Standards of of practice for CBC {Ans: - Help families define and achieve goals -Problem solving: Assessment, plan, implementation, evaluation -Education and counseling -Professionalism -Legal considerations}What's a breast shell for? {Ans: Evert nipple, collect leaking milk, engorgement, tender nips}Estrogen Progesterone Prolactin Oxytocin TSH {Ans: Estrogen - ^ during pregnancy; stim growth in ductile system Progesterone - ^ during pregnancy; stim alveoli and lobes Prolactin - frm ant pituitary gland; lands on prolactin receptor sites to start milk prod Oxytocin - from post pituitary gland; cause LETDOWN TSH - ^ responsiveness of mammary cells}When is side lying helpful? {Ans: Sleepy, lacerations}How does cleft lip/ palate affect breast feeding? How to treat cleft lip/ palate? {Ans: Unable to seal oral cavity/ generate suction. Cup, spoon, bottle prn. Monitor hydration/ wt gain. Cross cradle, elevated football, dancer. Semi upright.}Multiples {Ans: Room in, cued, individual feeding until proven latch. Partial breast feeding common. Risk for maternal stress}What's a hypotonic infant, what causes? How to treat hypotonic infant? {Ans: Decreased muscle tone d/t nervous system. Common w/ downs. Issues sucking and w/ oropharygneal sturctures. Skin to skin early feed. Flex positions w/ jaw support- dancer. Cup or spoon.}3