HTTP Final Test

Which is the best way to establish rapport (trust) with a breastfeeding mother/ parent?

a.) Tell her your name and credentials.

Correct Incorrect Correct answer

b.) Inquire about her baby's name.

Correct Incorrect Correct answer

c.) Engage her significant other or family member first.

Correct Incorrect Correct answer

d.) Tell her she is doing a good job.

Correct Incorrect Correct answer

What is the current best recommendation for management of the breastfeeding dyad when the mother/ parent has the flu (viral influenza)?

a.) Continue breastfeeding and practice good hygiene and cough etiquette.

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b.) Encourage mom to express breast milk and have a family member who is not sick feed the baby.

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c.) Mother/ parent must pump and dump until she has a normal temperature for 24 hours, then she can resume breastfeeding.

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d.) Mother/ parent must stop breastfeeding.

Correct Incorrect Correct answer

True or False:

You are a lactation professional at a home visit for sore nipples to a mother who delivered 1 week ago. She says that the baby has not been able to latch for the last 24 hours and the baby looks yellow in color. You decide to refer the baby for a follow-up with the pediatrician while supporting the mother with skilled lactation care.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

True or False:

A new mother confides to you that she cannot sleep, cannot eat and cries for no apparent reason. You should refer her for evaluation of post-partum (postnatal) depression.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

What is one of the most important rules in managing a situation with a slow to gain weight infant?

a.) Feed the baby.

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b.) Preserve or increase the mother's/ parent's milk supply.

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c.) Improve the breastfeeding.

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d.) All of the above

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What would you consider to help a mother/ parent increase her milk supply?

a.) Locally available herbal galactagogues.

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b.) Referral to medical provider for prescriptions like Metoclopramide.

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c.) Frequent weight checks of the babies with gradual decrease of supplements as her milk increases.

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d.) All of the above.

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A mother with 32 week gestation triplets in the neonatal ward (NICU) now for a week is pumping only 4 times in 24 hours and producing small amounts of milk. What would you say FIRST to help assess her situation?

a.) Why are you only pumping 4 times in 24 hours?

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b.) I'm so glad you are pumping for the babies. How are things going for you?

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c.) Your babies really need your milk. Can you pump more for them so we don't have to give so much formula?

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d.) Some mothers/ parents just don't make much milk after the stressful pregnancy you've been through. It is OK to stop if it is too hard for you.

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Baby Urmila, who was born at 35 weeks, is now 24 hours old. She nurses only for 5 minutes. How will you help the mother?

a.) Give 30ml formula after breastfeeding.

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b.) Encourage feeding every 4-6 hours.

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c.) Teach massage and hand expression and give colostrum, 5-10ml, after breastfeeding.

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What are three common health risks of late preterm infants?

a.) Hypoglycemia, apnea, tachycardia.

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b.) Hypoglycemia, hyperbilirubinemia, apnea.

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c.) Hypoglycemia, tachypnea, bradycardia.

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When after birth is engorgement is most likely to occur during?

a.) Before birth.

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b.) First day postnatal.

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c.) Before discharge.

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d.) Once milk starts changing (Day 3-5).

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Which is not a predisposing factor in the development of a breast abscess?

a.) Mastitis.

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b.) Abrupt weaning.

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c.) Incorrect antibiotic treatment.

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d.) Continued breastfeeding on the affected breast.

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If a mother/ parent has repeated episodes of mastitis, what should a lactation professional do?

a.) Prescribe medications.

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b.) Tell her to stop breastfeeding.

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c.) Refer to an appropriate medical provider.

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d.) Shout at her and tell her she's doing a horrible job.

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Select all responses that are true about jaundice.

a.) Apparent in 60% full terrm and 80% preterm infants.

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b.) The yellow color of the skin due to the accumulation of bilirubin.

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c.) The visual signs of hyperbilirubinemia are often benign.

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d.) Evidence of hyperbilirubinemia and may indicate a more serious problem.

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e.) All of the above.

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What do infants use sucking for?

a.) Obtain nourishment.

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b.) Regulate body state.

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c.) Explore the environment.

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d.) All of the above.

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What is one of the best things we can do to promote oral development in the infant for feeding and speech?

a.) Encourage use of pacifier or digit sucking beyond 3 years of age.

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b.) Breastfeed.

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c.) Avoid dairy.

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d.) Introduce a sippy cup as early as possible.

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Which are the two most important hormones supporting milk production and secretion?

a.) Insulin and cortisol.

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b.) Prolactin and oxytocin.

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c.) Pitocin and prolactin.

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d.) Oxytocin and progesterone.

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Baby Ravi is 24 hours old. Despite being put to the breast and being held skin-to-skin, he has only licked and mouthed the breast and not actively fed. Your first suggestion to be implemented for a few feedings include:

a.) Continue skin-to-skin and wait for baby to learn to breastfeed. There is no urgency at this point.

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b.) Check blood sugars and begin formula immediately while continuing to try to breastfeed every 3 hours.

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c.) Mother/ parent to begin expressing her colostrum to be fed to baby at least every 2 to 3 hours by cup or spoon while continuing gentle waking techniques for practice feeds at the breast and lots of skin-to-skin holding.

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d.) Nipple shield and tube device at breast to entice baby to breastfeed.

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What is a late sign of hunger (feeding cues)?

a.) Turning toward breast.

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b.) Crying.

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c.) Sucking hands.

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d.) Eyes open.

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Which statement is true about nipple blanching (color change)?

a.) Is often extremely painful for the mother/ parent.

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b.) Can be caused by nipple compression.

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c.) May indicate tongue-tie.

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d.) All of these.

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What is a result of having difficulty getting baby to take the breast?

a.) Shows baby probably was given a bottle and will never learn to latch effectively.

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b.) Is often a result of not recognizing the baby's normal behavioral sequence and triggers to elicit the behavior.

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c.) Will always be solved quickly with the right intervention.

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d.) Signifies failure of the mother/ parent and professional staff to attach the baby correctly to the breast.

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Which statement is true about premature infants?

a.) Require incubators for thermal regulation until they mature enough and can maintain their own body temperature.

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b.) Are too fragile to be handled.

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c.) Do not show the protest-despair response until past 35 weeks.

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d.) Are more stable skin to skin with mother, even the smallest and most premature.

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Which statement is true about babies’ feeding behaviors?

a.) Babies like to have their ventral (stomach) surface firmly against mother/ parent.

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b.) Mothers/ parents should never help the baby attach to the breast.

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c.) Fathers may confuse the baby by doing skin to skin time.

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d.) Be sure the baby's hands are held out of the way for latch on.

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True or False:

Breastfeeding is natural. All mothers/ parents can breastfeed with no challenges.

True

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False

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True or False:

The mother’s/ parent’s body is ready to feed the baby with the first milk, colostrum, from the time of birth.

True

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False

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True or False:

Oxytocin is a hormone produced with breastfeeding that raises the mother’s stress levels.

True

Correct Incorrect Correct answer

False

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True or False:

Breastfeeding does not protect babies from infections, so the baby will be more sick early in life.

True

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False

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True or False:

Babies need to feed on a schedule and feed very little during the first days of life.

True

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False

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True or False:

Breastfeeding is a supply and demand process: The more the mother/ parent breastfeeds, the more the body will produce for the baby.

True

Correct Incorrect Correct answer

False

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True or False:

The basic principles of breastfeeding a late preterm infant would include all of these:

Feed the baby formula until able to breastfeed only.
Support mother in establishing a milk supply.
Provide support to the mother once the baby is able to exclusively breastfeed

True

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False

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True or False:

The rooting, palmomental, babkin and sucking reflexes are all related to infant feeding and can be helpful in helping a baby start to feed.

True

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False

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True or False:

Pre-lacteal feeds, support system, complimentary feedings, foods to eat or avoid, technology and modesty are all examples of ways that culture impacts breastfeeding.

True

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False

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True or False:

There is only one position for breastfeeding and all families should be taught that.

True

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False

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