Mrs. Thomas is a 24-year old first time mother who comes in for evaluation of low milk supply. The 7 week old baby had gained weight well until the last 2 weeks when the mother noticed less wet diapers and a decrease in volume she was able to pump. Prior to the visit with you, she had been evaluated by a lactation consultant. At a visit 1 week ago, pre- and post-feeding weights showed low transfer of milk, but no nipple trauma. Her son now has a coordinated suck and swallow, asymmetric latch with a wide angle of the jaw. The mother holds the infant in a neutral position with the head slightly extended. The mother had been healthy prior to the pregnancy, had not pregnancy complications and had an unremarkable labor and delivery. Her breast exam was normal.

Mothers Concerns

The baby never seems satisfied unless he is breastfeeding, otherwise, he is crying

Her in-laws, who recently arrived to help with the baby, have encouraged her to stop breastfeeding because he seems so unhappy

She doesn’t think the bay likes her

She isn’t sleeping well

She feels as if she has already failed as a mother

Questions

What factors might contribute to the change in milk supply?

How might you counsel this mother? Her family?

What are some ways to help this mother increase her milk supply?

answer; the correct answer is desert plants;

the relative atomic mass of an element is the mass of one atom of that element, relative to 1/12th of the mass of a  1212c atom. to convert to an absolute mass in kg, it is necessary to multiply by  1.661×10−271.661×10−27.

the relative atomic mass is roughly equal to the number of neutrons, plus the number of protons, in the nucleus of the atom.

for elements with more than one stable isotope (different types of nucleus with different numbers of neutrons but the same number of protons), the quoted mass is usually the average mass, weighted by the relative abundance of the different isotopes.

1. amino acid refers to the fundamental building block of proteins, comprising of an amino group and a carboxyl group.

2. catalyst refers to any substance, which increases the rate of chemical reaction without being used up in the reaction.

3. a complex molecule containing he genetic code is dna or deoxyribonucleic acid.

4. an enzyme refers to a molecule of protein, which is unique in accelerating up a particular chemical reaction in the biological systems.

5. nucleic acid refers to an sequence of sugars, phosphates, and nitrogenous bases, for example, dna and rna.

6. a protein refers to a large, composite organic molecule comprising of a huge number of amino acids associated together with the of peptide bonds.

7. rna refers to a nucleic acid that takes part in the production of proteins.

8. substrate refers to a compound, which takes part in a chemical reaction, and is chemically modified by the reaction.