Shared Flashcard Set

Details

NURS368
Infant Nutrition
61
Nursing
Undergraduate 3
02/06/2012

Additional Nursing Flashcards

 


 

Cards

Term
Newborns need ____ oz per lb of body weight per day to meet calories and fluid requirement
Definition
2 1/2 oz
Term
Formula and Breast milk = ___ cal per oz.
Definition
20
Term
6lb baby needs ___ oz/____
Definition
6lbs/ 24hr
Term
8lb baby needs ___ oz/___
Definition
20oz/24hours after feeding is established.
Term
How could epidural anesthesia affect infant's patterns of organization
Definition
They may have difficulty coordinating sucking.
Term
Is baby awake or tired right after birth?
Definition
right after born they are wide awake, but first 24 hours of life they sleep more than they are awake.
Term
How soon after birth do we want babies to eat?
Definition
within the first five hours of life.
Term
When do you do a blood glucose after birth?
Definition
if five hours since last feed
BGL should be between 45-80
Term
calories per oz in cows milk?
Definition
20
Term
Babies should be fed...
Definition
every 3-4 hours
Term
Restrict amount of breastfeeding to ____ for first 24 hours. Why?
Definition
30cc for first 24 hours. this is what is recommended because babies dont need much more because babies stomachs don't stretch much in first 24 hours.
Term
How to hold baby during formula feeding
Definition
always hold baby during feeding
look into babies eyes
hold infant in upright position to decrease incidence of ear infections
hold bottle so formula fills nipple
Term
When do you burb baby?
Definition
in the middle and at the end of feeding. should be done every 1/2 ounce
Term
How to hold baby when breast feeding?
Definition
sit them upright, wrap one hand around chin neck and chest leaning babies forward.
Term
When to call the doctor?
Definition
Spitting up or vomiting every meal
diarrhea
lethargic
sleeping too much
doesn't want to wake up even for food
fever
green brown stools
Not enough wet diapers or stools
Term
Spitting up vs. vomiting
Definition
spitting up is a wet burp where a small amount of formula or breast milk comes out of mouth, not projectile, happens because stomachs are too full or they had air bubble trapped inside. Vomiting is more forceful and involves spitting up the entire meal.
Term
4 Characteristics of formula fed babies compared to breast feed babies
Definition
Gain weight faster
go longer between feedings
Hard to digest
stools firmer, foul odor, tendency to be constipated
Term
Bottle Mouth
Definition
putting bottle with milk or juice into babies mouth and leaving them in bed. causes early multiple dental carries this is preventable.
Term
How long should babies be on breast milk
Definition
4-6 months
Term
What indicates it is time to stop breast feeding
Definition
Drooling, indicates adequate enzymes to digest carbohydrates.
Term
Infant feeding deaths
Definition
dont give cows milk or honey for first year
dont feed solids before 4 months
dont let baby fall asleep with bottle
Don't warm bottle in microwave
Don't put cereal in bottle
Term
7 Breast feeding benefits for baby
Definition
antibodies to protect infants from bacteria and viruses
psychosocial - special bonding
higher IQ
easier to digest than formula
less risk of childhood obesity
reduced risk of SIDS
reduce allergies and asthma
Term
How breast feeding will affect your period?
Definition
If will prolong your period without a period. Stops you from getting pregnant right after you give birth.
Term
Prolactin's role and oxytocin's role
Definition
prolactin helps to produce milk, while oxytocin is involved in breast milk output.
Term
Disadvantages of Breast feeding
Definition
nipple tenderness
Leading milk when you hear crying (from oxytocin release)
Diet restrictions (no drinking)
Limites hormonal birth control
vaginal dryness
medication (some meds will hurt baby)
Term
Contraindications to breast feeding
Definition
HIV or AIDS
using street drugs
alcohol
Chemotherapy or radioactive isotopes
active TB
active herpies on breast
active varicella (chicken pox)
Human T cell leukemia virus type 1 positive
Term
Supply and demand rule
Definition
If the baby is using breast milk, your body will keep producing it.
Term
When does milk production begin after delivery?
Definition
48-72 hours after delivery due to decreased estrogen and progesterone
Term
Colostrum
Definition
precursor to milk, start making during pregnancy and sits in breast until after delivery
Term
Transitional milk
Definition
milk "coming in"
Term
Mature milk
Definition
begins 2 weeks after onset of lactation
Term
foremilk
Definition
kind of mature milk, thirst quenching milk from beginning of feeding, milk baby gets right when it is first on breast after birth. More watered down so it satisfies the babies thirst quench so it is not high fat
Term
Hindmilk
Definition
end of feeding, higher fat concentration and main source of energy high in fat.
Term
When does engorgement take place?
Definition
3-5 days
Term
What is breast engorgement?
Definition
During breast feeding, breasts experience edema, congestion and pain. breasts are filled with milk, lymph fluid which is uncomfortable and makes it hard for baby to latch on.
Term
How to relieve engorgement?
Definition
frequent nursing
express milk to soften nipple
warm shower
supportive bra
Term
How many times do you normally nurse per day
Definition
8-12
Term
how many minutes do you nurse in one feeding?
Definition
10-20 minutes per feeding.
Term
How many wet diapers should a baby have per day?
Definition
6-8
Term
How many stools should baby pass daily?
Definition
4-5
Term
How many oz should be gained weekly
Definition
4-7oz
Term
When do babies have grow spurts and what happens during these spurts?
Definition
2,4,6 weeks and three months, children are hungrier.
Term
How to get baby to latch onto the breast?
Definition
tickle the babies lower lip with nipple to get baby to open it's mouth
Term
Asymmetrical Latch
Definition
baby takes more on teh bottom of the nipple than on the top.
Term
Proper positioning prevents _____
Definition
sore nipples
Term
Cradle
Definition
baby in crook of your arm, chest to chest
Term
Modified Cradle
Definition
Baby is not in crook of your arm. their back is on your forearm with one of your hands and the other hand is under it's head.
Term
Football hold
Definition
baby goes back underneither your arm and coming out towards your breast
Term
Side- lying
Definition
Term
What is easier for baby, breast feeding from breast or bottle?
Definition
bottle
Term
rubber nipple may lead to___
Definition
nipple confusion
Term
When is an okay time for a mother to start using a rubber nipple
Definition
wait until 4-6 weeks when milk supply is established
Term
Rule of 5's for storage
Definition
how long you can keep breast milk in a bottle. It is safe at room temperature for no more than five hours, it can stay in the fridge for no more than five days and can stay in the freezer for five months.
Term
LATCH assessment tool
Definition
Tool used to assess one breast feeding session. You give up to two points for each category (LATCH) and a score of two is the best.
Term
Baby Friendly Hospital Initiative
Definition
A system to try to get hospitals to be more baby friendly to promote breast feeding for first six months of life. This requires all staff promise to never give breast feeding bottle a without a mothers permission.
Term
How much of a maternal dose of medication will transfer to breast milk?
Definition
1%
Term
When is it a good idea to start USING medication if you are a pregnant woman?
Definition
only use medication if necessary
delay starting medication until infant is more mature.
Term
At what TIME is it the best idea to start TAKING medication if you are a breast feeding mother?
Definition
take medication immediately after breastfeeding to avoid nursing when drug peaks in maternal plasma.
Term
Can some drugs be taken safely without interfering with breastfeeding?
Definition
yes.
Term
6 benefits of breast feeding for the mother
Definition
Bonding
Convient
Burns calories
Decreased risk for breast/ovarian cancer
Decreased bleeding after birth
Delays return of normal ovulation
Term
what does LATCH stand for?
Definition
L =latching
A= Audible swallowing
T= Type of nipple
C = Comfort of breast
H = Hold (position)
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