CLC Practice Exam #4 Questions with 100% correct Answers

The LAM is encouraged is many developing countries because: a) It doesn't interfere with breastfeeding b) Many women don't have access to other methods of birth control c) It's a natural birth control method d) It's easy to educate women about this method - ANSWER-b) Many women don't have access to other methods of birth control Oxytocin is stored in the: a) Hypothalamus b) Brush border c) Peyer's patches d) Posterior pituitary - ANSWER-d) Posterior pituitary Babies who bed share with their mothers: a) Are more likely to die of SIDS b) Spend more time in deep sleep c) Are more likely to sleep in the supine position d) Are more likely to keep their mothers awake - ANSWER-c) Are more likely to sleep in the supine position The lactose in breast milk performs which of the following functions? a) Seal the gut lining of the infant's GI tract b) Supplies energy specific for baby's brain growth c) Mobilizes antibodies against viruses in the mom's environment d) Destabilizes outer cell membranes of bacteria - ANSWER-b) Supplies energy specific for baby's brain growth Wanda who is 7 months pregnant and who has MS comes into your office to talk to you about breastfeeding. Which of the following would could impact her breastfeeding success. a) The severity of this condition prior to pregnancy was found to not impact breastfeeding duration b) None of the current medication commonly prescribed for a relapse is noted to be compatible with breastfeeding c) Her chance of relapsing is less if she nurses more than 2 months d) Wanda can expect profound exhaustion in the immediate postpartum period - ANSWER-c) Her chance of relapsing is less if she nurses more than 2 months The Bellagio Consensus... a) Encourages that public health policies include teaching of LAM b) Encourages visiting Las Vegas to increase breastfeeding rates in Nevada c) Is part a global effort to promote breastfeeding d) Is a WHO/UNICEF initative - ANSWER-a) Encourages that public health policies include teaching of LAM Maternal diet can affect which of the following nutrients in breast milk? a) Vitamin C b) Lactose c) Iron d) Calcium - ANSWER-a) Vitamin C What is the average number of ductal openings at the end of nipple? a) 6 b) 9 c) 13 d) 19 - ANSWER-b) 9 Janette tells you that a 4-week-old Agatha cries a lot and is only happy when she is being held or is breastfeeding. She wants to know what she should do. Your best advise is: a) Babies need to learn to self-comfort, so let Agatha cray a while b) She needs a breastfeeding evaluation to make sure it isn't hunger c) Crying won't hurt her. If you respond to her too quickly, you will spoil her d) The quicker you respond to Agatha, the quicker she will settle - ANSWER-d) The quicker you respond to Agatha, the quicker she will settle Poor positioning can be associated with: a) Nipple trauma b) Yeast infection of the nipples c) Reflux in the infant d) Hyperlactation syndrome - ANSWER-a) Nipple trauma Betty's baby is 4-weeks-old and she says that breastfeeding was going well until her nipples started to hurt. She is concerned that it's the baby's latch. When you see her, which question would support your first hunch? a) Have you taken any antibiotics in the last few months? b) Are you on birth control pills? c) Do you eat lots of sugar, yeast breads, cookies, and cakes? d) Are you fatigued and under stress? - ANSWER-a) Have you taken any antibiotics in the last few months? Mature milk gets about 50% of its energy from: a) Fat b) Lactose c) Protein d) DHA - ANSWER-a) Fat Taylor is 38 weeks pregnant. She wants to breastfeed, but her doctor said she will have problems because she has inverted nipples. What do you do first? a) Ask Taylor how she feels about having inverted nipples b) Assess Taylor's nipples to determine the severity of the problem c) Provide her with a nipple everter to correct her problem d) Suggest she pump and cup feed her baby breast milk until her nipples can become graspable - ANSWER-b) Assess Taylor's nipples to determine the severity of the problem Epidural anesthesia can affect the baby in which of the following ways? a) No effect as the medication doesn't leave the epidural space b) Decrease the innate neonatal suckling reflexes c) Increase oxytocin levels in the mother d) Helps the baby relax more as it contains a CNS depressant - ANSWER-b) Decrease the innate neonatal suckling reflexes A benefit of breastfeeding for the mother employed outside the home is: a) Decreased risk of postpartum depression b) The decreased risk of infant illness through the first year c) An incentive to employers to offer lactation programs d) Easier access into professional day care organizations - ANSWER-b) The decreased risk of infant illness through the first year Darlene hemorrhaged after birth needing 7 units of blood and delaying the first feed until 36 hours. Today is Darlene's 5th postpartum day; her breasts are soft and there is no evidence of lactogenesis 2 taking place. What is the most likely reason for the delay in Darlene's milk coming in? a) Sheehan's syndrome b) The blood lost contained the prolactin necessary for lactogenesis 2 c) She didn't receive any breast stimulation for the first 36 hours d) The hemorrhage caused damage to the thyroid gland - ANSWER-a) Sheehan's syndrome The worldwide average age for weaning is: a) 6 months b) 1-2 years c) 2-3 years d) 3-4 years - ANSWER-d) 3-4 years Colostrum's yellow color is due to: a) Concentration of fat cells b) The low amount of protein in colostrum c) Beta-carotene d) Concentration of thiamine in colostrum - ANSWER-c) Beta-carotene Which of the following statements about inducing lactation is correct? a) Onset of lactation averages about 1.5 weeks after starting pumping b) The success rate decreases if the baby has been bottle-fed for more than 4 weeks c) The vast majority of women will never produce a full milk supply d) The use of galactogogues is contraindicated when inducing lactation - ANSWER-b) The success rate decreases if the baby has been bottle-fed for more than 4 weeks We know the following is true about the use of marijuana: a) Marijuana metabolites can be detected in the amniotic fluid b) Women are less likely to use marijuana during pregnancy c) Fetal growth is affected by use of more than 5 "joints" in a 24 hour period d) Marijuana levels are the same in the mother's milk as they are in her plasma - ANSWER-a) Marijuana metabolites can be detected in the amniotic fluid You have assessed newborn Roland and think that he has torticollis. Which of the following supports your hunch? a) He has low set ears b) His eyes deviate toward the side to which his head is turned c) He has a flattened jaw line d) There is a callus on the clavicle on the affected side - ANSWER-c) He has a flattened jaw line You know that all of the following is true about breast milk jaundice EXCEPT: a) Two-thirds of all breastfed infants have hyperbilirubinemia b) Hyperbilirubinemia in breastfed infants may persist for up to 3 months c) Treatment of breast milk jaundice should include stopping breastfeeding for 48-72 hours d) Breast milk jaundice is caused by a factor in human milk that promotes intestinal reabsorption of bilirubin - ANSWER-c) Treatment of breast milk jaundice should include stopping breastfeeding for 48-72 hours The best treatment for a breastfeeding baby with vomiting and diarrhea is: a) Discontinue breastfeeding for 24 hours and give an oral rehydration solution b) Continue breastfeeding but supplement with an electrolyte solution c) Discontinue all milk products and offer only tea and rice water d) Continue breastfeeding and give no other food or fluids - ANSWER-d) Continue breastfeeding and give no other food or fluids Oxytocin is considered the "mothering" hormone because: a) It causes the milk-ejection reflex (MER) b) Levels are maintained throughout lactation c) Release of oxytocin is controlled by suckling d) It promotes feelings of well-being - ANSWER-d) It promotes feelings of well-being Infant self-regulation regarding feedings is dependent on: a) Enzymes in the breast milk b) Being fed from the breast c) Protein levels in the breast milk d) Fat mobilization in the gut stimulating peristalsis - ANSWER-b) Being fed from the breast A mother who presents with a reddened painful breast and a temperature of 99.2 should be advised to do which of the following first? a) Empty breast thoroughly and frequently b) Call the primary health care provider immediately c) Apply cold packs to the breast every 2 hours for 15 minutes d) Apply moist heat to the breast every 4 hours after a breastfed - ANSWER-a) Empty breast thoroughly and frequently We know that when a mother and infant bed share that: a) The infant is more likely to die of SIDS rather than suffocation b) Exclusive breastfeeding to 6 months is more likely to occur c) There is a longer duration of any breastfeeding d) Infants exhibit increased dependency on the mother - ANSWER-c) There is a longer duration of any breastfeeding Shawna is ready to stop breastfeeding because she ex exhausted. What information you can provide to her which may help her continue is: a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed b) The hormones of lactation are causing you to be tired c) Bottle-feeding is actually more exhausting because the mother will have to warm formula and wash bottles d) Breastfeeding is more relaxing because the mother can put up her feet while nursing - ANSWER-a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed During your daily rounds, you see Torrey who gave birth to identical twin girls the evening before. The girls are full-term, both weighing over 7 lbs. and are breastfeeding very well. The most important thing you can share with her is: a) Arrange to have help at home for the first several weeks b) She needs to consume at least 1000 calories above her pre-pregnant diet c) She must alternate breasts each feed, to keep the milk supply equal d) The easiest way to nurse twins is to breastfeed one and bottle-feed the other, alternating at every feed - ANSWER-a) Arrange to have help at home for the first several weeks The cells that contract in response to oxytocin stimulation ejecting milk into the ductules are called: a) Oxyepithelial cells b) Acini cells c) Squamous cells d) Myoepithelial cells - ANSWER-d) Myoepithelial cells (myo = muscle) Transient symptoms of lactose intolerance in infants can appear in which of following circumstances? a) Babies born to mothers who consume large amounts of dairy b) Infants that are large for gestational age c) Infants of mothers with oversupply of milk d) Infants with a congenital deficiency of amylase - ANSWER-c) Infants of mothers with oversupply of milk Which of the following would be the first most helpful intervention in preventing hypoglycemia immediately after birth in an infant of an insulin-dependent diabetic mother? a) Take the baby to the warmer to monitor him carefully b) Giving an ounce of formula within a half-hour of birth c) Putting the infant skin-to-skin with his mother immediately d) Assisting the infant going to the breast within the first hour of life - ANSWER-c) Putting the infant skin-to-skin with his mother immediately You are preparing to care for Jenna who is 31-years-old and her 2-day-old infant. On Jenna's chart it states that she has psoriasis. Which of the following do you know to be true of psoriasis? a) Jenna's birth itself will probably cause a decrease in her symptoms b) Topical ointments are the first-line of treatment during lactation c) If Jenna didn't develop psoriasis arthritis during her pregnancy it would be rare for it to show up postpartum d) Jenna is very young to have developed psoriasis - ANSWER-a) Jenna's birth itself will probably cause a decrease in her symptoms An article published in a medical journal states that there is no difference in IQ in infants who are breastfed than in infants who are formula-fed. In reading this article, which of the following is MOST important for you to determine? a) The statistical significant between the IQ points in the formula-fed vs. breastfed infants b) The age at which the IQ was measured in these children c) The definition of the term "breastfed" d) The total number of infants in each group - ANSWER-c) The definition of the term "breastfed" Besides giving breastfeeding mothers current information on drugs, you tell them that for a final determination they should check with: a) The pharmacist where she had the prescription filled b) Her OB or nurse midwife c) Her family HCP d) The baby's HCP - ANSWER-d) The baby's HCP Which of the following is a description of postpartum blues? a) A mild to moderate form of depression b) May come on gradually over the first year after the brith c) Is more common in breastfeeding mothers d) Is more common in primiparas - ANSWER-d) Is more common in primiparas (A and B = postpartum depression) What percentage of the maternal dose of a drug generally passes into the breast milk? a) 1-2% b) 3-4% c) 7-8 % d) 9-10% - ANSWER-a) 1-2% Which of the following is LEAST likely to affect newborn infant suckling behaviors? a) Crying for 10 minutes prior to a feeding b) Maternal analgesia/anesthesia during labor c) Use of an artificial nipple prior to the first breastfeed d) Separation of mother and baby for 15 minutes before the first feed - ANSWER-d) Separation of mother and baby for 15 minutes before the first feed Which of the following breastfed infants will most need vitamin D supplementation? a) An Asian baby living in Los Angeles, CA b) A black Muslim baby living in Minneapolis, MN c) An African American infant living in Topeka, KS d) A Caucasian infant living in Bangor, ME - ANSWER-b) A black Muslim baby living in Minneapolis, MN Terrilynn's pediatrician has told her she must stop breastfeeding immediately because her son is allergic to her milk based on blood in his stools. What would be you best initial response to Terrilynn? a) I am sorry to hear about the blood in his stools, but with allergic colitis it's best to stop breastfeeding b) Did your pediatrician discuss any other possibilities for the blood in his stools? c) This must be very stressful for you, would you feel better if you had a second opinion? d) How frightening for you, but often blood in an infant's stool is caused by something in your diet. Would you like to talk about this possibility? - ANSWER-d) How frightening for you, but often blood in an infant's stool is caused by something in your diet. Would you like to talk about this possibility? All of the following are acceptable medical reasons for giving infants food other than the mother's breast milk EXCE