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The Ill Child
Breastfeeding Implications
44
Biology
Not Applicable
07/16/2011

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Cards

Term
condition that results in greater metabolic needs for infant
Definition
congenital heart defect
Term
two feeding devices useful for cleft palate and babies unable to generate enough negative pressure
Definition

1. the Haberman feeder

2. Mead-Johnson cleft palate feeder

Term
hematesis
Definition
bloody vomit
Term

Illnesses & effects on/of breastfeeding

Infection

Definition

-breastfeeding reduces risk and severity

-no reason to interrupt breastfeeding

Term

Illnesses & effects on/of breastfeeding

Gastroenteritis -definition and causes

Definition

the stomach flu

-caused by variety of viruses and bacteria

-most often caused by rotavirus

Term

Illnesses & effects on/of breastfeeding

Gastroenteritis -symptoms

Definition

vomiting and diarrhea

fussiness

fever

anorexia

nausea and cramping

dehydration

Term
dehydration weight loss classification
Definition

3 % loss= mild

3-9% loss= moderate

> 9% loss= severe

Term

Illnesses & effects on/of breastfeeding

Respiratory Infections- definition and causes

Definition

infection in the respiratory tract

caused most often by viral pathogens

Term

Illnesses & effects on/of breastfeeding

Upper Respiratory Infections- symptoms

Definition

upper- fever, rhinorrhea, cough, sneezing, hoarseness, sore throat, dysphagia

 

Term

Illnesses & effects on/of breastfeeding

Lower Respiratory Infections- symptoms

Definition

fever

tachynpnea (rapid breathing), wheezing

rhonchi (coarse rattling sound)

rales (crackling sound), hyperresonance (loud low sounds)

Term


Definition
Term

Illnesses & effects on/of breastfeeding

Respiratory Infections- breastfeeding implications/methods

Definition

-difficulty with swallowing and SSB coordination

-anorexia

-sitting baby upright may help

Term
tachypnea
Definition
rapid breathing
Term
rhinorrhea
Definition
runny nose
Term
dysphagia
Definition
difficulty swallowing
Term
rhonchi
Definition
coarse rattling sound
Term
rales
Definition
clicking or cracking sound when breathing
Term
cyanosis
Definition
blue or purple color of skin or mucus membranes
Term

Illnesses & effects on/of breastfeeding

Pneumonia- definition, causes

Definition

-an inflammation or infection of the lungs

-caused by viral or bacterial agents

-newborns- 3m most often caused by bacteria

-4 m - 4years, viral agents most common cause (RSV, hMPV)

Term

Illnesses & effects on/of breastfeeding

Bronchiolitis- definition and causes

Definition
lower respiratory tract infection caused by viruses (most commonly RSV)
Term
Otitis Media
Definition
middle ear infection
Term

Illnesses & effects on/of breastfeeding

Meningitis- definition, causes

Definition

-acute inflammation of the meninges

-caused by viral or bacterial pathogens

(most common in infants are pneumococci and meningococci)

Term

Illnesses & effects on/of breastfeeding

Meningitis- impact on breastfeeding

Definition

anorexia during acute phase

shouldn't have any trouble after treatment

Term

Illnesses & effects on/of breastfeeding

Meningitis- 4 symptoms

Definition

changes in levels of consciousness, nausea and vomiting,

tense fontanel,

pain with neck flexion

Term
position helpful with both hyper and hypotonia
Definition
dancer hand position
Term
4 strategies for helping hypotonic infant breastfeed
Definition

-baby in upright position

-tap around lips

-provide support under chin and behind lower jaw

-try extended position

 

Term
3 breastfeeding strategies for baby with hypertonia
Definition

1. smooth massage around lips

2. upright posture with butt sticking out

3. cloth between back of baby's head and hand

Term
most common neural tube defect
Definition
spina bifida or myelomeningocele (MM)
Term

Illnesses & effects on/of breastfeeding

Spina bifida- breastfeeding implications

Definition

should be able to breastfeed normally after surgery

will need gentle holding to avoid surgery site

Term

Illnesses & effects on/of breastfeeding

Hydrocephalus- definition, symptoms

Definition

accumulation of fluid in the skull

"setting sun" eyes

high pitched cry

muscle weakness

Term

Illnesses & effects on/of breastfeeding

Hydrocephalus- breastfeeding implications

Definition

care in placement of large heavy head

lide lying is best

 

Term

Illnesses & effects on/of breastfeeding

Congenital Heart Disease- symptoms

Definition

rapid breathing

heart beating too fast

tet spells when crying (blue hands, feet and mouth)

 

Term

 

Illnesses & effects on/of breastfeeding

Congenital Heart Disease- 3 bf implications

 

Definition

- increased caloric need

-long feeding times

-may need supplementation with hindmilk or calorie enriched milk

Term
Present in most children with Pierre Robin Syndrome, breastfeeding issues
Definition

cleft pallate

because of such significant jaw and mouth issues full breastfeeding is usually not possible

Term
GER- definition
Definition

gastroesophageal reflux

-frequent spitting up

-not a problem usually

Term
GERD- definition
Definition

gastroesophageal reflux disorder

symptoms or complications of GER

Term
GERD symptoms
Definition

vomiting (blood if advanced)

anorexia

difficulty swallowing

arching of the back during feeding

irritability

FTT

Term
Position babies with GERD are happiest in
Definition
prone
Term
GERD treatment options
Definition

antacids

motility agents like Reglan and Domperidone

 

Term
GERD eating patterns
Definition
eat frequently at night, sleepy during the day
Term
methods to assist baby with GERD breastfeed 
Definition

monitor growth if lots of vomiting is present

same side nursing

dairy elimination

-DO NOT thicken feedings

Term
Pyloric Stenosis
Definition

severe GERD like condition

thicken muscles in the pyloric lower region of the stomach, blocks food

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