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NURS 3632 NURSING EXAM 2 PREP
QUESTIONS- CARE OF CHILDBEARING
FAMILY
Benefits of Breastfeeding for Baby - -Increases Ca2+ for bone development
-Improves immune system and contains anti-infection properties
-Contains ideal electrolyte and mineral composition for baby
Benefits of Breastfeeding for Mother - -Release of oxytocin aids in uterus involution
-Mother may return to regular weight sooner
-Reduce cost of infant feeding
-Serves as a protective function against breast cancer and possibly ovarian cancer
Reasons a Mother should not Breastfeed - -Lactose intolerant infant
-Herpes or lesions on mothers nipples
-Exposure to certain radioactive compounds
-Mother on harmful medication (HIV+)
When should women initiate breastfeeding and how long should they continue? - As
soon as after birth as possible exclusively breastfed for six months, then gradually
introduced to appropriate family foods after six months while continuing to breastfeed
for two years or beyond
What is a LATCH Score? - A LATCH score is an assessment tool to evaluate the
effectiveness of early breast-feeding. A numerical score of 0, 1, or 2 is assigned to the
five letters of the acronym LATCH. Scoring a 2 in all 5 categories shows that the baby
has latched correctly.
L in the acronym LATCH - Latching of infant onto the breast.
A in the acronym LATCH - Amount of audible swallowing
T in the acronym LATCH - Type of nipple
C in the acronym LATCH - Comfort of mother
H in the acronym LATCH - Help needed by mother to hold baby to breast
Beginners Positions of Breastfeeding - Cross-Cradle Hold or Football Hold
, Advanced Positions of Breastfeeding - Cradle Hold or Lying-Down Position
Cross Cradle Hold -
The Football Hold -
The Cradle hold -
Fetal Heart Rate Acceleration - An increase in fetal HR above baseline. Accelerations
indicate positive well-being. (Contractions, movement)
Fetal Heart Rate Early Decelerations - Mirror image of mothers contraction.
Deceleration returns to normal after contraction. Baby's HR decreases at moms
contraction.
Fetal Heart Rate Late Decelerations - Occur late in timing compared to the contraction.
Contraction ends before recovery of fetal HR. Indicate uteroplacental insufficiency. Will
require c-section.
Fetal Heart Rate Variable Decelerations - "V" shaped. Can be caused by cord around
neck or cord compression.
Process of Leopold Maneuvers - Lay hands on abdomen, walk up abdomen to find
fundus (very top), feel in pelvis area, locate head, feet, back, arms, legs, figure out what
position baby is in.
Leopolds Maneuvers -
ROA - RIGHT OCCIPUT ANTERIOR
LOA - LEFT OCCIPUT ANTERIOR
Fundal Height at 36 weeks - Uterus should reach the xiphoid process
Gravida - How many times a woman has been pregnant
T in Gravida naming - Number of full term infants born (born 37 weeks)
P in Gravida naming - Number of pre-term infants born (born before 37 weeks)
A in Gravida naming - Number of miscarriages or abortions
L in Gravida naming - Number of living children
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