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Questions and answers
A healthcare provider wants to encourage pregnant women to choose breastfeeding. Which statement is MOST supportive of breastfeeding? a. Are you considering breastfeeding? b. What have you heard about breastfeeding? c. Are you going to breastfeed or bottle feed? d. you aren’t thinking about breastfeeding, are you? CORRECT ANSWERS✅ b. You work in a clinic with a lactation consultant who advises mothers to "toughen up" their nipples by rubbing them with a rough washcloth during pregnancy. The FIRST thing you should do is: a. try to intercept all of the clients seen by her and correct the misinformation b. form a committee to develop written protocols on all aspects of lactation practice for your clinic c. bring in research evidence of the harmful nature of this practice and discuss it with her d. lodge a complaint with the IBCLC CORRECT ANSWERS✅ c. What can affect the healthcare professional's presentation about breastfeeding? CORRECT ANSWERS✅ -past and personal experiences -personal bias -inexperience -own knowledge and beliefs
Questions and answers
-culture -workload (nurse) Standards of practice for breastfeeding counselors include what 4 areas? CORRECT ANSWERS✅ 1. assessment
- plan
- implementation
- evaluation According to AWHONN, what are some of the responsibilities of staff nurses working with breastfeeding women? CORRECT ANSWERS✅ -professional conduct -ethical manner -accountable -legal responsibilities -encourage and educate -emotional support Which of the following activities is permissible under the terms of the World Health Organization's (WHO) International Code of Marketing of Breast Milk Substitutes? a. advertisements for toddler formula on local television stations b. picture of a happy baby on the label of infant formula containers c. gift packs containing samples of formula given to new mothers at hospital discharge
Questions and answers
- no pacis
- support groups List some reasons why formula feeding replaced breastfeeding. CORRECT ANSWERS✅ -sexualization -lack of support -go back to work -nervous -changing status in women -embarrassment Twenty-six year old Sarah is having her first baby in 4 weeks. She asks her health care provider if she will be able to breastfeed after having a breast reduction with her nipple autotransplanted at an earlier age. The BEST response is: a. It may be possible for the first 3 months b. she should try and see what happens c. there will be no problem breastfeeding d. she won't be able to due to the nerve damage CORRECT ANSWERS✅ b. Accessory nipple or breast tissue is LEAST LIKELY to be found in which of the following locations?
Questions and answers
a. near the umbilicus b. inguinal region c. axilla d. outer thigh CORRECT ANSWERS✅ d. Which is the primary or main immunoglobulin found in human milk? a. IgA b. IgG c. IgE d. IgM CORRECT ANSWERS✅ a. Which component of human milk in MOST variable? a. minerals b. lipids c. carbohydrates d. proteins CORRECT ANSWERS✅ b. Which component of human milk is destroyed by freezing? a. lysozyme b. macrophages
Questions and answers
-assess baby (might need supplementation) -make sure moms stimulate frequently -what surgery technique was used Name the major components of breast milk. CORRECT ANSWERS✅ 1. fats
- protein
- carbohydrates
- vitamins
- minerals Casein contains: Whey: CORRECT ANSWERS✅ -iron -IgM What 3 ways stimulate the milk ejection reflex? CORRECT ANSWERS✅ 1. infant sucking
- manual expression or pumping
- emotional response List 3 signs that let-down has occurred. CORRECT ANSWERS✅ 1. tingling
- warmth/fullness in breast
- dripping of milk
Questions and answers
- uterine contractions
- relief of nipple discomfort Wha t is the largest component of breast milk? CORRECT ANSWERS✅ water Mary asks you what is the MOST EFFECTIVE way to increase her milk supply? a. drink more fluids b. take fenugreek capsules c. hand express after feeds d. eat more food CORRECT ANSWERS✅ c. Where is the tip of the mother's nipple placed in the baby's mouth, when a baby is properly latched on? a. at the center of the soft palate b. at the juncture of the hard and soft palates c. at the center of the hard palate d. just behind the upper gum ridge CORRECT ANSWERS✅ b the MOST COMMON cause of inadequate milk supply is: a. impaired let-down reflex
Questions and answers
What should a mother do during a "growth spurt"? CORRECT ANSWERS✅ on demand feed How long does it usually take for a healthy newborn to regain his birth weight? CORRECT ANSWERS✅ 2-3 weeks What is normal weight loss for a healthy infant during the first 3-4 days of life? CORRECT ANSWERS✅ 5-7% loss of weight What would be the expected minimal output of a 2 day old infant? CORRECT ANSWERS✅ 2 wet diapers What is the recommended caloric intake for lactating women? CORRECT ANSWERS✅ 2700 calories State 3 ways to make nutrition easy for lactating women. CORRECT ANSWERS✅ - eat and drink when hungry -well balanced diet -eat a variety of foods -healthy/easy to eat and grab foods -try to stay away from dieting (paleo, keto) How many calories are needed for milk production? CORRECT ANSWERS✅ 500 calories
Questions and answers
What are some assessment considerations when a breastfeeding mother is a vegan? CORRECT ANSWERS✅ B12 deficiency -can be low in A, D and B Keisha is a breastfeeding mother who asks you what she needs to be sure that her diet includes: a. plenty of liquids to ensure sufficient milk volume b. additional B vitamins c. her normal intake of food and drink d. an extra 1200 calories per day CORRECT ANSWERS✅ c. Jennifer is hesitant to breastfeed because she heard that she needs to eat a high- calorie, nutrient-rich diet during lactation. Your BEST response is: a. Women living under a variety of circumstances are capable of fully nourishing their infants by breastfeeding b. refer her to a supplemental food program to assure adequate nutrient intake c. provide her with a multivitamin and mineral support d. discourage her from breastfeeding, as her current circumstances make it doubtful that she is eating adequately CORRECT ANSWERS✅ a.
Questions and answers
c. proper alignment d. proper attachment CORRECT ANSWERS✅ b. How many IU of vitamin D does the breastfeeding infant need? a. 800 IU once a week b. 600 IU three times a week c. 400 IU daily d. 200 IU daily CORRECT ANSWERS✅ c. What is another term for let-down reflex? a. milk ejection reflex b. rooting reflex c. sucking reflex d. traction reflex CORRECT ANSWERS✅ a. What is the tube called through which breast milk travels in the lactating breast? a. alveoli b. lobe c. areola d. milk duct CORRECT ANSWERS✅ d.
Questions and answers
At birth, a full term infant can comfortably digest how much breastmilk? a. 1-2 tablespoons b. 2 ounces c. 1 ounce d. 1-2 teaspoons CORRECT ANSWERS✅ d. A breastfeeding mother complains about a lump in her left breast. It is tender to touch and she states that she doesn't have a fever or other symptoms. It probably is which of the following? a. Plugged duct b. Mastitis c. Engorgement d. Thrush CORRECT ANSWERS✅ a Mary has AIDS and is taking antiretroviral medication. She asks you if it is safe for her to breastfeed her baby. Your best response is: a. Breastfeeding is best because breastmilk contains antibodies b. It is not recommended to breastfeed with AIDS, it is better to use donor milk c. Ask your doctor d. It depends on the specific medication that you are taking CORRECT ANSWERS✅ b
Questions and answers
List some management strategies for sore nipples. CORRECT ANSWERS✅ -feed baby on less tender side first -warm, moist compress -express breast milk and allow to air dry -using modified lanslin ointment -all purpose nipple ointment -gel dressings -salt water soaks What are some predisposing factors of a breast abscess? CORRECT ANSWERS✅ - mastitis (delayed or inadequate treatment) -noncompliance with antibiotic therapy -inappropriate choice of antibiotics -failure to drain breast -antibiotic resistance -avoiding breastfeeding on affected side -abrupt weaning What causes breast engorgement? CORRECT ANSWERS✅ vascular dilation and presence of early milk
Questions and answers
Describe how to use green cabbage to treat engorgement. CORRECT ANSWERS✅ contains sinigrin rapine, mustard oil, magnesium, oxalate, and sulphur heteroside. -antibiotic and anti-irritant properties -decreases swelling and softens breast What are the signs and symptoms of mastitis? CORRECT ANSWERS✅ -increased fatigue -flu-like symptoms (muscle aches, nausea, chills) -fever -localized breast pain (hot, reddened tender area) List some management strategies for a mother who is diagnosed with mammary candidiasis. CORRECT ANSWERS✅ -mom and baby both treated -nystatin -gentian violet -Dr. Jack Newman's all purpose nipple ointment n -oral flucanazole -boil/wash daily anything baby's mouth touched What are some assessment considerations when an infant is diagnosed with hyperbilirubinemia? CORRECT ANSWERS✅ -general appearance -level of vigor -evidence of dehydration
Questions and answers
d. prolonged milk stasis CORRECT ANSWERS✅ d. You are asked to evaluate a baby's ability to breastfeed before discharge following an uncomplicated hospital birth 12 hours ago. The baby weighs about 2700 g or 6 Ibs. Which of the following characteristics of her sucking would lead you to suspect that this baby was NOT born at term? a. moves smoothly from rooting behavior to latch-on b. sucks, swallows and breathes in a coordinated rhythm c. sucks in short bursts with pauses d. begins by sucking rapidly, then slows to a steady rhythm CORRECT ANSWERS✅ c. You are working with a late preterm infant born at 34 weeks gestation who has been in the hospital NICU since birth 10 days ago. The baby falls readily asleep at breast each time you assist mom to latch. Her milk supply is plentiful because of pumping. What is the MOST LIKEKY cause for this infant to be unable to sustain his latch at breast? a. his suck has low intraoral pressure (vacuum) due to gestational age b. prematurity causes sleepiness at breast until 40 weeks gestation c. this infant was fed with a bottle during his NICU stay d. the mother has delayed lactogenesis resulting from her premature delivery CORRECT ANSWERS✅ a.
Questions and answers
Krista stopped breastfeeding at 6 months, but her baby could not tolerate formula. She is requesting your help with restarting to breastfeed. What is the FIRST suggestion you would make? a. we can talk to your doctor about prescribing medications to resume your milk production b. .start by putting your baby close to your breast, skin to skin, several times a day, to see how he responds c. pump with a hospital grade breast pump with a double collection kit at least 8x a day d. it's too late now; once breastfeeding is stopped, it can't be resumed CORRECT ANSWERS✅ b. Kelly's baby was born with a cleft lip. This is her second baby and she has breastfed her first baby. She asks you for help breastfeeding. What should be your FIRST action in helping this baby breastfed? a. help the mother position baby deeply at the breast so her breast fills the baby's cleft b. help the mother hand express her milk to feed with an open cup c. provide an electric breast pump with a double collection kit until the baby can latch d. give the mother a silicone nipple shield to create a negative pressure in baby's mouth CORRECT ANSWERS✅ a. In regards to late preterm infants, what should the counselor be observing during a breastfeeding session? CORRECT ANSWERS✅ -sleep/wake cycle -physical stability (temperature, glucose stability)
