Lactation Consultant PPT Questions
According to Dr. Bergman, separation from mother the first hours after birth: A. Has no effect on the child's emotional development
B. Is stressful and releases powerful hormones causing physiologic responses and decompensation
C. Increases cardio-respiratory stability
D. Reduces chances of infection. - answerB. Is stressful and releases powerful hormones causing physiologic responses and decompensation
ppt 1
Swaddling: Which statements are true?
A. Babies swaddles routinely from birth maintain their temperature better.
B. After hospital discharge, swaddling is related to less respiratory illness.
C. Routine swaddling in the hospital is associated with more weight loss.
D. Routine swaddling reduces stress, calms babies and is proven beneficial because it is used in so many cultures. - answerC. Routine swaddling in the hospital is associated with more weight loss.
Babies swaddles routinely from birth do NOT maintain their temperature better. After hospital discharge swaddling is related to MORE respiratory illness. Routine swaddling INCREASES stress, and although used in many cultures, is not proven beneficial.
ppt 1
Which is false about the "protest-despair" response: A. Hyperarousal -> Dissociation
B. The normal adaptation response of the newborn to birth C. Causes decreased heart rate and temperature
D. Depletes energy reserves - answerB. The normal adaptation response of the newborn to birth The protest-despair response is NOT the normal adaptation response to birth. It is Hyperarousal -> Dissociation, causes decreased heart rate and temperature, and depletes the infant's energy reserves
Ppt 1
Which statement is true?
A. Babies like to have their ventral surface firmly against mother
B. Mothers should never help the baby attach to the breast
C. Fathers may confuse the baby by doing skin to skin holding
D. Be sure the baby's hands are held out of the way for latch on - answerA. Babies like to have their ventral surface firmly against mother
ppt 1
Premature infants
A. Require incubators for thermal regulation until they mature enough and can maintain their own body temperature
B. Are too fragile to be handled
C. Do not show the protest-despair response until past 35 weeks
D. Are more stable skin to skin with mother, even the smallest and most premature - answerD. Are more stable skin to skin with mother, even the smallest and most premature
ppt 1
Routine use of medications during labor, c sections and delayed first feedings are:
A. Facilitator B. Barrier - answerB. Barrier
Ppt 2.1
You are on a committee to decide the most prudent way to deal with the excessive weight loss experienced by many babies in your hospital which results in formula supplementation of about 45% of your newborns. Your vote on this issue would be: (SATA)
A. Weigh infants at 24 hours
B. Relax the 10% rule to 12%
C. Evaluate each baby who loses more than 10% for maternal excessive fluid use in labor and delivery as well as the number of wet diapers since delivery
D. Evaluate the baby for signs of dehydration (sunken fontanels, weakness, dry mucous
membranes, poor skin turgor) - answerA. Weigh infants at 24 hours
B. Relax the 10% rule to 12%
C. Evaluate each baby who loses more than 10% for maternal excessive fluid use in labor and delivery as well as the number of wet diapers since delivery
D. Evaluate the baby for signs of dehydration (sunken fontanels, weakness, dry mucous
membranes, poor skin turgor)
The best strategy is to evaluate each situation carefully. Evaluate how much IV fluid the mother received during labor, evaluate the infant for number of diapers since birth, evaluate the infant for signs of dehydration and if everything seems in line, then perhaps
either bend the 10% rule or assess how much the baby has lost since a 24 hour weight was taken. Each hospital will reach their own conclusion for how to best monitor this situation. In evaluating each situation carefully the "it depends" solution will be the right answer.
ppt 2.1
Routine use of IV fluids:
A. Facilitator B. Barrier - answerB. Barrier
ppt. 2.1
Routine separation of mother and infant is a : A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.1 Routine skin to skin holding is a: A. Facilitator
B. Barrier - answerA. Facilitator
ppt 2.2
Routine prevention of cold stress after delivery with skin to skin holding is a: A. Facilitator
B. Barrier - answerA. Facilitator
ppt 2.2
Routine supplementation of an infant without a medical diagnosis:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Unlimited access to supplies of infant formula is a:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Use of a pacifier in the first few weeks of life is a:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Consistent, timely advice and trouble shooting is a: A. Facilitator
B. Barrier - answerA. Facilitator
According to Dr. Bergman, separation from mother the first hours after birth: A. Has no effect on the child's emotional development
B. Is stressful and releases powerful hormones causing physiologic responses and decompensation
C. Increases cardio-respiratory stability
D. Reduces chances of infection. - answerB. Is stressful and releases powerful hormones causing physiologic responses and decompensation
ppt 1
Swaddling: Which statements are true?
A. Babies swaddles routinely from birth maintain their temperature better.
B. After hospital discharge, swaddling is related to less respiratory illness.
C. Routine swaddling in the hospital is associated with more weight loss.
D. Routine swaddling reduces stress, calms babies and is proven beneficial because it is used in so many cultures. - answerC. Routine swaddling in the hospital is associated with more weight loss.
Babies swaddles routinely from birth do NOT maintain their temperature better. After hospital discharge swaddling is related to MORE respiratory illness. Routine swaddling INCREASES stress, and although used in many cultures, is not proven beneficial.
ppt 1
Which is false about the "protest-despair" response: A. Hyperarousal -> Dissociation
B. The normal adaptation response of the newborn to birth C. Causes decreased heart rate and temperature
D. Depletes energy reserves - answerB. The normal adaptation response of the newborn to birth The protest-despair response is NOT the normal adaptation response to birth. It is Hyperarousal -> Dissociation, causes decreased heart rate and temperature, and depletes the infant's energy reserves
Ppt 1
Which statement is true?
A. Babies like to have their ventral surface firmly against mother
B. Mothers should never help the baby attach to the breast
C. Fathers may confuse the baby by doing skin to skin holding
D. Be sure the baby's hands are held out of the way for latch on - answerA. Babies like to have their ventral surface firmly against mother
ppt 1
Premature infants
A. Require incubators for thermal regulation until they mature enough and can maintain their own body temperature
B. Are too fragile to be handled
C. Do not show the protest-despair response until past 35 weeks
D. Are more stable skin to skin with mother, even the smallest and most premature - answerD. Are more stable skin to skin with mother, even the smallest and most premature
ppt 1
Routine use of medications during labor, c sections and delayed first feedings are:
A. Facilitator B. Barrier - answerB. Barrier
Ppt 2.1
You are on a committee to decide the most prudent way to deal with the excessive weight loss experienced by many babies in your hospital which results in formula supplementation of about 45% of your newborns. Your vote on this issue would be: (SATA)
A. Weigh infants at 24 hours
B. Relax the 10% rule to 12%
C. Evaluate each baby who loses more than 10% for maternal excessive fluid use in labor and delivery as well as the number of wet diapers since delivery
D. Evaluate the baby for signs of dehydration (sunken fontanels, weakness, dry mucous
membranes, poor skin turgor) - answerA. Weigh infants at 24 hours
B. Relax the 10% rule to 12%
C. Evaluate each baby who loses more than 10% for maternal excessive fluid use in labor and delivery as well as the number of wet diapers since delivery
D. Evaluate the baby for signs of dehydration (sunken fontanels, weakness, dry mucous
membranes, poor skin turgor)
The best strategy is to evaluate each situation carefully. Evaluate how much IV fluid the mother received during labor, evaluate the infant for number of diapers since birth, evaluate the infant for signs of dehydration and if everything seems in line, then perhaps
either bend the 10% rule or assess how much the baby has lost since a 24 hour weight was taken. Each hospital will reach their own conclusion for how to best monitor this situation. In evaluating each situation carefully the "it depends" solution will be the right answer.
ppt 2.1
Routine use of IV fluids:
A. Facilitator B. Barrier - answerB. Barrier
ppt. 2.1
Routine separation of mother and infant is a : A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.1 Routine skin to skin holding is a: A. Facilitator
B. Barrier - answerA. Facilitator
ppt 2.2
Routine prevention of cold stress after delivery with skin to skin holding is a: A. Facilitator
B. Barrier - answerA. Facilitator
ppt 2.2
Routine supplementation of an infant without a medical diagnosis:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Unlimited access to supplies of infant formula is a:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Use of a pacifier in the first few weeks of life is a:
A. Facilitator
B. Barrier - answerB. Barrier
ppt 2.2
Consistent, timely advice and trouble shooting is a: A. Facilitator
B. Barrier - answerA. Facilitator
