Reference no: EM133361156

Questions:

1. Describe skin-to-skin and provide 2 reasons why it is so important for postpartum clients and their neonates.
2. State the benefits of breastfeeding (chestfeeding) for both postpartum clients & neonates).
3. Identify and describe the criteria necessary for determining a "good latch" (i.e. the signs of milk transfer when breast feeding/chestfeeding) and the risk(s) associated with not obtaining a "good latch"
4. Describe/demonstrate how to teach breast(chest) massage and manual expression
5. Identify and describe/demonstrate the various common breastfeeding (chestfeeding) positions/holds (Ex. Sidelying, Cross-cradle (also called Reverse arm or Alternate arm), Football (also called Clutch), Laid-back).
6. Identify and describe cues that neonate is hungry
7. Identify and describe indicators that the newborn is getting enough nourishment from breastfeeding (chestfeeding); and sign and symptoms of neonatal dehydration
8. Begin to understand the importance of providing appropriate information and resources for breastfeeding (chestfeeding) clients related to alcohol, tobacco, nicotine replacement therapy (NRT), and cannabis use
9. Begin to understand the rationale regarding the use of a breast pump both in and out of hospital to stimulate milk production
Formula Feeding
1. Identify the various types of commercial infant formula preparations (powder, condensed/concentrated liquid, ready-to-use, and individually pre-package and prepared) and describe how they should be prepared.
2. Identify the appropriate amount of formula (per feeding) for a newborn during the first week of life and at different stages up to and including 8-12 months.
3. Describe (and demonstrate) the most effective position for both the newborn and the bottle during bottle feeding.
4. Describe when to discard unused formula from a bottle.
5. Describe how to properly clean baby bottles and nipples.

Newborn Weight Calculation
1. Use case scenarios to calculate newborn weights and weight loss values & percentages
2. Answer common questions that might be raised by new parents about neonatal weight loss
Student Preparation
Complete the pre-lab readings and preparation requirements as well as the questions below.
Student Questions (complete PRIOR to scheduled Zoom session)
• Identify 2 reasons why skin-to-skin is important with newborns and mothers
• State 3 benefits of breastfeeding (chestfeeding) for the new mother AND 3 benefits of breastfeeding for the neonate
• State the criteria for determining a good breastfeeding (chestfeeding) latch. Identify and describe the observations you would make to determine that a newborn has a good latch?
• State signs of milk transfer when breastfeeding (chestfeeding)
• What are some newborn cues that signal a baby may be ready to breastfeed (chestfeed)?
• State indicators that the newborn is getting enough breastmilk
• State the signs of neonatal dehydration in a newborn.
• List and describe the various positions for breastfeeding (chestfeeding) including the benefits/rationale for using each.
• Briefly describe key points of manual expression of breastmilk.
Differentiate between the terms - engorgement and mastitis.
Where would you obtain information about a postpartum patient's previous success or difficulty with breastfeeding (chestfeeding)?
• How would your approach differ with a postpartum patient who is breastfeeding (chestfeeding) for the first time versus a postpartum patient who has breastfed previously?
• A breastfeeding (chestfeeding) or bottle feeding patient asks you a question you are unable to answer. What is the correct response & nursing action in this situation?
List the various types of commercial formula preparations (powder, condensed/concentrated liquid, ready-to-use, and individually pre-packaged and prepared) and describe the important preparation requirements.
• Identify the appropriate amount of formula (per feeding) for a newborn during the first week of life. Describe how the amount will change at different stages up to and including
8-12 months.
• When feeding a newborn with a bottle, how should the newborn and the bottle be held?
• What is the most appropriate and effective method for cleaning baby bottles and nipples?

Answer the following questions that might be posed to you by a patient or family member about breastfeeding or bottle feeding the newborn.
• "My baby gets so sleepy when he's on the breast. Is it okay if I only feed him on one breast with each feeding?"
• "Do I have to burp my baby when I'm breastfeeding (chestfeeding)? How do I know when she needs to burp?"
• "How often should I be breastfeeding (chestfeeding) my baby?"

• "Can I consume alcohol and/or smoke cannabis when breastfeeding (chestfeeding)?"

• "My friend breastfed her baby and bought a breast pump that she used every day. Do I have to pump my breasts too?"
• "How much formula should I give my baby with each feeding? How much should my baby have in a day (24 hours)?
• "My sister told me to warm the formula in the microwave, but my friend told me not to.
What do you recommend?"
"My friend has some left over formula from when she had her baby last year. Can I use that? Formula is so expensive!"
"Because the formula is so expensive, if the baby doesn't finish the bottle, can I keep it for the next feeding?"
"I decided to feed my baby formula because I know that you are not supposed to breastfeed if you smoke. Do you think that was a good decision?"