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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 each breast for more than 5 to 10 minutes."
C. "A pacifier should be offered between feedings." D. "The baby's urine should be light
or colorless." - 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." - Answer- B. "The baby might need to be
awakened to be fed."
3. Compared with the use of infant formula, advantages of breastfeeding 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. - 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 every 2 to 3 hours. B. 2 to 3 oz every 3 to 4 hours. C. 3 to 4 oz every 2 to 3
hours. D. 3 to 4 oz every 3 to 4 hours. - Answer- A. 2 to 3 oz 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. - 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% - 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. - Answer- C. simple diffusion.
8. To remove a drug from breast milk through "pump and dump," the process must be
continued for: A. two infant feeding cycles. B. approximately 8 hours. C. three to five
half-lives of drug. D. a period of time that is highly unpredictable. - Answer- C. three to
five half-lives of drug.
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 may be seen with as little as one to two maternal drinks. - Answer-
.C. maternal alcohol use causes a reduction in the amount of milk ingested by the
infant.
10. A 23-year-old woman is breastfeeding her healthy newborn. She wishes to use
hormonal contraception. Which of the following represents the best regimen? A.
combined oral contraception initiated at 2 weeks B. progesterone-only oral
contraception initiated at 3 weeks
C. medroxyprogesterone acetate (Depo-Provera) given day 1 postpartum D. All forms of
hormonal contraception are contraindicated during lactation. - Answer- B. progesterone-
only oral contraception initiated at 3 weeks
11. The anticipated average daily weight gain during the first 3 months of life is
approximately: A. 15 g. B. 20 g. C. 25 g. D. 30 g. - Answer- D. 30 g.
12. The average required caloric intake in an infant from age 0 to 3 months is usually: A.
40 to 60 kcal/kg/d. B. 60 to 80 kcal/kg/d. C. 80 to 100 kcal/kg/d. D. 100 to 120 kcal/kg/d.
- Answer- D. 100 to 120 kcal/kg/d.
13. Which of the following is most consistent with a normal developmental examination
for a 3-month-old infant born at 40 weeks' gestation? A. sitting briefly with support B.
experimenting with sound C. rolling over D. having a social smile - Answer- B.
experimenting with sound
14. Which of the following is most consistent with a normal developmental examination
for a thriving 5-month-old infant born at 32 weeks' gestation? A. sitting briefly with
support B. experimenting with sound C. rolling over D. performing hand-to-hand
transfers - Answer- B. experimenting with sound
15. A healthy full-term infant at age 3 to 5 months should be able to: A. gesture to an
object. B. bring hands together. C. reach for an object with one hand. D. feed self
biscuit. - Answer- B. bring hands together.
16. A healthy infant at age 9 to 11 months is expected to: A. roll back to stomach. B.
imitate "bye-bye." C. play peek-a-boo. D. hand toy on request. - Answer- C. play peek-
a-boo.
17. A healthy 2-year-old child is able to: A. speak in phrases of two or more words. B.
throw a ball. C. scribble spontaneously. D. ride a tricycle. - Answer- A. speak in phrases
of two or more words.
18. At which age would a child likely start to imitate housework? A. 15 months B. 18
months C. 24 months D. 30 months - Answer- A. 15 months