Lactogenesis 3: Milk removal= production. Infant sucking=
oxytocin= let down.
How long after cessation of breast feeding does milk
production stop? - Answer-40 days
What happens to estrogen and progesterone during
pregnancy and birth? - Answer-Increase during pregnancy,
decreases after birth. Helps development of lobes.
Signs of letdown? - Answer-Tingling, warmth, fullness,
dripping, contractions
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Tail of spence: What is it, symptoms, how to treat -
Answer-Mammary gland tissue that extends to axillary
area, connected to milk ducts. = Swollen armpits and
mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they
lactate? - Answer-Diagonal line from axilla to groin area.
Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What
is short shank? - Answer-Difficulty w/ latch. Nipple shield
may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it? - Answer-Underdevelopment,
insufficient glandular tissue. No changes during
pregnancy, insufficient milk.
What is breast milk composed of? - Answer-- Fats: higher
in mature milk and evenings
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-Protein: Casein- allows for iron to be absorbed, mature
milk. Whey- early milk, IGA, kills bacteria
Carbs: Lactose, makes up alories/ energy.
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by
mom.
Minerals: Calcium, phosphorus, magnesium, not affected
by diet.
-Mostly water
Standards of of practice for CBC - Answer-- Help families
define and achieve goals
-Problem solving: Assessment, plan, implementation,
evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about
breastfeeding? - Answer--Experience, philosophy,
credentials
What are responsibilities of staff? - Answer--Provide
education and foster environment