Idk

Question 1

How would you introduce yourself ?

Answer 1

Say hello, tell them who you are, state your role and gain informed consent

Question 2

Identify structures of the breast

Answer 2

Nipple- erectile tissue and milk ducts
The areola - pigmented skin which is a target for the baby
Montgomery tubules - Sebaceous glands that lubricate the nipple

Question 3

Hormone that stimulates milk production and identify its source and target cell ?

Answer 3

The hormone is prolactin and the source is the anterior pituitary gland, acts on lactocytes which are milk making cells that live in the alveoli

Question 4

Explain the physiological process which stimulates initiation milk production ?

Answer 4

Baby is born, then placenta,
Easteogen and progesterone levels drop, prolactin raises and milk is produced

Question 5

Give 3 examples of how effective milk production can be achieved and stimulated ?

Answer 5

Massage
Stimulation
Early feeding
Effective emptying

Question 6

Identify the hormone responsible for the let down reflex

Answer 6

Oxytocin, released from the posterior pituitary gland.

Question 7

Name the cell oxytocin acts on and what affect it has ?

Answer 7

Affects myoepithilal cells and has a squeezing effect which pushes milk into the ducts

Question 8

Explain what factors can help or hinder release of this hormone

Answer 8

Helps- senses, touching, smelling or hearing baby cry

Hinders- high cortisol, separation from baby, lack of sleep

Question 9

Name the whey protein involved in the autocrine production and maintenance of breast milk
Explain how this works ?

Answer 9

FIL feedback inhibitor of lactation, works as a negative feedback control to increase milk production when needed.
When breasts are effectively emptied, this stimulates more milk supply

Question 10

How should Robyn prepare herself for a feed ?

Answer 10

Get comfortable
Empty bladder
Hand hygiene 5 moments 7 steps hand washing
Ensure privacy
Watch for feeding cues

Question 11

Breast feeding positions and reasons ?

Answer 11

Rugby hold- if baby prefers a side
Side lie- ideal for post c section or night feeds
Cross body- good for head support
Laidback- relaxed position good for pain relief

Question 12

CHINS acronym ?

Answer 12

C - CLOSE (skin to skin)

H - HEAD FREE

I - IN LINE

N- NOSE TO NIPPLE

S- SUSTAINABLE

Question 13

Detail steps taken by Robyn to attach zac ?

Answer 13

open mouth
Lead with chin
Baby to breast
Nipple to soft pallete
Bottom lip curled

Question 14

Explain signs of good attachment ?

Answer 14

Not painful
No leaking milk
No loud noises
Rhythmic sucking
Baby coming off the breast spontaneously

Question 15

How will Robyn know her baby has had enough milk ?

Answer 15

Plenty of wet and dirty nappies
8-12 feeds in 24 hours
Baby settled between feeds
Feeding between 5-40 mins
Coming off the breast spontaneously