CLC Practice Exam #2 with complete solutions

A useful definition of colic is: a) Any prolonged crying with no discernible reason b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week c) Crying that occurs despite the baby being full and dry d) Hard crying that can be soothed by breastfeeding - ANSWER-b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week Which of the following has been shown to have a negative effect on the milk production of a mother who is pumping long-term for her preterm infant? a) N pumping for 5 hours at night b) Length of time infant stays in the hospital c) Severity of the infant's condition d) Storage capacity of the mother's breast - ANSWER-b) Length of time infant stays in the hospital In comparison to mature milk, weaning milk: a) Has a decreased amount of lactose b) Has a decreased amount of fat c) Has a decreased amount of iron d) Has a decreased amount of lactoferrin - ANSWER-a) Has a decreased amount of lactose You are encouraging your employer to consider developing a lactation station at your place of employment. Which of the following is the most important when considering what mothers need in order to take advantage of this perk? a) An area where they can store milk and wash pump parts b) A private, comfortable area for them to utilize c) A hospital grade pump for the mothers to use d) A supportive environment and time to pump - ANSWER-d) A supportive environment and time to pump In asking first time mothers to describe their breastfeeding experiences which of the following statements did they include? a) Their partners were described as "necessary" to their experience b) Exclusive breastfeeding was considered "essential" c) Mothers said they just couldn't believe their HCP's reassurance about their milk supply d) It was difficult to understand their baby's cues - ANSWER-d) It was difficult to understand their baby's cues The most common reason for African American women choosing to not breastfeed has been cited as: a) Having to nurse in public b) Concerns about substance use c) Lack of support for breastfeeding d) Fear of pain - ANSWER-c) Lack of support for breastfeeding What is considered to be one of the two greatest barriers to mothers consenting to the use of donor milk in the NICU in a developed country? a) Mother didn't want to use another person's milk b) Mother has an education level equal to or less than high school graduate c) Mother is married d) Mother delivered by cesarean section - ANSWER-c) Mother is married (and mothers of color) The mother's diet during lactation can affect which of the following levels in human milk? a) Lactose b) Magnesium c) Vitamin C d) Fat - ANSWER-c) Vitamin C (water-soluble vitamins) The current recommendation about breastfeeding for women who are positive for hepatitis B is: a) Breastfeed within the first hour after delivery b) Breastfeed as soon as baby has received HBV and HBIG c) Pump and dump until the baby has received the second injection of immunoglobulin d) Advise mother to formula feed to protect her infant from hepatitis B - ANSWER-a) Breastfeed within the first hour after delivery Which infant is NOT considered at high risk for hypoglycemia? a) Smaller of discordant twins b) Infant with mid-line defect c) Baby who is a complete breech d) Infant of a diabetic mother - ANSWER-c) Baby who is a complete breech Which of the following components in the milk of a mother of a preterm baby is higher than in the milk of a mother of a full-term infant? a) Calories b) Protein c) Vitamin B12 d) Fat - ANSWER-b) Protein Maren tells you she and her husband have been talking about what type of birth control they should use, and she wants your opinion. What is your BEST response? a)It's good that you are thinking about birth control now. What have you and your husband been considering? b) You really don't need to worry about that now as you shouldn't be having sexual relations for at least 4-6 weeks. After that, using a barrier method such as a condom or diaphragm will interfere with breastfeeding the least. c) This is something you really need to be discussing with your OB. I'll put a note on your chart that you'd like to talk to her. d) A lot of mothers really like the convenience of a progestin injection. It lasts for 3 months, and it can be started right here in the hospital. - ANSWER-a) It's good that you are thinking about birth control now. What have you and your husband been considering? The most effective treatment for a flat or inverted nipple is to: a) Do nothing- the baby will draw out the nipple when it latches on b) Use a nipple everter device such as an inverted syringe just prior to feeding c) Wear breast shells several hours a day starting at 38 weeks of pregnancy d) Do the Hoffman exercises 3 times a day beginning at 38 weeks gestation - ANSWER-b) Use a nipple everter device such as an inverted syringe just prior to feeding There are many issues in using a parenting program that advocates feeding on a schedule. Which of the following is the most concerning? a) Slow weight gain or FTT b) Decreased milk supply for the mother c) Lack of attention to the baby's needs d) Mother hardening her heart to the baby - ANSWER-c) Lack of attention to the baby's needs Babies demonstrate approach and avoidance behaviors. Which of the following is an avoidance behavior? a) Tongue extension b) Hand to mouth movements c) Hiccoughs d) Putting hand(s) on face or ears - ANSWER-c) Hiccoughs A hospital that has received Baby Friendly status has a philosophy of care that: a) Makes all mothers provide breast milk for their babies while in the hospital b) Eliminates all bottles and pacifiers from use in the hospital c) Eliminates hospital barriers to inhibiting successful breastfeeding d) Assures that mothers don't receive any free formula or gifts - ANSWER-c) Eliminates hospital barriers to initiating successful breastfeeding Mary Elizabeth, who is nursing 5-month-old Eliza, and her husband Joshua are investigating which vaccines they are going to need and which ones Mary Elizabeth can take for their 2 year mission posting to Kenya. Which vaccine can Mary Elizabeth safely take now? a) Yellow fever vaccine b) Rabies vaccine c) Small pox vaccine d) Ebola vaccine - ANSWER-b) Rabies vaccine Which of the following sources of human milk is considered to be the MOST appropriate for preterm infants? a) Fresh from his own mother b) Frozen from his own mother c) Fresh from a donor d) Pooled from a milk bank - ANSWER-a) Fresh from his own mother Which of the following methods of supplementing would be the most detrimental to continuing the breastfeeding relationship? a) Bottle-feeding using a long silicone nipple with a narrow base b) Finger-feeding using a 5 French feeding-tube c) Cup-feeding using a specially designed soft cup d) Attaching feeding tube (supplementer) to the breast - ANSWER-a) Bottle-feeding using a long silicone nipple with a narrow base Two-week-old Pattie weighs 8-7, down from her birth weight of 9-5. Before & after feeding weights (ac/pc) find Pattie took about 22 mL at this feed. Although you know the baby may take more or less at other feedings, you use his information to determine approximately how much Pattie needs above and beyond the amount of breast milk she is taking. Assuming breastfeeding 10 times in 24 hours, how much extra/supplement does Pattie need? a) 12 oz. per day b) 15 oz. per day c) 18 oz. per day d) 22 oz. per day - ANSWER-c) 18 oz. per day Which of the following common practices are backed up by evidence? a) Use a feeding bottle for supplementation b) Use of heat for engorgement c) Use of tea bags for healing sore nipples d) Frenotomy for type 1 or 2 tongue-tie - ANSWER-d) Frenotomy for type 1 or 2 tongue-tie The prolactin inhibiting factor is important to the process of lactation because: a) It controls the secretion of prolactin from the hypothalamus b) It cont