Question 1

The protein in human milk is important because:

Accepted Answer

A) It has antibacterial properties. 
B) It is more easily digestible than cow's milk protein, the basis for many infant formulas. 
C) It helps with the processing of iron and lactose. 
D) All of the above. 
A) It has antibacterial properties. 
B) It is more easily digestible than cow's milk protein, the basis for many infant formulas. 
C) It helps with the processing of iron and lactose. 
D) All of the above.

Question 2

A mother has inverted nipples, and asks you if she will be able to breastfeed. All of the following are true EXCEPT:

Accepted Answer

A) Devices such as nipple shields, breast shells, and pumps may facilitate breastfeeding when a mother has inverted nipples. 
B) She should give up her hope of nursing, because moms with inverted nipples can't breastfeed. 
C) Many mothers with inverted nipples are able to successfully nurse their babies. 
D) If the inversion is unilateral the other breast will make enough milk for the baby. 
A) Devices such as nipple shields, breast shells, and pumps may facilitate breastfeeding when a mother has inverted nipples. 
B) She should give up her hope of nursing, because moms with inverted nipples can't breastfeed. 
C) Many mothers with inverted nipples are able to successfully nurse their babies. 
D) If the inversion is unilateral the other breast will make enough milk for the baby.

Question 3

A mother who has just given birth is taking pain medications. She asks you if it's OK to breastfeed. The LEAST EFFECTIVE response is:

Accepted Answer

A) "Only if you want your baby to sleep all the time." 
B) "We can ask the nurses which medication your care provider has prescribed, and see what information we can find about how it affects breastfeeding." 
C) "Just watch for sleepiness in your baby - you may need to wake him more often to nurse." 
D) "Only small amounts of most common postpartum pain relievers get into mother's milk." 
A) "Only if you want your baby to sleep all the time." 
B) "We can ask the nurses which medication your care provider has prescribed, and see what information we can find about how it affects breastfeeding." 
C) "Just watch for sleepiness in your baby - you may need to wake him more often to nurse." 
D) "Only small amounts of most common postpartum pain relievers get into mother's milk."

Question 4

The LEAST EFFECTIVE way for a mother to bring in a good milk supply is:

Accepted Answer

A) Nursing her baby often 
B) Feeding her baby "on demand" 
C) Only nursing 10 minutes on each side 
D) Putting her baby to the breast within the first hour after birth 
A) Nursing her baby often 
B) Feeding her baby "on demand" 
C) Only nursing 10 minutes on each side 
D) Putting her baby to the breast within the first hour after birth

Question 5

A client at 20 weeks' gestation asks the doula if she will be able to breastfeed her baby after birth. The client has a history of type 2 diabetes, which has been well controlled both before and during the pregnancy. The client has a BMI of 34. Which of the following statements by the doula is the most appropriate?

Accepted Answer

A) "Whether or not you can breastfeed your baby will depend on your blood glucose levels after birth." 
B) "Mothers with type 2 diabetes are encouraged to breastfeed their babies after birth. Breastfeeding may also lower your need for insulin." 
C) "You may not breastfeed your baby after birth. Insulin can cross into the breast milk and may cause your baby to develop hypoglycemia. Your baby may be nourished with formula milk." 
D) "Breastfeeding is encouraged for women with type 2 diabetes. However, you may need to increase your insulin when nursing." 
A) "Whether or not you can breastfeed your baby will depend on your blood glucose levels after birth." 
B) "Mothers with type 2 diabetes are encouraged to breastfeed their babies after birth. Breastfeeding may also lower your need for insulin." 
C) "You may not breastfeed your baby after birth. Insulin can cross into the breast milk and may cause your baby to develop hypoglycemia. Your baby may be nourished with formula milk." 
D) "Breastfeeding is encouraged for women with type 2 diabetes. However, you may need to increase your insulin when nursing."

Question 6

A mother who gave birth a week ago contacts her doula complaining of a cracked and fissured nipple on her right breast. The mother has been diagnosed with mastitis by her healthcare provider. Which of the following teachings is the most effective when helping a client with mastitis?

Accepted Answer

A) Instruct the client to discontinue breastfeeding until antibiotic therapy is completed. 
B) Instruct the client to start breastfeeding on the left breast. 
C) Instruct the client to offer formula milk if the breasts are too painful when breastfeeding. 
D) Instruct the client to avoid wearing bras until the pain is tolerable. 
A) Instruct the client to discontinue breastfeeding until antibiotic therapy is completed. 
B) Instruct the client to start breastfeeding on the left breast. 
C) Instruct the client to offer formula milk if the breasts are too painful when breastfeeding. 
D) Instruct the client to avoid wearing bras until the pain is tolerable.

Question 7

If a newborn breastfed baby is jaundiced, what is the optimal treatment plan?

Accepted Answer

A) The baby should be weaned for two days, and only then resume breastfeeding. 
B) The baby should continue to breastfeed on cue, and should be supplemented at the breast with expressed breastmilk, donor milk, or formula, using a cup or syringe. 
C) The mother should breastfeed twice a day, and formula feed for the remainder of the day's feedings. 
D) The mother should pump as often as her baby was breastfeeding, and should bottle-feed her baby the expressed milk. 
A) The baby should be weaned for two days, and only then resume breastfeeding. 
B) The baby should continue to breastfeed on cue, and should be supplemented at the breast with expressed breastmilk, donor milk, or formula, using a cup or syringe. 
C) The mother should breastfeed twice a day, and formula feed for the remainder of the day's feedings. 
D) The mother should pump as often as her baby was breastfeeding, and should bottle-feed her baby the expressed milk.

Question 8

The two main hormones responsible for lactation are?

Accepted Answer

A) Epinephrine and norepinepherine 
B) Endorphins and estrogen 
C) Oxytocin and prolactin 
D) Prolactin and estrogen 
A) Epinephrine and norepinepherine 
B) Endorphins and estrogen 
C) Oxytocin and prolactin 
D) Prolactin and estrogen

Question 9

What is the main sugar in breastmilk, providing half of a baby's energy needs?

Accepted Answer

A) Lactose 
B) Fructose 
C) Glucose 
D) Sucrose 
A) Lactose 
B) Fructose 
C) Glucose 
D) Sucrose

Question 10

The benefits of breastfeeding in the first hour after birth include all of the following EXCEPT:

Accepted Answer

A) Decreased risk of postpartum hemorrhage 
B) Increased incidence of nipple soreness 
C) Improved lactation 
D) Longer duration of breastfeeding 
A) Decreased risk of postpartum hemorrhage 
B) Increased incidence of nipple soreness 
C) Improved lactation 
D) Longer duration of breastfeeding

Question 11

The mother of a newborn calls you from the hospital several hours after the birth and tells you she just can't get the baby to latch. Which of the following suggestions will NOT help in this situation?

Accepted Answer

A) Spending time skin-to-skin 
B) Giving a bottle of formula 
C) Being patient and waiting for the baby to be ready 
D) Trying different positions 
A) Spending time skin-to-skin 
B) Giving a bottle of formula 
C) Being patient and waiting for the baby to be ready 
D) Trying different positions

Question 12

A baby is born ill, and is taken to the Neonatal Intensive Care Unit (NICU) immediately after birth. The BEST way to help the mother initiate breastfeeding is:

Accepted Answer

A) Tell her she needs time to rest. 
B) Help her get a hospital-grade pump and begin pumping as soon as possible, saving the colostrum and milk until the baby is ready for it. 
C) Tell her she'll have to switch to formula anyway, so there's no use trying to breastfeed. 
D) Tell her the baby will have nipple confusion if he gets any bottles in the NICU. 
A) Tell her she needs time to rest. 
B) Help her get a hospital-grade pump and begin pumping as soon as possible, saving the colostrum and milk until the baby is ready for it. 
C) Tell her she'll have to switch to formula anyway, so there's no use trying to breastfeed. 
D) Tell her the baby will have nipple confusion if he gets any bottles in the NICU.

Question 13

It is best to nurse a baby at the earliest signs of hunger. Which of the following is NOT a sign of hunger:

Accepted Answer

A) Moving the hands to the mouth 
B) Rooting 
C) Sticking the tongue out 
D) Sleeping 
A) Moving the hands to the mouth 
B) Rooting 
C) Sticking the tongue out 
D) Sleeping

Question 14

In order for a baby to transfer milk, the baby's latch needs to be effective. Which of the following is FALSE about latching?

Accepted Answer

A) The baby's mouth is open less than 90 degrees. 
B) The baby's nose is slightly touching the breast. 
C) The baby's chin is pressed into the breast tissue. 
D) The baby takes the nipple and much of the areola into his mouth. 
A) The baby's mouth is open less than 90 degrees. 
B) The baby's nose is slightly touching the breast. 
C) The baby's chin is pressed into the breast tissue. 
D) The baby takes the nipple and much of the areola into his mouth.

Question 15

A mother tells you she doesn't think she can breastfeed because she doesn't eat the right diet and she likes to have an occasional beer (something she hasn't done while she's pregnant). What is your BEST response?

Accepted Answer

A) "Your milk will be watery." 
B) "You should definitely steer clear of alcohol and caffeine." 
C) "You shouldn't put your needs ahead of your baby's." 
D) "Your body will still make the perfect milk for your baby." 
A) "Your milk will be watery." 
B) "You should definitely steer clear of alcohol and caffeine." 
C) "You shouldn't put your needs ahead of your baby's." 
D) "Your body will still make the perfect milk for your baby."

Question 16

Human milk is rich in fat. The fat content of human milk changes during each breastfeeding session, from day to day, and over time. However, the ____________ the interval between feedings, the _________the fat content of the milk.

Accepted Answer

A) Shorter / lower 
B) Longer / lower 
C) Greater / less change in 
D) Longer / higher 
A) Shorter / lower 
B) Longer / lower 
C) Greater / less change in 
D) Longer / higher

Question 17

Your client is pregnant, and has written a birth plan that includes spending time skin-to-skin with her newborn until the first feeding has taken place. Which of the following is FALSE about skin-to-skin care?

Accepted Answer

A) The newborn's body temperature will stabilize more quickly. 
B) The baby will be at risk for falling to the floor. 
C) The newborn's heart rate and respiration will normalize more quickly. 
D) The baby will cry less. 
A) The newborn's body temperature will stabilize more quickly. 
B) The baby will be at risk for falling to the floor. 
C) The newborn's heart rate and respiration will normalize more quickly. 
D) The baby will cry less.

Question 18

A mother you are supporting asks if there is anything she can do to prepare her nipples for breastfeeding. You tell her:

Accepted Answer

A) "Stock up on lanolin because most women have nipple soreness for the first six weeks." 
B) "There is really not anything in particular you can do to 'get your nipples ready,' but knowing if you have flat or inverted nipples can help you avoid pitfalls in the early days." 
C) "You should rub your nipples with a washcloth 10 minutes each day to toughen them up." 
D) "You need to use a strong soap to keep them clean for your baby." 
A) "Stock up on lanolin because most women have nipple soreness for the first six weeks." 
B) "There is really not anything in particular you can do to 'get your nipples ready,' but knowing if you have flat or inverted nipples can help you avoid pitfalls in the early days." 
C) "You should rub your nipples with a washcloth 10 minutes each day to toughen them up." 
D) "You need to use a strong soap to keep them clean for your baby."

Question 19

A mother calls you several days after her baby is born, and asks what she can do about her swollen, sore, hard breasts. You tell her:

Accepted Answer

A) "It sounds like your milk may be "coming in." Tell me a little about your baby's feeding patterns so far, and we'll figure out the best course of action." 
B) "You must have an infection. Stop breastfeeding right away." 
C) "Breastfeeding shouldn't hurt. You must be doing something wrong." 
D) "Are you scheduling your baby's feedings?" 
A) "It sounds like your milk may be "coming in." Tell me a little about your baby's feeding patterns so far, and we'll figure out the best course of action." 
B) "You must have an infection. Stop breastfeeding right away." 
C) "Breastfeeding shouldn't hurt. You must be doing something wrong." 
D) "Are you scheduling your baby's feedings?"

Question 20

Your client is 24 hours postpartum. The nurses have suggested keeping the baby in the nursery overnight so the mom can get some rest. She asks your advice. Which of the following is NOT part of your counseling about "rooming-in"?

Accepted Answer

A) "You will get more rest if your baby stays in your room." 
B) "The nurses will probably give the baby a pacifier if you let them keep him at night." 
C) "Rooming-in allows you to learn your baby's rhythms, and to catch early feeding cues which makes breastfeeding easier." 
D) "Babies who are kept in their mothers' rooms cry less." 
A) "You will get more rest if your baby stays in your room." 
B) "The nurses will probably give the baby a pacifier if you let them keep him at night." 
C) "Rooming-in allows you to learn your baby's rhythms, and to catch early feeding cues which makes breastfeeding easier." 
D) "Babies who are kept in their mothers' rooms cry less."

The protein in human milk is important because:

A mother has inverted nipples, and asks you if she will be able to breastfeed. All of the following are true EXCEPT:

A mother who has just given birth is taking pain medications. She asks you if it's OK to breastfeed. The LEAST EFFECTIVE response is:

The LEAST EFFECTIVE way for a mother to bring in a good milk supply is:

A mother who gave birth a week ago contacts her doula complaining of a cracked and fissured nipple on her right breast. The mother has been diagnosed with mastitis by her healthcare provider. Which of the following teachings is the most effective when helping a client with mastitis?

If a newborn breastfed baby is jaundiced, what is the optimal treatment plan?

The two main hormones responsible for lactation are?

What is the main sugar in breastmilk, providing half of a baby's energy needs?

The benefits of breastfeeding in the first hour after birth include all of the following EXCEPT:

The mother of a newborn calls you from the hospital several hours after the birth and tells you she just can't get the baby to latch. Which of the following suggestions will NOT help in this situation?

A baby is born ill, and is taken to the Neonatal Intensive Care Unit (NICU) immediately after birth. The BEST way to help the mother initiate breastfeeding is:

It is best to nurse a baby at the earliest signs of hunger. Which of the following is NOT a sign of hunger:

In order for a baby to transfer milk, the baby's latch needs to be effective. Which of the following is FALSE about latching?

A mother tells you she doesn't think she can breastfeed because she doesn't eat the right diet and she likes to have an occasional beer (something she hasn't done while she's pregnant). What is your BEST response?

Human milk is rich in fat. The fat content of human milk changes during each breastfeeding session, from day to day, and over time. However, the ____ the interval between feedings, the _the fat content of the milk.

Your client is pregnant, and has written a birth plan that includes spending time skin-to-skin with her newborn until the first feeding has taken place. Which of the following is FALSE about skin-to-skin care?

A mother you are supporting asks if there is anything she can do to prepare her nipples for breastfeeding. You tell her:

A mother calls you several days after her baby is born, and asks what she can do about her swollen, sore, hard breasts. You tell her:

Your client is 24 hours postpartum. The nurses have suggested keeping the baby in the nursery overnight so the mom can get some rest. She asks your advice. Which of the following is NOT part of your counseling about "rooming-in"?

Communication

Labor Birth

Post-Partum

Pregnancy

Psychology Philosophy

Filters

Exam 1: Breast-Feeding

The protein in human milk is important because:

A mother has inverted nipples, and asks you if she will be able to breastfeed. All of the following are true EXCEPT:

A mother who has just given birth is taking pain medications. She asks you if it's OK to breastfeed. The LEAST EFFECTIVE response is:

The LEAST EFFECTIVE way for a mother to bring in a good milk supply is:

A mother who gave birth a week ago contacts her doula complaining of a cracked and fissured nipple on her right breast. The mother has been diagnosed with mastitis by her healthcare provider. Which of the following teachings is the most effective when helping a client with mastitis?

If a newborn breastfed baby is jaundiced, what is the optimal treatment plan?

The two main hormones responsible for lactation are?

What is the main sugar in breastmilk, providing half of a baby's energy needs?

The benefits of breastfeeding in the first hour after birth include all of the following EXCEPT:

The mother of a newborn calls you from the hospital several hours after the birth and tells you she just can't get the baby to latch. Which of the following suggestions will NOT help in this situation?

A baby is born ill, and is taken to the Neonatal Intensive Care Unit (NICU) immediately after birth. The BEST way to help the mother initiate breastfeeding is:

It is best to nurse a baby at the earliest signs of hunger. Which of the following is NOT a sign of hunger:

In order for a baby to transfer milk, the baby's latch needs to be effective. Which of the following is FALSE about latching?

A mother tells you she doesn't think she can breastfeed because she doesn't eat the right diet and she likes to have an occasional beer (something she hasn't done while she's pregnant). What is your BEST response?

Human milk is rich in fat. The fat content of human milk changes during each breastfeeding session, from day to day, and over time. However, the ____________ the interval between feedings, the _________the fat content of the milk.

Your client is pregnant, and has written a birth plan that includes spending time skin-to-skin with her newborn until the first feeding has taken place. Which of the following is FALSE about skin-to-skin care?

A mother you are supporting asks if there is anything she can do to prepare her nipples for breastfeeding. You tell her:

A mother calls you several days after her baby is born, and asks what she can do about her swollen, sore, hard breasts. You tell her:

Your client is 24 hours postpartum. The nurses have suggested keeping the baby in the nursery overnight so the mom can get some rest. She asks your advice. Which of the following is NOT part of your counseling about "rooming-in"?

Communication

Labor Birth

Post-Partum

Pregnancy

Psychology Philosophy

Filters

Human milk is rich in fat. The fat content of human milk changes during each breastfeeding session, from day to day, and over time. However, the ____ the interval between feedings, the _the fat content of the milk.