ACTUAL EXAM 450 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
You are discussing allergies in a prenatal breastfeeding class. One of the facts you
want to point out is that many of the babies who are allergic to cow's milk protein
can also be sensitive to:
a) Wheat
b) Corn
c) Soy
d) Eggs - ANSWER: c) Soy
Julie, a first time mom, tells you that her baby was very fussy last night, which was
the baby's second night. You know that this is most likely due to:
a) Her milk isn't in yet, and the baby is hungry
b) She's exhausted and is magnifying the situation
c) The mom is uptight and transmitting her nervousness to the baby
d) Overwhelming CNS stimulation in the baby - ANSWER: d) Overwhelming CNS
stimulation in the baby
Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to
breastfeed. Which of the following would be the most helpful advice?
a) Room-in with Ethan, watching him for feeding cues
b) Wake him by washing his face with a cool, damp cloth
c) Make sure the nurses bring him in as soon as he cries
d) Coax him to the breast using drops of glucose water on the nipple - ANSWER: a)
Room-in with Ethan, watching him for feeding cues
Babies who have early contact with their mothers and who were provided with
postpartum support are more likely to:
a) Have a faster weight gain than babies who are separated from mom
b) Be able to sleep in their own room by one month
c) Be breastfed long enough to meet the mother's goals
d) Breastfeed more frequently at night - ANSWER: d) Breastfeed more frequently at
night
On the physical exam of a 28-week preterm infant , which of the following is likely to
be found?
a) Lanugo all over the body
b) Dry and peeling skin
c) Palpable breast buds
d) Ability to coordinate suck, swallow, and breathe - ANSWER: a) Lanugo all over the
body
, Cherie, a new mother, with a 4-week-old infant, visits you for a breastfeeding
evaluation. In the process of taking her history, you find that Cherie eats mostly
chips, cookies and soda "because she is just too busy to prepare anything". Your
MOST IMPORTANT concern with Cherie's diet is:
a) The quality of her breast milk
b) The quantity of her breast milk
c) The health of the baby
d) The depletion of Cherie's nutrient stores - ANSWER: d) The depletion of Cherie's
nutrient stores
Halli is now 2-hours-old and still has not shown any interest in nursing. You do a
blood sugar test on Halli, and find that it's 38 mg/dL, which is lower than your
hospital standard of 40 mg/dL. What should you do first?
a) Put her under the warmer as she is most likely hypothermic
b) Give her 1 oz. of formula by finger-feeding
c) Have mom hand express colostrum and feed her with a spoon
d) Wait about 30 seconds and use a second reagent strip to check the glucose -
ANSWER: d) Wait about 30 seconds and use a second reagent strip to check the
glucose
Mothers with breastfeeding problems may be hesitant to seek help from a
professional for the following reason:
a) Lack of insurance coverage for lactation services
b) Having to leave her home to seek help
c) Stress of having to repeat "her story" to multiple people
d) Having problems is in conflict with the image of being a super-mom, which she
wants to portray - ANSWER: d) Having problems is in conflict with the image of
being a super-mom, which she wants to portray
A type of research that focuses on relationships among variables is called:
a) Qualitative
b) Quantitative
c) Statistically significant
d) Randomized controlled trials - ANSWER: b) Quantitative
Nipple erection is induced by which of the following?
a) Myoepithelial cells contracting the lactiferous sinuses
b) Somatic parasympathetic stimuli
c) Autonomic sympathetic stimuli
d) Adequate levels of aphrodisiacs - ANSWER: b) Somatic parasympathetic stimuli
Which of the following drug categories are contraindicated for use during
breastfeeding?
a) Pseudoephedrine
b) Oral contraceptives
c) Cancer chemotherapeutic agents
d) Diuretics - ANSWER: c) Cancer chemotherapeutic agents