CH 25 Flashcards Preview

NURSING Maternity Review > CH 25 > Flashcards

Flashcards in CH 25 Deck (17)
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1
Q

How much weight should the newborn gain

A

110-200g per week for the first 3 months

2
Q

How often should breastfeeding occur in a day

A

8-12 times in a 24 hour period

3
Q

What is colostrum

A

It is secreted from the mothers breast postpartum days 1-3

It contains the igA immunoglobulin that provides passive immunity to the newborn

4
Q

What is the let down reflex

A

Stimulation of the maternal nipple releases oxytocin that causes the let down of milk

5
Q

How should the nurse respond when the patient states she feels uterine cramps during breastfeeding

A

They are normal, it results from oxytocin which also promotes uterine involution

6
Q

Should a mother burp a newborn who is breastfeeding

A

Yes, burp the baby between each breast

7
Q

What patient education should be given to a mother who is breastfeeding

A

Tell her to begin the newborns next feeding with the breast she ended with
Explain stool may have a loose, pale, and or yellow appearance and this is normal for a breastfed baby

8
Q

What products have been reported to increase breast milk

A

Fenugreek

Prescription meds such as metocloclopramide ( Reglan)

9
Q

How long can breast milk be stored for

A

It can be stored at room temp under very clean conditions for up to 8 hr.
It may be refrigerated in sterile bottles for use within 8 days, or. May be frozen in sterile containers for up to 6 months
Breast milk may be stored in a deep freezer for 12 months

10
Q

What is the best way to thaw milk

A

In the refrigerator for 24 hours to preserve the immunoglobulins present in it

11
Q

How long can prepared formula be stored

A

It can be refrigerated for up to 48 hours

12
Q

If a bottle fed baby is spitting , what may this indicate

A

The baby may have a allergy or intolerance to cow milk based formula and may require a soy based formula

13
Q

Name a breastfeeding position

A

Cradle position

14
Q

What is the chin supported position good for

A

Burping the baby

15
Q

What is a appropriate loss of weight for a newborn

A

5%- 10% immediately following birth ( they may regain weight 10-14 hours after birth)

16
Q

When should newborn weights be performed

A

Daily in the nursery.
At 2 days of age upon discharge for breastfed babies.
At 6 weeks of age upon discharge for formula fed babies.

17
Q

What is failure to thrive

A

Slow weight gain

A newborn usually falls beneath the 5th percentile on the growth chart