1. Which of the following is appropriate advice to give to a mother who
is breastfeeding her 10-day-old infant?
A. "Your milk will come in today."
B. "To minimize breast tenderness, the baby should not be kept on either
breast for more than 5 to 10 minutes."
C. "A clicking sound made by the baby during feedings signifies a good
latch and suck."
D. "The baby's urine should be light or colorless." Correct Answer-D.
"The baby's urine should be light or colorless."
2. Which of the following is appropriate advice to give to a mother who
is breastfeeding her 12-hour-old infant?
A. "You will likely have enough milk to feed the baby within a few
hours of birth."
B. "The baby might need to be awakened to be fed."
C. "Supplemental feeding is needed unless the baby has at least four wet
diapers in the first day of life."
D. "The baby will likely have a seedy, yellow bowel movement today."
Correct Answer-B. "The baby might need to be awakened to be fed."
3. Compared with the use of infant formula, advantages for the breastfed
baby include all of the following except:
A. lower incidence of diarrheal illness.
B. greater weight gain in the first few weeks of life.
C. reduced risk of allergic disorders.
,D. lower occurrence of constipation. Correct Answer-B. greater weight
gain in the first few weeks of life.
4. At 3 weeks of age, the average-weight, formula-fed infant should be
expected to take:
A. 2 to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
B. 2 to 3 oz, or 60 to 90 mL, every 3 to 4 hours.
C. 3 to 4 oz, or 90 to 118 mL, every 2 to 3 hours.
D. 3 to 4 oz, or 90 to 118 mL, every 3 to 4 hours. Correct Answer-A. 2
to 3 oz, or 60 to 90 mL, every 2 to 3 hours.
5. In infants, solid foods are best introduced no earlier than:
A. 1 to 3 months.
B. 3 to 5 months.
C. 4 to 6 months.
D. 6 to 8 months. Correct Answer-C. 4 to 6 months.
6. Nursing infants generally maximally receive about which percentage
of the maternal dose of a drug?
A. 1%
B. 3%
C. 5%
D. 10% Correct Answer-A. 1%
, 7. Most drugs pass into breast milk through:
A. active transport.
B. facilitated transfer.
C. simple diffusion.
D. creation of a pH gradient. Correct Answer-C. simple diffusion.
8. To remove a drug from breast milk through "pump and dump," the
nursing mother should refrain from taking the offending medication and
the process must be continued for:
A. two infant feeding cycles.
B. approximately 8 hours.
C. three to five drug-free half-lives of the medication.
D. a period of time that is highly unpredictable. Correct Answer-C. three
to five drug-free half-lives of the medication.
9. When counseling a breastfeeding woman about alcohol use during
lactation, you relate that:
A. drinking a glass of wine or beer will enhance the let-down reflex.
B. because of its high molecular weight, relatively little alcohol is passed
into breast milk.
C. maternal alcohol use causes a reduction in the amount of milk
ingested by the infant.
D. infant intoxication can be seen with the mother having as few as one
to two alcoholic drinks. Correct Answer-C. maternal alcohol use causes
a reduction in the amount of milk ingested by the infant.