Pre-feeding: skin to skin - ANS -immediately prior to feeding
-for ____ minutes prior
-no skin to skin prior
Pre-feeding: state of baby (5 types) - ANS -deep sleep (no movement)
-light sleep (wiggles, REM, best time to try)
-quiet alert (still, fixed eye focus, also good time to try)
-active alert (searching, maybe frantic/frustrated)
-crying (baby has shut down)
Pre-feeding: feeding cues exhibited - ANS -rooting
-hand to mouth actions
-mouthing/suckling motions
-REM
-body movements
-no feeding cues
Latching on: baby's ideal body position - ANS -turned toward mother
-shoulders and hips aligned
-arms/hands around breast
Latching on: ideal latching process - ANS -nose opposite nipple to start
-gape response (really wide open mouth)
-head tilts back
-bottom lip and tongue reach breast FIRST
During feeding: ideal facial proximity - ANS -nose and chin close to breast
During feeding: ideal angle of mouth opening - ANS -140 degrees
During feeding: ideal mouth seal - ANS -top and bottom lip sealed (lips out)
-rounded cheek line (smooth)
-not dimpled cheek
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