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PPN 301 WEEK 8 EXAM - LATEST UPDATED
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PPN 301 WEEK 8 EXAM - LATEST UPDATEDInfant Feeding
- Fosters optimal growth & development
- Prov. oppor for social & psychological interaction b/w parent & infant
- Helps establish a basis for developing good eating habits & influences lifelong
health habits
- Human milk is the gold standard of infant nutrition
-- Exclusive breastfeeding: Infant receives no other liquids or solds (incl. vit &
min. supplements)
Benefits of Breastfeeding - Infant/Child
- Reduced infant & child mortality
- Enhanced maturation of GI tract & immune factors
- Decr risk of gastroenteritis, celiac disease, Crohn's, necrotizing enterocolitis in
preterm infants, obesity
- Protects against: otitis media, resp. illnesses, bacteremia, & bacterial
meningitis
- Lower incidence of certain allergies
- Less likely to die from SIDS
- Protective effect against childhood lymphoma & type 1 and 2 diabetes
- Decr. risk of dental malocclusions
- Enhance cog. devel. for term & preterm
- Pain relief for NBs undergoing painful procedure
Benefits of Breastfeeding - Mother
- Decr. postpartum bleeding & more rapid uterine involution
,- Decr risk of: ovarian & breast cancer, RA, HTN, hypercholesterolemia, CV
disease, & type 2 diabetes
- Helps in rapid postpartum weight loss
- Delayed return of menses
- Unique bonding exper.
-Incr. maternal role attainment
- May prov. protection from perinatal mood disorders
Latch On Position
- Mother feels firm tugging but no pinching or pain
- Baby sucks w/ cheeks rounded, not dimpled
- Baby's jaw glides smoothly w/ sucking
- Swallowing audible & sounds like series of "ca"
- Baby cannot be easily removed from breast
- Mother's nipples not distorted when baby releases
Breastfeeding - Nursing Care
- Informed decision based on pts knowledge about health benefits & comfort
level
- Prenatal & ongoing assistance & support from HCP
-- Ideal time to begin breastfeeding is within 1st hr of birth when NB is in quiet,
alert state
- Cultural influences on infant feeding
-- Cultural beliefs & practices sig. influences on infant feeding methods
-- Some cultures don't give colostrum & only feed when milk comes in
Breastfeeding Concerns - Sore Nipples
- D/t poor latch, ineffective suck
- Mother should break suction properly, reposition, & attempt again
, - Can rub breast milk on nipples a/f feed
- Encourage air drying nipples a/g feed, change nursing pads often, & avoid bra
that's too tight
Breastfeeding Concerns - Engorgement
- Occurs during 2-6th day postpartum when incr. milk production occurs
- Breast hard, throbbing, flattening of nipples
- Mother should feed freq, soften breast w/ warm compress, shower, hand
expressing b/f feed
Breastfeeding Concerns - Plugged Ducts
- May be consequence of engorgement
- Sore tender lumps
- Encourage mother to massage lump b/f & during feeding
- Feed on unaffected side 1st, ensure complete emptying
Breastfeeding Concerns - Mastitis
- Infection, in 5% of lactating women; 2-3 wks postpartum
- Can incl: fever, tachycardia, chills, malaise, H/a, enlarged axillary nodes
- Breastfeed 2-3 hrs exclusively
- Tx: Antibiotics, antipyretics
- Can cont. to breastfeed
Parental Attachement & Bonding
Early contact:
- May facilitate attachment
- Early skin-to-skin
Extended contact:
- Optimizes family-centred care
- Rooming-in
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