1|Page
NSPN 7150 Mod 1 Questions + Answers Graded
A+
Rules for infants with special needs - .....ANSWER
...✔✔ rooming in 24hrs
skin to skin contact
family centered care
feed the infant
move the milk
help the dyad learn to breastfeed
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
,2|Page
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
,3|Page
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
Age of corrdination of sucking, swallowing and
breathing - .....ANSWER ...✔✔ 28 weeks but
generally around 32 weeks gestation
Respiratory distress syndrome - .....ANSWER ...✔✔
breastfeeding decreases apnea, hypoxia and
bradycardia because infant is in charge of flow.
, 4|Page
Necrotizing enterocolitis - .....ANSWER ...✔✔
breastmilk coats gut, supports closure of epithelial lining,
aids maturation of gut
Hyperbilirubinemia - .....ANSWER ...✔✔ RBC
breakdown increasing amount of bilirubin pigment in
circulation. As infant suckles peristalsis occurs, colostrum
is a natural laxitive.
treatment is frequent, effective and exclusive
breastfeeding. Phototherapy can be done with infant
and mother in room.
Pathological Jaundice - .....ANSWER ...✔✔ occurs
before 24 hours and may indicate early hemolysis or
liver disease
physiological jaundice - .....ANSWER ...✔✔ also
known as starvation jaundice or breastfeeding fauntice.
Normal elevation of bilirubin of healthy infants as part
of transition from low to high O2 environment
breastmilk jaundice - .....ANSWER ...✔✔ occurs after
the 5th day of life and peaks around day 12. Cause is
unknown but thought to be a substance in some mature
NSPN 7150 Mod 1 Questions + Answers Graded
A+
Rules for infants with special needs - .....ANSWER
...✔✔ rooming in 24hrs
skin to skin contact
family centered care
feed the infant
move the milk
help the dyad learn to breastfeed
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
,2|Page
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
,3|Page
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
Age of corrdination of sucking, swallowing and
breathing - .....ANSWER ...✔✔ 28 weeks but
generally around 32 weeks gestation
Respiratory distress syndrome - .....ANSWER ...✔✔
breastfeeding decreases apnea, hypoxia and
bradycardia because infant is in charge of flow.
, 4|Page
Necrotizing enterocolitis - .....ANSWER ...✔✔
breastmilk coats gut, supports closure of epithelial lining,
aids maturation of gut
Hyperbilirubinemia - .....ANSWER ...✔✔ RBC
breakdown increasing amount of bilirubin pigment in
circulation. As infant suckles peristalsis occurs, colostrum
is a natural laxitive.
treatment is frequent, effective and exclusive
breastfeeding. Phototherapy can be done with infant
and mother in room.
Pathological Jaundice - .....ANSWER ...✔✔ occurs
before 24 hours and may indicate early hemolysis or
liver disease
physiological jaundice - .....ANSWER ...✔✔ also
known as starvation jaundice or breastfeeding fauntice.
Normal elevation of bilirubin of healthy infants as part
of transition from low to high O2 environment
breastmilk jaundice - .....ANSWER ...✔✔ occurs after
the 5th day of life and peaks around day 12. Cause is
unknown but thought to be a substance in some mature
