Infant Feeding With Additional Needs

Question 1

Risk factors of neonatal hypoglycaemia:

Answer 1

-mum had GDM
-mum took labetalol
-SGA, preterm

Question 2

Clinical range of neonatal hypoglycaemia:

Answer 2

Less than 2

Question 3

Symptoms of neonatal hypoglycaemia:

Answer 3

-shivering
-cold
-lethargic

Question 4

Why is being preterm a risk of hypoglycaemia?

Answer 4

-immature metabolic adaptations
-low glycogen stores

Question 5

Why is maternal GDM a risk of hypoglycaemia?

Answer 5

-baby is used to high maternal blood sugar so HYPERinsulin

Question 6

How to take a feeding history?

Answer 6

-how often, how long, how many ml?
-feeding cues?
-responsive?
-how many wet and dirty nappies?
-colour?
-comfortable nipples?

Question 7

How to support mums wishing to improve feeding?

Answer 7

-skin to skin
- closeness
-responding to baby

Question 8

When should blood glucose tests be done?

Answer 8

-2 tests
-starting after 1st

Question 9

Which babies need blood glucose monitoring?

Answer 9

-babies with hypoglycaemia risk
-non environmental hypothermia
-perinatal acidosis
-high pitched cry and lethargy

Question 10

How to support relationship building for sick babies?:

Answer 10

-skin to skin
-help in providing breastmilk
-rooming in
-photos