NM705 EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
sleeping patterns of baby and mother are congruent when they are
in close physical contact, but can be profoundly different when they are not in close
contact
_____________ is connected with and significantly supportive of breastfeeding.
Shared sleep
newborn sleep cycles are approximately
60-90 seconds long
circadian rhythms are
not present at birth. Don't emerge for several months.
babies begin consolidating multiple sleep cycles into longer cycles, sleep longer,
and begin to sleep more when it is dark after
6 months
Newborns nurse approximately _________, and virtually every time they nurse
they wake up, day and night, for many months
hourly
A baby's stomach empties of human milk in approximately
60-90 minutes
The capacity of a baby's stomach at birth is
20 ml
,From days 2 - 6, babies have 5-10 daily feeds, with milk intake increasing rapidly
from ____________-___________
395 - 868 ml
During the first year, babies take in approximately ________ of milk a day
750 - 800 ml
newborns sleep approximately ___________ hrs a day
9-17
mothers who receive epidural anesthesia may not experience the normal
reduction in
anxiety and aggression and increasing socialization that occur with unmedicated birth
if the baby latches or sucks in a way that causes pain or nipple damage, or
insufficient milk intake, the first strategy
is to remove the baby from the breast and try a different position or technique.
nipple placement in baby's mouth
normally, the tip of the nipple rests deeply in the baby's moth and may move sightly
anterior of the hard palate soft palate.
The tongue cups around the nipple, comfortably extending the nipple back into the
baby's mouth.
If baby takes only the tip of the nipple,
the nipple will be compressed against the hard palate and cause pain and restrict milk
flow
if a constructive latch is not achieved after a few tries,
,it may be counterproductive to continue attempts to latch to the point of causing nipple
damage and discourage the mother.
torticollis
positional deformity that is usually the result of a camped uterine environment. Baby
develops asymmetrical mandibles and or tilted jaws that make latching difficult.
The baby consistently turns his head to one side (usually right) and tilts (usually left)
because of tight muscles.
Prone lying helps resolve this.
the full term infant is born with additional _____________ that helps maintain
infant hydration in the first few days of life
extracellular fluid
The easiest and least risky form of supplementation is to
have mother express some colostrum onto a small spoon and spoon feed
WHO's hierarchy for what to feed the baby (supplementation)
1. expressed breast milk from infant's own mother
2. breastmilk from a healthy wet nurse
3. pasteurized donor human milk from a human-milk bank
4. a breastmilk substitute fed with a cup
reconstituted formula is not ________ and provides ______
sterile and provides a medium for pathogens
, _________ are least likely to alter infant suck in ways that compromise
breastfeeding
cups
Educate parents choosing to bottle feed:
propping bottles can cause baby to aspirate
lying flat with bottle increases risk of ear infection (milk pools in the pharynx)
Baby should be held and cuddled for every feed and for some time after.
Most nipple pain falls into two categories:
early onset: primarily mechanical
late onset: likely related to infection
early onset nipple pain occurs in
first week (day 3-7, usually)
A shallow latch places the nipple tip
too far anterior in the baby's mouth, causing friction of the nipple surface by the tongue
as it presses the nipple against the hard palate, resulting in pain and damage.
because pain versus sensation of nipple pulling may be hard to assess,
look for an objective sign of excess or unusual mechanical pressure
shape of mother's nipple post feed
milk flows fastest during the
downward motion of baby's jaw and when the post. tongue drops.
if mechanical nipple pain occurs it is very likely that milk flow is
obstructed and milk stasis is increasing - causing production problems and further
discomfort
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
sleeping patterns of baby and mother are congruent when they are
in close physical contact, but can be profoundly different when they are not in close
contact
_____________ is connected with and significantly supportive of breastfeeding.
Shared sleep
newborn sleep cycles are approximately
60-90 seconds long
circadian rhythms are
not present at birth. Don't emerge for several months.
babies begin consolidating multiple sleep cycles into longer cycles, sleep longer,
and begin to sleep more when it is dark after
6 months
Newborns nurse approximately _________, and virtually every time they nurse
they wake up, day and night, for many months
hourly
A baby's stomach empties of human milk in approximately
60-90 minutes
The capacity of a baby's stomach at birth is
20 ml
,From days 2 - 6, babies have 5-10 daily feeds, with milk intake increasing rapidly
from ____________-___________
395 - 868 ml
During the first year, babies take in approximately ________ of milk a day
750 - 800 ml
newborns sleep approximately ___________ hrs a day
9-17
mothers who receive epidural anesthesia may not experience the normal
reduction in
anxiety and aggression and increasing socialization that occur with unmedicated birth
if the baby latches or sucks in a way that causes pain or nipple damage, or
insufficient milk intake, the first strategy
is to remove the baby from the breast and try a different position or technique.
nipple placement in baby's mouth
normally, the tip of the nipple rests deeply in the baby's moth and may move sightly
anterior of the hard palate soft palate.
The tongue cups around the nipple, comfortably extending the nipple back into the
baby's mouth.
If baby takes only the tip of the nipple,
the nipple will be compressed against the hard palate and cause pain and restrict milk
flow
if a constructive latch is not achieved after a few tries,
,it may be counterproductive to continue attempts to latch to the point of causing nipple
damage and discourage the mother.
torticollis
positional deformity that is usually the result of a camped uterine environment. Baby
develops asymmetrical mandibles and or tilted jaws that make latching difficult.
The baby consistently turns his head to one side (usually right) and tilts (usually left)
because of tight muscles.
Prone lying helps resolve this.
the full term infant is born with additional _____________ that helps maintain
infant hydration in the first few days of life
extracellular fluid
The easiest and least risky form of supplementation is to
have mother express some colostrum onto a small spoon and spoon feed
WHO's hierarchy for what to feed the baby (supplementation)
1. expressed breast milk from infant's own mother
2. breastmilk from a healthy wet nurse
3. pasteurized donor human milk from a human-milk bank
4. a breastmilk substitute fed with a cup
reconstituted formula is not ________ and provides ______
sterile and provides a medium for pathogens
, _________ are least likely to alter infant suck in ways that compromise
breastfeeding
cups
Educate parents choosing to bottle feed:
propping bottles can cause baby to aspirate
lying flat with bottle increases risk of ear infection (milk pools in the pharynx)
Baby should be held and cuddled for every feed and for some time after.
Most nipple pain falls into two categories:
early onset: primarily mechanical
late onset: likely related to infection
early onset nipple pain occurs in
first week (day 3-7, usually)
A shallow latch places the nipple tip
too far anterior in the baby's mouth, causing friction of the nipple surface by the tongue
as it presses the nipple against the hard palate, resulting in pain and damage.
because pain versus sensation of nipple pulling may be hard to assess,
look for an objective sign of excess or unusual mechanical pressure
shape of mother's nipple post feed
milk flows fastest during the
downward motion of baby's jaw and when the post. tongue drops.
if mechanical nipple pain occurs it is very likely that milk flow is
obstructed and milk stasis is increasing - causing production problems and further
discomfort
