Chapter Six – Lactation

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44 Terms

1

What structures are responsible for milk production in the mammary gland?

Alveoli, secretory cells, and myoepithelial cells.

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2

Alveoli

Rounded or oblong-shaped cavities where milk is produced.

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3

Secretory Cells

Cells responsible for milk secretion.

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4

Myoepithelial Cells

Surround the secretory cells and help eject milk into the ducts.

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5

What is the process of milk formation beginning in late pregnancy called?

Lactogenesis I

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6

When does Lactogenesis II occur?

2-5 days postpartum.

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7

What hormone is responsible for milk ejection?

Oxytocin.

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8

What is colostrum often referred to as?

Liquid Gold.

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9

What nutrient in human milk provides ~50% of its calories?

Lipids.

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10

What are the two types of milk produced during breastfeeding referred to as?

Foremilk and hindmilk.

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11

What is the dominant carbohydrate in human milk?

Lactose.

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12

Which vitamin is low in breast milk and is recommended for supplementation?

Vitamin D.

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13

What is the primary protein type in human milk that facilitates calcium absorption?

Casein.

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14

Which component in colostrum helps with immune protection?

Secretory IgA.

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15

What do breastfed infants have a reduced risk of developing?

SIDS, gastrointestinal infections, and asthma.

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16

What effect does breastfeeding have on maternal hormone levels post-delivery?

Increased oxytocin helps the uterus contract.

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17

How does a mother's diet influence her breast milk?

It influences the taste, exposing infants to varied flavors.

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18

What is a common sign that an infant is hungry?

Hand-to-mouth movements and sucking.

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19

What is the typical weight loss percentage for newborns in the first 5 days?

Up to 7%.

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20

What is the recommended frequency of breastfeeding for newborns?

10-12 feedings per day.

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21

What are the signs of adequate intake in infants?

6 wet diapers and 3-4 soiled diapers per day.

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22

What is the recommended first intervention for dental care after the first tooth erupts?

Dental check-ups are recommended.

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23

What form of iron supplementation is important for infants after 4-6 months?

Iron.

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24

What specific nutrient needs are increased for breastfeeding mothers?

Caloric and protein needs.

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25

How much additional energy do nursing mothers need in the first 6 months?

Additional 500 kcal/day.

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26

What is the impact of protein-calorie malnutrition on breast milk?

Affects volume but not the quality of milk.

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27

Which nutrient might vegan mothers need to supplement?

Vitamin B12.

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28

What does MyPlate and dietary guidelines for breastfeeding emphasize?

Balanced nutrition and adequate hydration.

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29

What program provides support for breastfeeding mothers?

WIC (Women, Infants, and Children) program.

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30

What is the effect of breastfeeding on cognitive development in infants?

Higher IQ scores.

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31

What are the immune factors found in human milk?

Lactoferrin and secretory IgA.

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32

What is the role of oligosaccharides in human milk?

Promote growth of beneficial gut bacteria.

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33

What is the concentration of minerals in human milk compared to cow’s milk?

Lower concentration, reducing strain on infant kidneys.

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34

What are some of the psychological benefits of breastfeeding for mothers?

Enhanced bonding and reduced stress.

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35

How does lactogenesis progress postpartum?

Lactogenesis I leads to Lactogenesis II, then Lactogenesis III.

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36

Casein

The primary protein type in human milk that facilitates calcium absorption, essential for an infant's growth.

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37

Foremilk

The milk that is produced at the beginning of a breastfeeding session, lower in fat content.

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38

Hindmilk

The milk that is produced later in a breastfeeding session, richer in fat and calories.

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39

Vitamin D

A vitamin that is low in breast milk; supplementation is recommended to prevent deficiencies in breastfed infants.

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40

What are the signs of inadequate intake in infants?

Fewer than 6 wet diapers and fewer than 3-4 soiled diapers per day.

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41

What is the role of myoepithelial cells in lactation?

They surround secretory cells and help eject milk into the ducts during breastfeeding.

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42

What is a common initial weight loss percentage for newborns?

Up to 7% of their birth weight in the first 5 days.

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43

What impact does maternal diet have on breast milk?

It influences the taste of breast milk, exposing infants to a variety of flavors.

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44

WIC Program

The Women, Infants, and Children program that provides nutritional support and information for breastfeeding mothers.

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