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1.contraindications for breastfeeding ANS: -HIV positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
2.BF became recognized as a public health priority in the US in what year? ANS: 1990
3. Nursing a baby for a year or more decreases the risk of hypertension, diabetes,
hyperlipidemia, and cardiovascular disease when postmenopausal by ____%. ANS: 10-
15%
4. Women who do NOT BF are at greater risk for these 3 cancers ANS: breast, ovarian,
Endometrial
5. UNICEF stands for ANS: United Nations International Children's Emergency Fund
6. The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and
duration in every country ANS: breastfeeding protection, breastfeeding promotion,
breastfeeding support
7. Breastfeeding protection focuses on ANS: government, manufacturer and social
responsibility to assure breastfeeding's ability to compete with commercial interests
,8. Breastfeeding promotion focuses on ANS: advantages of breastfeeding on a personal,
community, country or global level
9. Breastfeeding protection also includes ANS: addressing improper marketing practices
as described in "The international code"
10. In the US, state and local BF legislation addresses BF in public, employment issues,
jury duty, family law, mothers in prison etc. is an example of ANS: breastfeeding
protection
11. Breastfeeding support ANS: focuses on interaction of helpers with family, as well
as program development and implementation.
12. This forms the basis of the Baby-Friendly Hospital Initiative ANS: The Ten Steps to
Successful Breastfeeding
13. The Ten Steps to Successful Breastfeeding (critical management proce-
dures) ANS: 1a. comply with the International code of marketing of breast-milk
substitutes & relevant world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to staff & parents
1c. est. ongoing monitoring & data-management systems
2. ensure that staff have sufficient knowledge, competence, and skills to support BF
14. The Ten Steps to Successful Breastfeeding (key clinical practices ) ANS: 3. discuss the
importance & mgmt of BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible
after birth
5. support mothers to initiate & maintain BF and manage common difficulties
,6. do NOT provide breastfed newborns any food or
fluids other than breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24 hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
15. Highest level of evidence ANS: meta-analysis an systematic review
16. An international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the
WHO in 1981 ANS: The International Code of Marketing of Breastmilk Substitutes (The
code)
17. The code ANS: regulates the marketing of BM substitutes which includes formulas,
teats and bottles
18. The World Breastfeeding Trends Initiative is intended to ANS: track, assess and
monitor the implementation of the "Global Strategy" at the country and sub-country
level
19. How to support exclusive BFing ANS: -expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
20 _________ levels go down in b/t nursing's and rise during nursing ANS: prolactin
, 21. Infrequent nursing leads to lower levels of this hormone even with the same
amount of nipple contact ANS: prolactin
22. after delivery of the placenta ANS: progesterone goes down and prolactin goes up
23. Nipple stretching increases this hormone ANS: oxytocin
24. Nipple stimulation increases this hormone ANS: prolactin
25. 3 mechanisms that can trigger oxytocin ANS: conditioned response (milk ejection
reflex), nipple stretching, baby hand massage
26. Lactogenesis 1 is responsible for ANS: production of colostrum, milk cells starting
to develop
27. the birth of the placenta triggers ANS: lactogenesis 2, a rapid drop in progesterone
and transitional milk
28. lactogenesis 3 ANS: galactopoesis, mature milk, prolactin from frequent nipple
stimulation (* frequent removal of milk)
29. Lactogenesis 3 generally happens around when postpartum ANS: 3-5 days
30. target milk production by day 8 ANS: 750-1000 mL/ day per baby
31. true or false: sometimes foremilk and hind milk have equal amounts of fat ANS:
True
32. Preterm milk appears to have a different composition for the first