2. JEOPARDY This is Breastfeeding

3. Breastfeeding Jeopardy Column I Column II Column III Column IV Column V 10 20 30 40 50 FJ

4. Name 2 benefits of breastfeeding for you (mothers)

5. How does the flavor of breastmilk change?

6. Why is skin-to-skin contact important right after birth?

7. Mothers get a better night’s sleep in the hospital when the baby is in the nursery. True or false

8. How will you know your baby is getting enough breastmilk?

9. Why is correct positioning and attachment important for breastfeeding?

10. Daily Double

11. When might you want to express breastmilk by hand?

12. How long can breastmilk be stored at room temperature?

13. What is the dark area around the nipple called?

14. Women with very small breasts will not make enough breastmilk True or False

15. Why is rooming-in important for breastfeeding?

16. Why is cue based feeding (feeding on demand) important for successful breastfeeding?

17. Why should bottle nipples and/or pacifiers be avoided while you and your baby are learning to breastfeed?

18. Do you have to eat a special diet while you are breastfeeding?

19. Breastfed babies need additional _____________

20. Colostrum is the milk present in the breast in the beginning. How long does it last?

21. When does a breastfeeding mother need to use a breast pump?

22. If you give a supplement, what are the important factors in preparing powdered infant formula?

23. When should your baby’s first breastfeeding occur?

24. Discuss 5 benefits of breastfeeding and 5 risks of formula feeding

25. List 3 important points for positioning your infant for breastfeeding.

26. List 3 important points for offering your breast to your baby.

27. Daily Double

28. List 3 important points of latch-on for effective breastfeeding

29. List 3 important points for assessing effective milk transfer during breastfeeding.

30. Are mothers able to breastfeed if they have had previous breast surgery?

31. Less breast cancer later Less arteriosclerosis later More convenient Saves money

32. Flavors from foods the mother eats come through her breastmilk. Babies learn the flavors of the families foods in this way.

33. Keeps the baby warm Regulates heartbeat and breathing Regulates infant blood sugar Makes starting to breastfeed easier Promotes mother-infant bonding

34. False. Actually mothers sleep better when the baby is nearby. You will be reassured by your baby’s presence, breathing and you will able to respond quickly when he awakens

35. He has 6+ wet diapers and 2-3 stools daily (after day 3) He is satisfied after feedings He is gaining weight (after day 3)

36. To ensure efficient milk transfer To ensure sufficient milk supply To prevent sore nipples

37. Help baby to attach Relieve engorgement Deal with a blocked duct Better way to express colostrum May work better than a breast pump

38. Freshly pumped breastmilk can be stored for 4 hours for a healthy baby

39. The areola

40. False Milk supply is related to frequency of feeding, not breast size

41. You learn your baby’s feeding cues You learn how to handle and comfort your baby Makes it easy to know when your baby is hungry

42. Ensures a good milk supply Prevents engorgement Ensures a contented baby

43. May make it more difficult for baby to attach to the breast Interferes with cue-based feeding leading to decreased milk supply Babies may learn to prefer an artificial nipple

44. No, eat the healthy foods you normally eat.

45. Breastmilk is all your healthy baby needs for the first 6 months of life.

46. Colostrum is present for the last month of pregnancy and the first 2-3 days of breastfeeding.

47. In the first few days, only if you are engorged Anytime you will be away from your baby longer than one feeding time. When returning to work

48. Safe storage 24 hours in refrigerator 2 hours at room temp Safe handling Wash hands, boil water for mixing and cool, and sanitize the preparation area Appropriate reconstitution Use boiled, hot water for powdered formula Accuracy of measurement of ingredients Measure carefully according to package instructions Cleaning of utensils and equipment Wash bottles, nipples and mixing containers, rinse thoroughly, place in a pot of water and bring to boiling and cool Appropriate feeding methods Paced bottle feeding, no propping, no microwave, discard milk not consumed

49. Within the first hour of birth

50. Benefits of breastfeeding Breastmilk is easily digested Prevents infections (ear, respiratory, gastrointestinal) Prevents chronic disease (colic, asthma, diabetes) Breastmilk changes to meet the baby’s nutritional needs Improves the infant’s IQ Risks of formula feeding Infants to do not establish a healthy balance of beneficial bacteria in their gut Increased risk of Sudden Infant Death Syndrome Increased risk of childhood and adult obesity Increases mothers risk of breast cancer, ovarian cancer, diabetes, post-partum depression Cost ~$1500 per year

51. Baby facing mom on top or to the side Belly to belly Nose to nipple

52. Sandwich hold Touch upper lip with nipple Bring baby to the breast, not breast to the baby

53. Lips flanged, mouth open to 140 o No pain, no wedged or creased nipple Chin touching your breast, asymmetrical latch-on

54. Wide jaw movement Consistent sucking Swallowing you can hear (after the milk comes )

55. Probably, depends on which surgery was done and how long ago. Discuss with your lactation consultant.

56. Final Jeopardy

57. Name 3 ways to supplement your baby, if medically needed, other than giving him a bottle

58. Spoon Cup Tube at the breast

59. EXCELLENT!