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GRADED A+
Which product falls within the scope of the International Code of Marketing
Breast-Milk substitutes?
a. breast pumps
b. milk storage bags
c. pacifiers/dummies
d. feeding bottles - ANSWER-d feeding bottles and teats
A mother is concerned that her baby has suddenly lost interest in breastfeeding.
Your BEST response is to:
a. do nothing. Breastfeeding mothers are usually overprotective
b. reassure her that her baby's appetite may change abruptly
c. carefully investigate the situation
d. instruct her how to give milk via a bottle - ANSWER-c (mothers are reliable
reporters of their baby's condition)
What is often the first level of research of a new phenomenon?
a. an observational study
c. a qualitative study
c. a case report
d. a clinical trial - ANSWER-c. case report
,What is the most important difference between pasteurized donor milk and
mother's own milk?
a. species specificity
b. allergy prevention
c. bioavailability
d. potential HIV exposure - ANSWER-d (pasteurization kills the HIV virus)
What is a clinically appropriate use of a nipple shield?
a. feels like the breast in the baby's mouth
b. therapeutic changes in the baby's oral-motor response
c. enhance milk transfer in some babies with weak suck
d. extends the duration of breastfeeding - ANSWER-c (a thin shield found to be
helpful in transfer of milk in premature babies)
Which method of family planning is MOST LIKELY to interfere with
breastfeeding?
a. progestin-containing medications
b. estrogen-containing medications
c. cervical cap or diaphragm
d. natural family planning (periodic abstinence) - ANSWER-b (diminishes milk
supply)
Which is the MOST profound consequence of separating healthy mothers and
babies short after birth?
a. increased rates of infection
b. improved rest for mother
c. increase in infant stress hormones
,d. difficulty initiating breastfeeding - ANSWER-c (increases infant and mother
cortisol levels)
Which condition is UNRELATED to women's lactation status?
a. postpartum hemorrhage
b. delayed return to pre-pregnancy weight
c. menstrual irregularities and pain
d. closely spaced pregnancies - ANSWER-c
A mother is concerned that tandem nursing may be harmful to her new baby or
older breastfeeding child. Your FIRST recommendation would be to:
a. wean the older child
b. provide reassurance that tandem breastfeeding is not harmful to either child
c. reduce the time the older child is at the breast
d. feed the new baby first, before breastfeeding the older child - ANSWER-b
Mothers of twins are MOST likely to experience which of the following
circumstances?
a. premature birth
b. cesarean birth
c. intrauterine growth retardation
d. insufficient milk supply - ANSWER-a
Use of progestin-containing contraceptives can diminish milk supply if given
prior to _______________________________ post-birth. - ANSWER-8 weeks
In a normal healthy pregnancy, the MOST common placental implantation site
in the uterus is:
a. anterior side, cervical region
, b. anterior side, fundal region
c. posterior side, cervical region
d. posterior side, fundal region - ANSWER-d
Why is human milk often a bluish-white color?
a. the whey: casein ratio of human milk is 80:20
b. the whey:casein ratio of human milk is 20:80
c. SIgA is a blue color
d. human casein does not bind calcium - ANSWER-a (later in postpartum as
casein increases, the milk is less blue)
A baby born at 34 weeks gestation is being sent home after several weeks in the
NICU. Which feeding behavior would you MOST emphasize to the mother?
a. express milk after each nursing as he probably can't get all your milk
b. expect his sucking bursts to be short and irregular
c. if he doesn't nurse well, give expressed milk with slow-flow nipple
d. restrict nursing sessions to 10 minutes so he does not tire - ANSWER-b. short
and irregular sucking bursts
A disgruntled family files a malpractice suit after you provided lactation
consultant services to them. The FIRST thing you should do is:
a. call an attorney
b. contact your professional insurance agent
c. talk to the couple to find out why they are upset
d. speak to the couple's physician - ANSWER-b. contact insurance agent (they
have access to qualified attorneys)
Which organization fostered and financially supported the development of the
lactation consultant profession?