Exam (elaborations)
IBCLC exam milk volumes and infant weights
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IBCLC exam milk volumes and infant weights
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Name: Score:45 Multiple choice questions
Term
average weight gain 3-6 months
80g/day
30g/day
20g/day
40g/day1 of 45
Term
Risk factors for delayed Secretory Activation
Advanced maternal age
Cesarean birth
Diabetes Type 1 or II
Labor: long stage II
Labor: maternal fluid overload
Obesity / elevated BMI
Polycystic ovary syndrome, infertility
Primiparity
Retained placental fragments
Sheehan Syndrome
Surgery: breast reduction
no urine in any 24 hr period
red urate crystals persisting beyond 2-3 days
loss >12%
weight loss beyond day 10
not back to birth weight by day 21
<10th percentile past 1 month
drops >2 s.d. from previously stable growth curve
gain <200g/week between 2 wks and 3 mo.
<7% typical
8-10% possible concern
>10% abnormal2 of 45 Term
target pumping volumes days 5, 6 and 8
day 5: 150-225 mL
day 6: 225-300 mL
day 8: 375-450 mL
day 1 and 2: drops
day 3: 25-75 mL
day 1: 37 mL/24 hrs
day 3: 408 mL/24 hrs
day 5: 705 mL/24hrs
day 10: 525-600 mL
day 12: 650-700 mL
day 14: 750+ mL3 of 45
Term
diaper output day 1
3-4 wet
3-4 greenish yellow soft stool
1 wet
1 black tarry stool
5-15 ml
2-3 wet
1-2 greenish black stool4 of 45
Term
how much to supplement first 24 hrs
2-10 mL/feed
5-15 ml/feed
30-60 ml/feed
15-30 ml/feed5 of 45 Term
anatomic stomach capacity by day 14
70 ml
5-15 ml
2-10 ml
75 mL6 of 45
Term
macrosomia
back to birth weight by 10-14 days
double birth weight by 4-5 months
triple birth weight by 12 months
significant crossing of percentiles up or down
large birth weight for newborn
over 4000 g (8lbs 13 oz)
a birth weight of less than 5 1/2 pounds (2500 grams)7 of 45
Term
target pumping volumes days 1-3
day 5: 150-225 mL
day 6: 225-300 mL
day 8: 375-450 mL
day 10: 525-600 mL
day 12: 650-700 mL
day 14: 750+ mL
day 1 and 2: drops
day 3: 25-75 mL
2-3 wet
1-2 greenish black stool8 of 45 Term
volume of milk produced on days 1, 3 and 5
2-10 mL
day 10: 525-600 mL
day 12: 650-700 mL
day 14: 750+ mL
day 1: 37 mL/24 hrs
day 3: 408 mL/24 hrs
day 5: 705 mL/24hrs
day 5: 150-225 mL
day 6: 225-300 mL
day 8: 375-450 mL9 of 45
Term
anatomic stomach capacity at birth
5-15 ml/feed
32-42 ml
22-38 mL
12-13 ml10 of 45
Term
normal newborn heart rate
50-55 b.p.m.
70-190 b.p.m.
65-68 b.p.m.
69-74 b.p.m.11 of 45
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