Newborn Nutrition/feeding CH 24

Breast response that occurs around the third to fifth day, when the "mild comes in" and blood supply to the breast increases. The breasts become tender, swollen, hot and hard, and even shiny and red.

Engorgement

reflex that aids in the propulsion of milk through the ducts to the nipple pores.

Everted

Milk-producing cells

Alveoli

A breast feeding woman asks the nurse about what birth control she should use during the postpartum period. Which is the best recommendation for a safe, yet effective method during the first 6 weeks after birth?

Barrier method using a combination of a condom and spermicide foam

Plastic device that can be placed over the nipple and areola to keep clothing off the nipple and put pressure around the base of the nipple to promote protrusion of the nipple.

Breast/nipple shell

Designed to resemble human milk as closely as possible, although none has ever duplicated it.

Commercial infant milk

Breastfeeding position in which the babys head is positioned in the rook of the mother's arm and the mother and baby are "tummy to tummy"

Cradle

Breastfeeding position in which the mother holds the baby's head and shoulders in her hand with the baby's back and body tucked under her arm

Football hold

Lower fat milk that is initially released with breastfeeding

Foremilk

Identify feeding cues of the infant

Hand to mouth movement sucking motion rooting reflex mouthing

Health care professional who specialized in breastfeeding and may be available to assist a new mother with breastfeeding while in the hospital or after discharge

Lactation consultant

The process of milk production

Lactogenesis (lactation)

Placing the baby onto the breast with the mouth open wide and the tongue down. The nipple and some areola should be in the baby's mouth, making a seal between the mouth and the breast to create adequate suction for milk removal

Latch

Jaundice that occurs in breastfed newborns between 5 and 10 days of age; they are typically thriving, gaining weight, and stooling normally. A brief interruption of breastfeeding for 12 to 24 hours may be recommended

Late onset jaundice

Reflex triggered by the contraction of myoepithelial cells. Colostrum, and later milk, is ejected toward the nipple

Let down or milk ejection

Structures in the breast that are composed of alveoli, milk ductules, and myoepithelial cells

Lobes

Infection of the breast manifested by a swollen, tender breast and sudden onset of flu-like symptoms

Mastitis

Sebaceous glands found on the areola that secrete an oily substance to provide protection against the mechanical stress of sucking and the invasion of pathogens; the odor of the secretion can be a means of communication with the infant

Montegomery glands

Cells surrounding alveoli; these cells contract in response to oxytocin, resulting in the milk ejection reflex or letdown

Myoepithelial Cells

Reflex that occurs when the infant cries, suckles, or rubs against the breast

Nipple errection reflex

The lactogenic hormone secreted by the anterior pituitary gland in response of the infant's suck and emptying of the breast

Prolactin

A nurse is evaluating a woman's breastfeeding technique. Which of the following actions would indicate that the woman needs further instruction regarding breastfeeding to ensure success? a. washes her breasts and nipples thoroughly with soap and water twice a day b. massages a small amount of breast milk into her nipple an areola before and after each feeding c. Lines her bra with thick plastic-lined pad to absorb leakage d. position baby supporting back and shoulders securely and then brings her breast toward the baby putting nipple in the baby's mouth e. feeds the baby every 2 to 3 hours. f. inserts her finger into the corner of her baby's mouth between the gums before removing her baby from the breast

a, c,d

During a home visit, the mother of a 1-week-old infant son tells the nurse that she is very concerned about whether her baby is getting enough breast milk. The nurse would tell this mother that at 1 week of age a well-nourished newborn should exhibit which of the following a. weight gain sufficient to reach his birthweight b. A minimum of three bowel movements each day c. Approx 10 to 12 we diaper each day d. Breastfeeding at a frequency of every 4 hours or about 6 times each day

a. weight sufficient to reach his birthweight

Rounded pigmented section of tissue surrounding the nipple

aveola

A new breastfeeding mother asks the nurse how to prevent nipple soreness. The nurse tells this woman that the key to preventing sore nipples would be which of the following a. limiting the length of breastfeeding to no more than 10 minutes on each breast until the milk comes in b. applying lanolin to each nipple and areola after each feeding c. using correct breastfeeding technique d. using nipple shells to protect the nipples and areola between feeding

c. using correct breastfeeding technique

The nurse should teach breastfeeding mothers about breast care measures to preserve the integrity of the nipples and areola. Which of the following should the nurse include in these instructions? a. Cleanse nipples and areola twice a day with mild soap and water b. apply vit E cream to nipples and areola at least four times each day before a feeding c. insert plastic-lined pads into the bra to absorb leakage an protect clothing d. Place a nipple shell into the bra if nipples are sore.

d. Place a nipple shell into the bra if nipples are sore

A woman is trying to calmer her fussy baby in preparation for feeding. She exhibits a need for further instruction if she does which of the following a. swaddle the baby b. dims lights in the room and turns off the TV c. gently rocks the baby and talks in a low voice d. attempts to get the baby to latch on immediately

d. attempts to get the baby to latch on immediately

Jaundice that occurs in breastfeeding infants as a result of insufficient feeding and infrequent stooling

early onset jaundice

Newborn behaviors the indicate hunger and a desire to eat such as hand to mouth movements, rooting and mouth and tongue movements.

feeding-readiness cues

Herbal or pharmaceutical agent reported to increase breast mil production

galactogogue

Milk that is denser in calories from fat and is necessary for optimal growth and contentment between feedings

hindmilk

Nipple type that remains flat/soft and does not protrude even when stimulated

inverted (flat)

Breast structure that transports mils from the alveoli to the nipple

milk ducts

Posterior pituitary hormone that triggers the let-down reflex

oxytocin

Reflex stimulated when a hungry baby's lower lip is touched. The baby opens its mouth and begins to suck

rooting reflex

Short frenulum, which interferes with extrusion and effective sucking

tongue-tie

Process whereby the infant is gradually introduced to drinking from a cup and eating solid food while breastfeeding or bottle-feeding is reduced by gradually decreasing the number of feedings

weaning