Section 5: CLC

Section 5: CLC During pregnancy, families should learn: -Postpartum resources for breastfeeding help -Frequent feedings and breastfeeding management (such as skin to skin, responsive feeding and rooming in) -A comprehensive list of all possible breastfeeding problems -1 and 2 ANS: 1 and 2; Postpartum resources for breastfeeding help, Frequent feedings and breastfeeding management (such as skin to skin, responsive feeding and rooming in) T or F: Research indicates that infants of mothers who identify as black are much more likely to receive formula in the hospital. This is structural racism. ANS: True T or F: The state version of the World Breastfeeding Trends Initiative (WBTi) for the United States can be used by state coalitions and others as a blueprint for action. ANS: True T or F: Social support is more important than health care system support for BF ANS: True T or F: Growth spurts happen in the early months with predictable regularity. ANS: False T or F: Babies who have days with more frequency of feeding are more likely to be about to have a growth spurt. ANS: False; frequency days may be noted if mothers got off to a difficult or scheduled start or baby needs to catch up...these are NOT growth spurts. T or F: Newborn infants should not need to nurse more than 10 times in 24 hours. ANS: False; 10-12x/24 hour period T or F: Newborn breastfeeding babies stool infrequently; counting stools is not a marker of intake of breastmilk. ANS: False T or F: The recommendation of the World Health Organization is to breastfeed exclusively for a year. ANS: False; EBF 6 months and then add complimentary food T or F: The American Academy of Pediatrics states that all breastfed infants should receive a supplement of vitamin D, beginning at hospital discharge. ANS: True T or F: Nursing a baby who is 4 to 6 months old may be different than a newborn; the baby may be distractible at this time and may also have some separation anxiety. ANS: True T or F: Teething is only a problem for babies who are receiving infant formula because of the enzymes in the breastfeeding baby's mouth. ANS: False T or F: Complementary feeding refers to offering infant formula to a breastfed infant. ANS: False T or F: Babies bite when they want to wean from breastfeeding. ANS: False National and international organizations generally recommend: -Exclusive breastfeeding for 6 months, with the addition of complementary foods and continuing to nurse for a year or beyond -One year of exclusive breastfeeding, with the introductions of solids between 4 and 6 months -2 years of exclusive breastfeeding -Any amount of breast milk because any amount of breast milk has the same health benefits ANS: Exclusive breastfeeding for 6 months, with the addition of complementary foods and continuing to nurse for a year or beyond T or F: Research in this section reported that breastfeeding through the first year can result in less conflict at mealtimes. ANS: True As discussed in this section, there are ____ human strategies for weaning ANS: 3; parent led, baby led, society led T or F: With parent-led weaning, the baby's least favorite nursing is dropped first, substituting something equally as good in the eyes of the child. ANS: True T or F: With society-led weaning, all babies around the world are weaned at 9 months. ANS: False; around 2-3 to 7 years T or F: When counseling about weaning, the focus should be less about the timing of the weaning and more about breastfeeding parent's feelings about ending nursing. ANS: True A nursing strike involves: -A sudden refusal to nurse -Reasons that may be obscure -Not the ending of breastfeeding, but may be perceived as such by parents -All of the above ANS: All of the above When discussing sleep with parents: -It is important to tell them that babies should all sleep through the night by 4 months. -It is important to tell them that nursing even once or twice at night is a sign of milk supply problems. -It is important to remember that the lactation counselor's viewpoint may not be the same as that of the breastfeeding individual. -It is important to remember that babies should not be spoiled. ANS: It is important to remember that the lactation counselor's viewpoint may not be the same as that of the breastfeeding individual. Breastfeeding: -has a protective effective against SIDS starting at 2 months and increases over time -exclusively at 1 month of age halved the chances of SIDS -Babies should be placed on their backs to sleep and on a safe sleep surface -All of the above ANS: All of the above Which of the following is true about the Baby-Friendly Hospital Initiative: -Baby-Friendly designated hospitals may not provide any infant formula to babies -Immediate, continuous and uninterrupted skin to skin is part of Step 4 -Infant formula discharge bags are important for breastfeeding success -The WHO code is implemented in all of the US and infant formula companies do not advertise directly to parents ANS: Immediate, continuous and uninterrupted skin to skin is part of As reported in this section, research on the Baby-Friendly Hospital Initiative: -Showed increase infant abandonment in the hospital practicing the 10 Steps to Successful Breastfeeding -Showed more breastfeeding at 12 months in the intervention sites -Showed increase eczema in the intervention site -All of the above ANS: Showed more breastfeeding at 12 months in the intervention sites Which of the following is true: -Nearly 30% of babies born in the US in 2019 were born at Baby-Friendly designated facilities. -8.1 % of babies born in the US in 2019 were born at Baby-Friendly designated facilities -The Joint Commission's Perinatal Core Measure Set shows higher birth costs at Baby-Friendly designated facilities -None of the above are true ANS: Nearly 30% of babies born in the US in 2019 were born at Baby-Friendly designated facilities.