Question

2. The quickest solution that the nurse is to increase feedings for the babies, give Brenna some ibuprofen, and to apply fresh cabbage leaves to the breast until the leaves wilt. The office would work them in as soon as possible, but the nurse knew that waiting for hours could be miserable for Brenna. Brett was pretty sure he heard wrong when the nurse said cabbage leaves.

True or False: Cabbage leaves have been found to help with discomfort, but not actually relieve engorgement or other breastfeeding conditions.

a. True b. False

3. Brett gathers everything and everyone up and they head into the doctor’s office. The twins are observed first and both are given light therapy for jaundice. The doctor assures Brenna that this is actually very common and that she’s done nothing to cause their jaundice.

Silvia and Lynette are placed under special fluorescent lights for jaundice treatment called phototherapy. What do these lights do for the infants?

a. The light is absorbed by bilirubin, which converts it to a water-soluble product the twins can eliminate.

b. The light brings bilirubin to the surface of the skin where it is excreted and easily wiped away.

c. The light strengthens their immune response which allows the girls to better break down the excess bilirubin.

d. The light soothes the girls allowing them to sleep more restfully and thus heal more quickly from jaundice.

e. none of the above

4. Brenna is given information on breastfeeding multiples, a mild anti-inflammatory medication that is not contraindicated for breastfeeding, and simple advice to help her breastfeeding experience be the best it could be.

Which of the following is advisable for mothers of both singletons and multiples?

a. drink to satisfy thirst

b. eat nutritious food they enjoy

c. sleep when the baby or babies sleep

d. all of the above

5. Brenna’s mother comes to meet her new granddaughters and help out around the house for a week. Before too long, she’s scrubbed and organized the entire house, has stocked the kitchen to the brim, and ordered two of every helpful baby item she could think of to make things easier. Brenna asked if she happened to pick up more nuts while she was at the store and her mom said she thought Brenna couldn’t have nuts because the babies could develop an allergy to them. Brenna explain that wasn’t the case.

Which of the following are possible reasons for allergy-preventative effects of breastfeeding?

a. influence on gut microbial flora

b. long-chain fatty acids and IGA in breast milk protect against inflammation and infections

c. low content of allergens

d. regulation of infant immunity

e. transfer of maternal immunity

f. all of the above

6. True or False: As a mother of exclusively breastfed twins, Brenna may produce 2 to 3 liters of breastmilk a day. a. True b. False

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Answer 1

a) (b) False → Cabbage Gavese are applied to breast beturin - feedings for engrogerment of ever supply 3) (a) The light is absorbed by bilirubin, which converts it to a water-soluble produit - the twins can eliminate + phototheraphy is the treatment used to treat 1. jaundice in neuboon by lowering the bilirubin - levels through a process of photo-oxidation. > photo-oxidation adds oxygen to the bilirubin - so it dissolves easily in water. 4) (d) All the above - Eating nutritious food and drinking water poopedly and also taking propers Best is important . for the breastfed mother. 5) (f) All the above. + atted Breastfed babies have fewer infections. Breastfeeding leade to anti-bodies and other germ fighting factors pass from mother to her baby and Strengthens immune System.

> Breastfeeding shapes the gut microbicta and presence of maternal milk factors that affect bacterial growth and metabolism Such as oligosaccharides, IgA etc. 6) (a) Toue + As a mother of twins, Brenna may of breast milk a exclusively breastted produce a to 3 litres day.