NCMA217 RLE (INFANT FEEDING AND BATHING)

Question 1

PHYSIOLOGY OF LACTATION

Answer 1

• Nipple stimulation from baby’s
  breast sucking
• Message sent to the brain
• Increased prolactin levels released
  by anterior pituitary
• milk production
• Increased oxytocin levels released
  by posterior pituitary - milk
  ejection reflex

Question 2

PHYSIOLOGY OF LACTATION

Nipple stimulation from

Answer 2

baby’s
breast sucking

Question 3

PHYSIOLOGY OF LACTATION

Message sent to the

Answer 3

brain

Question 4

PHYSIOLOGY OF LACTATION

Increased prolactin levels released
by

Answer 4

anterior pituitary

• milk production

Question 5

PHYSIOLOGY OF LACTATION

Increased prolactin levels released
by anterior pituitary

Answer 5

• milk production

Question 6

PHYSIOLOGY OF LACTATION

Increased oxytocin levels released
by

Answer 6

posterior pituitary

• milk
  ejection reflex

Question 7

PHYSIOLOGY OF LACTATION

Increased oxytocin levels released
by posterior pituitary

Answer 7

• milk
  ejection reflex

Question 8

PRINCIPLES OF BREASTFEEDING:

Answer 8

• EBF for first 6 months
• Demand feeding
• BM for 2 years
• Correct position and
  attachment
• Balanced family food for
  mother
• No pacifier

Question 9

PRINCIPLES OF BREASTFEEDING:

EBF for

Exclusive breastfeeding

Answer 9

first 6 months

Question 10

PRINCIPLES OF BREASTFEEDING:

EBF

Answer 10

Exclusive breastfeeding

Question 11

PRINCIPLES OF BREASTFEEDING:

Demand

Answer 11

feeding

Question 12

PRINCIPLES OF BREASTFEEDING:

BM for

Answer 12

2 years

Question 13

ADVANTAGES OF BREASTFEEDING:

Answer 13

• Proper quality & quantity of nutrients
• Rates of growth better in the 1st 3-4 months
• Anti-infective properties
• Prevents allergy
• Contraceptive property
• Psychological advantages

A. Fosters mother-child relationship
B. Tactile contact makes babies more secure, emotionally stable
C. A sense of fulfillment, satisfaction & joy for the mother

• Protection against certain diseases
• Safe, always at the right temperature, convenient and available

Question 14

ADVANTAGES OF BREASTFEEDING:

Rates of growth better in the

Answer 14

1st 3-4 months

Question 15

BREASTFEEDING

Answer 15

B – est for babies
R – educes allergy incidence
E – conomical
A – ntibodies
S – terile and pure
T – emperature is ideal
F – resh
E – easy once established
E – motional bonding
D – igested easily
I – mmediatetly available
N – utritionally
G – astroenteritis reduced

Question 16

Wetness test

Answer 16

voids urine ≥6 times/day
Feeding: 8-
12 times/day (every 2 hours)

Question 17

WHEN BREAST MILK IS NOT ENOUGH

Answer 17

• Baby is not sucking effectively:
• Action: position and attachment
• Mother is very busy and NB sucks less
• Action: increase frequency
• Baby does not suck long enough
• Action: Suck longer, stroke cheek, check for any discomfort
• Formulas are given:
• Action: Advise the mother about EBF

Question 18

ARTIFICIAL FEEDING

Answer 18

• Milk Formulas
• Special Milk Formulas
  Phenylalanine-free.
• Lactose-free Formulas.
  Soy formulas/Protein Hydrolysates.
  Powdered Protein.

Question 19

Not recommended for infants:

Answer 19

a. Whole Cow’s Milk
b. Skimmed Milk & Low Fat Milk

Question 20

Breast milk fed to an infant obtained from
a lactating woman other than the mother

Answer 20

WET NURSING

Question 21

WET NURSING
Purpose:

Answer 21

For infants, like LBWs, who don’t
seem to do well with any other type of milk

Question 22

wet nurse

Answer 22

should be in good health, have
good personal hygiene & enough milk for
another infant in addition to her own

Question 23

TECHNIQUE OF BREASTFEEDING

Answer 23

• Feed on demand
• 8-12 feeds/day
  *Some techniques: success: correct
  positioning and attachment of the
  baby

Question 24

POSITIONING THE BABY

Answer 24

• Head and body is straight
• Baby held close to body
• Support baby’s whole body
• Baby faces the breast
  Good positioning ensures
  comfort

Question 25

BREAST FEEEDING POSITIONS

Answer 25

- LAID BACK POSITION - CROSS CRADLE POSITION - UPRIGHT BREASTFEEDING - SIDE-LYING POSITION - FOOTBALL/CLUTCH POSITION - LAID BACK AFTER C-SECTION - CRADLE POSITION - DANCER HAND NURSING POSITION

Question 26

ATTACHMENT OF THE BABY

Answer 26

* Mouth is wide-open * Lower lip is turned outwards * Chin is touching breast * More areola is seen above than below

Question 27

*The process of introducing any non-milk food into the infant’s diet, regardless of whether or not breast- or bottle-feeding continues

Answer 27

WEANING

Question 28

SIGNS OF READINESS FOR SOLIDS

Answer 28

- good head and neck support - able to swallow food - naturally taking objects to their mouth - developing a pincer grasp - at 6 months, the gut is more mature and ready to accept food - sitting up with limited support