The most important criterion for assessing the milk transfer during a feeding at the breast is?
a. visible areola compression
b. audible swallow
c. proper alignment
d. proper attachment correct answers b. Auduble Swallow
How many IU of Vitamin D does the breastfeeding infant need?
a. 800 IU once a week
b. 600 IU 3x a week
c. 400 IU daily
d. 200 IU daily correct answers C. 400 IU daily
What is another term for let down reflex
a. milk ejection reflex
b. rooting reflex
c. sucking reflex
d. traction reflex correct answers A. Milk Ejection Reflex (MER)
What is the tube called through breast milk travels in the lactating breast?
a. Alveoli
b. Lobe
c. Areola
d. Milk Duct correct answers D. Milk Duct
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. 1-2 teaspoons
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 is probably which of the following?
a. plugged duct
b. mastitis
c. engorgement
d. thrush correct answers A. Plugged duct
Mary has AIDS and is taking antiretroviral medication. She asks you if it is safe for her to
breastfeed her baby. Your best response it:
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 medications you are taking correct answers B. It is not
recommended to breastfeed with AIDS, it is better to use donor milk
,Breastfeeding mothers who follow a vegan diet or a diet that does not include any forms of
animal protein will probably have to supplement which vitamin?
a. Vitamin B6
b. Vitamin D
c. Vitamin E
d. Vitamin B12 correct answers D. Vitamin B12
Jodie asks you what is the most effective way to increase her milk supply?
a. Drink more fluids
b. hand express after feeding her baby
c. eat more food
d. take fenugreek capsules correct answers B. Hand Express after feeding her baby
Where is the tip of the mother's nipple placed in the baby's mouth, when the baby is properly
latched on?
a. just behind the upper gum ridge
b. at the center of the soft palate
c. at the juncture of the hard and soft palates
d. at the center of the hard palate correct answers C. At the juncture of the hard and soft palate
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. What have you heard
about breastfeeding?
The most supportive response is open ended, designed to explore the mother's preconceived
ideas about breastfeeding
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 misinformatin
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.Bring in research evidence of the
harmful nature of this practice and discuss it with her
1st step is to provide clinical evidence supporting or refuting this practice and then discuss it
with her
, What can affect the healthcare professionals presentation about breastfeeding? correct answers -
can be positive or negative
-women who received encouragement to breastfeed from healthcare providers were more likely
to be breastfeeding exclusively at 3 months
-Negative outcomes resulted from:
-advice that was inconsistent, contradictory, and erroneous
-providers that failed to detect problems
-lack of continuity
-women made to feel guilty or discouraged
-women did not get help or education
Standards of practice for breastfeeding counselors include what 4 areas? correct answers 1.
Clinical Practice:
-define and achieve BF goals
-Framework of systematic problem solving = 1. assessment, 2. plan, 3. implementation, 4.
evaluation
2. Education and Counseling
-encourage participation of the mother and shared responsibility for decision making
--education for families covering all aspects
--provide emotional support
--educate other healthcare professionals with research based info
3. Professional responsibilities
-professional conduct
-ethical manner
-competent and accountable for actions
-legal responsibilities
4. Legal considerations
-laws of the geopolitical region
-scope of nursing practice
-consideration for client's rights of privacy and a confidential nature
According to AWHONN, what are some of the responsibilities of staff nurses working with
breastfeeding women? correct answers -support BFHI practices
-maintain current and evidence based knowledge
-relay consistent and supportive messages about BF
-nurses who work with preterm and vulnerable newborns should promote and support provision
of mothers own milk or banked human milk
-BF support programs should be culturally sensitive age, and developmentally appropriate
-use WHO growth charts (based on healthy ethnically diverse BF infants)
-leaders and educators should advocate for BF education to promote and support it
-nurses should advocate for breastfeeding as our cultural norm