Counseling and Communication

Question 1

Active listening

Answer 1

Communication technique in which the listener attends to the speaker and reflects back understanding of the continent in the meaning of the speaker statements

Question 2

Motivational interviewing

Answer 2

Counseling technique design to meet clients at the point of willingness to change into support clients an incremental steps towards a goal

Question 3

Rapport

Answer 3

A close in harmonious relationship in which people or groups seek to understand each other’s feelings or ideas and work to communicate well

Question 4

Share decision making

Answer 4

An approach to working collaboratively in a medical setting that gives agency to the individual patient or family along with important medical information from the healthcare team

Question 5

Vicarious trauma

Answer 5

The emotional impact of witnessing the pain, fear, or tears the trauma causes in clients and families. Vicarious trauma may lead to burn out, or help her fatigue.

Question 6

LOVE

Answer 6

L= listen
O= open ended questions
V= Validate
E= Educate

Question 7

Problem-solving and documentation

Question 8

Bristol Breastfeeding assessment tool (BBAT)

Answer 8

An assessment tool used to measure Breastfeeding proficiency in clinical practice and research

Question 9

Bristol tongue attachment tool (BTAT)

Answer 9

An assessment tool used to assist with tongue tie identification. A visual and digital assessment of an infants tongue function.

Question 10

Critical thinking

Answer 10

Process of purposeful self regulatory judgment that gives reason consideration to evidence, contacts, conceptualizations, Methods, and criteria

Question 11

Hazelbaker assessment tool for lingual frenulum function (HATLFF)

Answer 11

An assessment tool used to assist with tongue tie identification. A visual and digital assessment of an infants mouth and tongue function.

Question 12

Infant breast-feeding assessment tool (IBFAT)

Answer 12

A validated assessment tool used to evaluate the effectiveness of early breast-feeding

Question 13

Intrapartum

Answer 13

Occurring during labor and delivery

Question 14

Latch, audible swallowing, type of nipple, comfort, maternal Help (LATCH)

Answer 14

Validated assessment tool used to evaluate the effectiveness of early breast-feeding.

Question 15

Preterm infant breast-feeding behavior scale (PIBBS)

Answer 15

An assessment tool used to evaluate preterm infants breast-feeding behaviors

Question 16

Problem oriented medical record

Answer 16

A type of recordkeeping in a problem-solving system,. Information includes a defined database of information, a problem list, a plan of action for each problem, and progress notes on each problem.

Question 17

Key elements in a Lactation health record

Answer 17

Pre-pregnancy: hormonal imbalance, autoimmune disorders, endocrine disorders childhood cancer, psychiatric, surgery, previous lactation history including parity acute or chronic chronic nipple trauma acute or recurrent mastitis, acute or chronic bacterial or fungal infections, milk production (over abundance or insufficient), duration and reason for weaning parents perception of previous breast-feeding experience.

Pregnancy: hypertension, gestational diabetes, multiple‘s, surgery during pregnancy.

Intrapartum (labor): duration of labor, induction or spontaneous, labor medication‘s. Intrapartum: vaginal delivery including presentation episiotomy and instrument assisted, vaginal delivery after cesarean, cesarean, instrument assisted delivery.

Intrapartum complications: maternal including placental, preeclampsia, hemorrhage, accessibility fluid intake, chorioamnionitis status,

infant complications: gestational age, small for gestational age or large or gestational age, transient tech Papinia of the newborn or respiratory distress, meconium aspiration, hypoglycemia, sepsis.

Postpartum time in the first feeding, hospital practices support optimal breastfeedingg, maternal a Q complications including postpartum hemorrhage, Choreo and the other tests, retained products of conception, postpartum preeclampsia,

common infant complications: late preterm gestation, physiologic hyper bilirubinemia, hypoglycemia oral more to dysfunction, precipitous weight loss in newborn, newborn birth trauma.

Uncommon or persistent complications include: continued weight loss after day five failure to regain birthweight by 2 to 3 weeks of age pathologic hyper bilirubinemia, colic.

Significant infant disorders, born at less than 37 weeks gestation, metabolic disorders, congenital heart defect, cleft palate, lip or birth, hypertonia, genetic syndromes, oral, abdominal or chest surgeries.

Assessment of the current situation: frequency of feeding duration of feeding hand expression and pumping supplementation maternal physical exam including scarring, overall physique age, breast speech or communication barriers, cognitive deficit, and other aids that mother needs to care for the baby, demeanor.

Infant physical exam: respiration, neurologic, behavior, extremities, skin, HEENT, oral assessment, digital suck examination. Breast-feeding session: position of the baby at the breast, large, nutritive versus nonnutritive sucking, signs of milk transfer.

Question 18

SOAP

Answer 18

S =subjective, concerns about milk production, nipple pain,

Objective = information from medical record including history and lactation consultant observations this can include the last score type of hold and reported outputs

A=assessment lactation consultant assessment of the situation such as nipple pain caused by ineffective positioning

P = parents goals and steps needed to achieve goals example pain-free and exclusive breast-feeding but will utilize cross cradle hold, education about newborn feeding patterns objective standards and obedience getting enough and plan to follow up.

Question 19

Cultural humility

Answer 19

The delicate application of cultural knowledge and information in a way that allows for the clients lived experiences to supersede with the clinician believes to be true about members of that culture based on the clinicians own studies or previous interactions.

Question 20

Dominant culture

Answer 20

And a societal structure with multiple cultures the culture that controls the conceptual maps and encompasses the most power and is there by able to impose its values and norms on subcultures or vulnerable populations.

Question 21

Equipoise

Answer 21

Balance of power or interest

Question 22

Humility

Answer 22

Interpersonal and intrapersonal modesty exhibited by respect, empathy, openness, and a sense of self is not higher in relation to others; integrity of belief, behavior, and motivation.

Question 23

Implicit bias

Answer 23

Inherent prejudices and attitudes that unconsciously impact ones decision making.

Question 24

Institutional bias

Answer 24

Discriminatory practices to go beyond individual level prejudice and occur at the institutional level through bias policies or practices as seen most blatantly in our comes across the entire groups.

Question 25

Latinx

Answer 25

A gender neutral term used to describe a person of Latin American origin or dissent

Question 26

Vulnerable population

Answer 26

In a society structure with multiple people groups the population that is underrepresentative and has less presence, power and influence that another group

Question 27

Baby friendly hospital initiative (BFHI)

Answer 27

`Global initiative led by UNICEF and WHO to protect promote and support breastfeedingg

Question 28

Change agent

Answer 28

A catalyst for change one who leads change or one who facilitates change

Question 29

Cultural humility

Answer 29

As defined by the first Nations health authority cultural humility is a process of self reflection to understand Personal is the stomach viruses and to develop and maintain respectful processes and relationships based on mutual trust. This involves humbly acknowledging oneself as a learner when it comes to understanding another’s experience

Question 30

Cultural safety

Answer 30

A call for healthcare providers to respond to the colonizing history and experience of indigineous people and approached use for a diverse range of groups that are under served in healthcare system

Question 31

HealthEquity

Answer 31

The state in which everyone has the opportunity to attain their highest level of health

Question 32

Health promotion

Answer 32

Advocating for in the process of enabling people to increase their control over their health and improve their health

Question 33

Public health

Answer 33

The science and art of preventing disease, prolonging life, and promoting health through the organized effort of society

Question 34

Social determinants of health

Answer 34

The economic and social conditions that shape the health of individuals, communities, and jurisdictions as a whole.

Question 35

Socio ecological model

Answer 35

A framework for understanding of the complex inteplay among individual, relationship, community, and societal factors that influence health. An approach that focuses on both population level and individual level determinants of health and interventions. Recognizes that health is determined by influences at multiple levels) example public policy, community, institutional, interpersonal, and intrapersonal factors).

Question 36

UNICEF

Answer 36

Global agency protects and promotes the rights of every child and 190 countries and regions

Question 37

World health assembly

Answer 37

The forum through which the WHO is governed by its 194 member states.

Question 38

World health organization

Answer 38

Global agency composed of the health ministers from its member states, considered the world’s foremost policy setting body for health