Module 2

Question 1

Engorgement

Answer 1

Brady becomes hard, shiny, hot, and nipple becomes difficult to grasp

Question 2

Engorged breast decrease flow, by decreasing circulation to capillaries in breast, due to inflammation.

Answer 2

What works well is soaking breasts in warm water

Question 4

Storage capacity is effected by mom with breast plants and tight bras

Question 5

Periareolar incision is the highest chance of effecting milk production

Question 6

Always ask if they have sensation in breast after any surgeries

Question 7

Prolactin = nipple stroking
Oxytocin = nipple stretching

Question 8

Nipple inversion

Answer 8

Grade 1 easily pulled out with breast pump and infant nursing

Grade 2 can be pulled out but do not maintain their projection at all

Grade 3 difficult or impossible to pull out

Question 9

Feed newborn first

Question 10

Smoking decreases prolactin levels

Question 11

Smoking is closely related to moms Early weening

Question 12

22% of SUID can be attributed to maternal smoking during pregnancy

Question 13

Using pacifier decreases the chance of ear infection and diarrhea

Answer 13

Delay pacifier introduction until breastfeeding is established

Question 14

Pacifiers for premies in hospital

Answer 14

Improved baby’s satiety and lead to earlier dc

Question 15

Using nipple shield 3x increased risk of not exclusively breast feeding

Answer 15

Also concern for fungal biofilm

Question 17

Babies driven to feed by thirst not hunger

Question 18

14 minutes is ideal

Question 19

Ensure a good fit for breast pump, the nipple should not rub along the tunnel of the flange

Question 20

Hand expressions lead to higher fat content for baby

Question 21

Start by massageing the breast

Question 22

Ensure the fingers are not sliding down the breast

Question 23

2-3 cm above the nipple go for a period of time till milk decreases then start in a new place

Question 24

Breast milk out for 4 hours room temp
Refrigerator 4 days
6-12 months freezer
Never refreeze human milk
After started bottle by baby must be reused within 2 hours

Question 25

Donor milk

Answer 25

Pasteurized, kills bacteria.

Question 26

Get milk from HMBANA or state licensed human milk bank

Question 27

Liquid formula is sterile, powered infant formula is not sterile

Question 28

Never microwave formula or breast milk

Question 29

Heat water to at least 158 degress Fahrenheit this will kill organisms in powered formula