What is the normal weight loss for the infant during the first few days ? - - 5-7% in the first 24hrs and
below 10% in the first week
How many calories does a lactating mom need - Moms need approximately 500 extra calories/day when
breastfeeding. Range is 1,800-2,700 with most mons consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - Babies need 400 IU
of Vitamin D per day . They should be supplemented if moms are deficient ; there is vitamin D in formula
, so if they are being formula - fed they do NOT require additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - Moms should consume a diet of
normal foods - they should eat when they're hungry and drink when they're thirsty . The MyPlate is a
good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
When would a Habermen feeder be indicated ? - with Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - Antimetabolite drugs or
chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - The Tail of Spence refers to
mammary gland tissue that extends to the axillary area that is connected to the milk ducts . Symptoms
, include swollen armpits and even mastitis . Moms can apply cold compresses to the area and take
Motrin / Tylenol as needed for discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? - - They increase during
pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - There are nine stages of the "
Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6.
Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - The baby's stomach is only the size of a marble , button
or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time .
Standards of of practice for CBC - - Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - - Approximately 40
days
What are the common signs of milk " let down " ? - Tingling , warmth , fullness , dripping and
contractions
How is preterm milk different than term milk ? - - It is higher in protein and immune factors ( because
the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - Lipids
What component of human milk is destroyed by freezing ? - Macrophages
When is the side - lying position helpful ? - In moms that are sleepy or have lacerations / repairs that put
pressure and cause discomfort on the perineal area
What position is centered around the infant attaching themselves to the breast ? - - The laid back
position ( aka the biological position )
When is the Australian / Saddle position helpful ? - When moms are experiencing active let - down
What is the dancer hand ? - Mom would have hand below the breast in a " U " shape ; this is good for
infants who need good jaw support
What are signs of milk transfer ? - Swallowing - harsh " Ca " sound ; air from nose felt , neck movement
visualized
What are the stool transition colors ? - Black to green to yellow
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