CLC Section 4 & 5 questions with correct answers

· Relactation variables: ability to produce milk, baby willingness to nurse, length of time to produce milk · Jaundice - yellow coloration of skin and eyes, babies born with fetal type red blood cells ·- Jaundice babies can be breastfed but they may be sleepy, lethargic, and have difficulty sustaining feeding Hand on the back of the head and shaping the breast lead to nipple trauma Observation of more ---- was associated with less sore nipples pre-feeding behaviors (feeding babies according to cue) Oversupply (hyperlactation) - baby is trying to hold back flow by clamping down on nipple - With oversupply you see: rapid weight gain, unsettled baby, recurrent plugged ducts or mastitis, large volume of stools · To minimize over supply: decrease additional stimulation/ milk removal, consider block feeding (nurse on one side only per feeding), Australian posture, watch for mastitis · Yeast/thrush causes nipple pain, may be visible or not, mother will have itchy, flaky skin · Green, shiny stools: may be a sign of milk oversupply · Raynaud's symptoms - pain while feeding/pumping, blanching, nipple discoloration - sometimes inappropriately treated for organisms such as yeast. Clogs, ducts, or cakes palpable lumps of milk within the lumen or duct system; local they move and disappear on their own w/in a day or 2, may come out as a string or blob · solution for clogs: find out cause (bra, clothing), massage (side of hand, not fingers), warmth, double nursing, see PCP if clog does not move 24-48 hrs · Common mastitis breast inflammation; sx: fever, ill feeling, redness, one inflamed breast; problem is generally not in milk but in the tissue of the breast - can nurse · Factors associated to common mastitis - blocked ducts from engorgement, hurried feedings, use of nipple shield, attachment difficulties, tight bra - Keep milk flowing and breasts soft and comfortable to avoid abscess development · Uncommon/ emergent mastitis the tissue of both breasts are inflamed, potentially fatal MRSA peeling skin, dimpling skin, feeling ill, can cause lesions and accesses