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Ways to support a mother who has chosen to formula feed
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*Instruct on proper preparation*Provide WHO booklet *Suggest ways to promote bonding -Skin to skin -Paced feeding
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The hormone responsible for breast growth at puberty
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Estrogen
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Discuss a Breast Assessment
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1. Evaluate size, shape, and symmetry of breast and nipples.2. Assess nipple everson, compressibility, or discharge3. Evaluate elasticity of the breast tissue.4. Document:*Previous breastfeeding experience*Hx of breast surgery ortrauma (augmentation, reduction,biopsy scars)*Hx of medication/drug use*Changes in breast prenatal
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Path of the milk line
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Runs from the axilla to the groin and can be on the labia *Extra breast tissue, supernumerary nipples, and milk ducts can be anywhere along the milk line-more common in males & on left side
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Number of wet diapers in 24 hours after establishment of lactogenesis
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6-8
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Maximum percentage of birth weight a healthy newborn may lose
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7-10%
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Signs of a good latch
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*1.5in (3.81cm) beyond nipple*Chin & nose touching breast*Top & bottom lip flanged out*Jaw & temple movement*Audible swallows
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Time period WHO recommends that's infants should be exclusively breastfed
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6 months
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Reasons/Causes for insufficient glandular tissue
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*Lack of development secondary to radiation*Underdevelopment*Disproportionate size*Trauma (ex: burn, auto accident, chest tube as a premie, etc.)
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Approximate weight of breast with pregnancy
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*Before pregnancy ~200g*During pregnancy ~400-600g*During Lactation ~600-800g
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Things to do to promote optimal breastfeeding outcomes
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*Keep mom & baby together after birth*Keep them in close proximity day/night*Assist with good position & latch*Encourage feeding 8-12x in 24hrs*Provide BF support options available after birth*Educate family regarding supportive roles
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Poland Syndrome
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Condition where individual is born with missing or underdeveloped muscles on one side of the body
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Intercostal nerve most important to breastfeeding
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IV (Fourth intercostal nerve)
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Location of the entry of the fourth intercostal nerve into the breast
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*Enters Left Breast at 4:00*Enters Right Breast at 8:00
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Amount of blood supplied to the breast by the intermammary artery
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60%
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