Molitteri Chapter 12 Study Guide

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4:XAVIER UNIVERSITY COLLEGE OF SOCIAL SCIENCES, HEALTH AND EDUCATION SCHOOL OF NURSING NURS 563: ART & SCIENCE OF FAMILY NURSING PRACTICUM NEWBORN NUTRITION/BREASTFEEDING AND BOTTLEFEEDING READ: Pillitteri, Chapter 19 1. Explain the following terms: A. Colostrum: Colostrum, a thin, watery, yellow fluid composed of protein, sugar, fat, water, minerals, vitamins, and maternal antibodies, is secreted by the acinar breast cells starting in the fourth month of pregnancy. For the first 3 or 4 days after birth, colostrum production continues. B. Oxytocin: a hormone released by the pituitary gland that causes increased contraction of the uterus during labor and stimulates the ejection of milk into the ducts of the breasts.…show more content…
Discuss possible barriers that affect the breastfeeding experience for mom and baby. An infant with galactosemia (such infants cannot digest the lactose in milk) • Herpes lesions on a mother’s nipples • Maternal diet is nutrient restricted, preventing quality milk production • Maternal exposure to radioactive compounds (e.g., during thyroid testing) • Breast cancer • Maternal active, untreated tuberculosis, hepatitis B or C, cytomegalovirus, or human immunodeficiency syndrome • Maternal active, untreated varicella. Once the infant has been given varicella zoster immunoglobulin, the infant can receive expressed breast milk if there are no lesions on the breast. Within 5 days of the appearance of the rash, maternal antibodies are produced, and thus breastfeeding could be beneficial in providing passive immunity against varicella (Sadeharju et al., 2007) • Mothers receiving antimetabolites or chemotherapeutic agents • Mothers receiving prescribed medications that would be harmful to an infant such as lithium or methotrexate • A mother lives in an area where environmental contaminants can be carried via breast milk to the infant (AAP Committee on Drugs, 2002) 5. What would you suggest for a woman who wants to breastfeed but has inverted…show more content…
They include powders, concentrated liquids, or ready-to-use forms. 11. Breast milk is easier to digest than formula why? The protein in breast milk is easily digested. 12. Why is whole milk contraindicated for newborns? Cow's milk is not recommended by the American Academy of Pediatrics for children under 1 year old. Infants fed whole cow's milk don't get enough vitamin E, iron, and essential fatty acids. They also get too much protein, sodium, and potassium. These levels may be too high for the infant's system to handle. Also, whole cow's milk protein and fat are more difficult for an infant to digest and absorb. 13. Why would you not use low-fat/skim milk for feedings for infants? Linoleic acid is an essential fatty acid that is necessary for growth and skin integrity and cannot be manufactured by the body. It is supplied by both infant formula and human milk but not by nonfat milk.. 14. Ms. Allen, who is breastfeeding, is concerned that her infant is not getting enough iron. What would you tell

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