UPDATED QUESTIONS AND CORRECT
ANSWERS
What is exclusive breastfeeding? - CORRECT ANSWER Infant receives only breast
milk for 6 months, no other liquids or solid foods or even water, except for oral rehydration
solution or forms of vitamin/mineral supplements or medication.
How long is recommended to breastfeed by Health Canada? - CORRECT ANSWER -
breastfeeding until atleast 2 years
- breastfeed and eat complementary food starting at 6 months for optimal nutrition, bonding
and immunologic protection
What are the benefits of breastfeeding for infant? - CORRECT ANSWER - enhanced
lifetime immunity
- preterm infants may have enhanced neurodevelopment, increased weight gain, decreased
incidence of sepsis, decreased risk of necrotizing enterocolitis
What does breastfeeding reduce the risk of for infants? (10) - CORRECT ANSWER -
GI infections
- celiac disease
- asthma
- eczema
- respiratory tract infections
- otitis media
- SIDS
- adolescent and adult obesity
- type 1 and type 2 diabetes
- acute lymphocytic and myeloid leukemia
,What are the benefits of breast feeding for the caregiver? - CORRECT
ANSWER decreased post partum bleeding and rapid involution
increased maternal role attainment
What are caregivers at less risk for? (6) - CORRECT ANSWER - ovarian and breast
cancer
- type 2 diabetes
- hypertension
- cardiovascular disease
- rheumatoid arthritis
- decreased incidence of post partum depression
What are the benefits for families and society? - CORRECT ANSWER - convenient
(ready anytime, no bottles/plastic or sterilizing)
- less expensive
- reduced annual health care costs
- less parental absence from work
- reduced environmental impact (no packaging/garbage)
What is the major carbohydrate for human milk? - CORRECT ANSWER - lactose
which supplies 40% of caloric needs
- metabolizes readily into galactose and glucose to supply energy for brain growth and
prevent hypoglycemia
- slow break down and absorption increases calcium absorption, facilitate the passage of
meconium and excrete bilirubin
What are oligosaccharides? - CORRECT ANSWER - 130 in breastmilk
- protect gut from organisms by promoting growth of bifidus factors
What are bifidus factors?(3) - CORRECT ANSWER - promote colonization with
lactobacillus bifidus (probotics)
, - increase acidity in intestine to prevent necrotizing enterocolitis
- inhibit pathogenic bacteria growth
Are protein levels affected by mothers diet? - CORRECT ANSWER NO
What are the two major proteins in breastmilk? - CORRECT ANSWER Whey
(lactoalbumin) and Casein (curd)
- early lactation 90% are whey
- mature milk 60%
What is the difference between whey and casein? - CORRECT ANSWER - whey is
smooth protein that is quickly digested for a continuous supply of nutrients; baby may have
loose and runny stools, needs to eat more
- casein is tough, less digestive requiring more energy for digestion, enhances absorption of
iron (prevents iron-dependent bacteria from proliferating GI tract)
What is lactoferrin? - CORRECT ANSWER - whey protein that is iron-binding and
bacterostatic
- deprives pathogens of iron to prevent overgrowth of harmful organisms
- promotes lactobacillus bifidus colonization to inhance absorption of iron from human milk
- HIGH concentrations in preterm milk to protect from NEC and intestinal diseases
How much fat is in breastmilk? - CORRECT ANSWER - 50% of infants caloric needs
Does mothers diet effect fat in milk? - CORRECT ANSWER Not total amount, but
types of fat
How does fat content vary in a feed? - CORRECT ANSWER - lower at the beginning,
higher at the end
- enzymes pre-digest fat so its available as energy for the infant