Breast Feeding

Question 1

How long should babies be EXCLUSIVELY breast fed for?

Answer 1

First 6 months of life

Question 2

Which has a higher protein content: Foremilk or Hindmilk?

Answer 2

Foremilk

Question 3

Which has a higher fat content: Foremilk or Hindmilk?

Answer 3

Hindmilk

Question 4

Anterior/Posterior pituitary gland is involved in milk production?

Answer 4

Anterior pituitary gland

• releases prolactin
• milk production

Question 5

Anterior/Posterior pituitary gland is involved in milk ejection?

Answer 5

Posterior pituitary gland

• releases oxytocin
• milk ejection

Question 6

The release of which hormone causes milk ejection?

Answer 6

Oxytocin

Question 7

Breast feeding mothers are more/less likely to suffer from PND?

Answer 7

Less likely

Question 8

Breast size determines the amount of milk produced. True or false?

Answer 8

False

Question 9

Lipid droplet component of breast milk is secreted by apocrine secretion or mesocrine secretion?

Answer 9

Apocrine secretion

Question 10

Protein component of breast milk is secreted by apocrine secretion or mesocrine secretion?

Answer 10

Mesocrine secretion

Question 11

When is colostrum produced?

Answer 11

Mid pregnancy -> first few days after birth

Question 12

What does colostrum contain and why is this useful for the baby?

Answer 12

Contains high levels of immune proteins so helps colonise the baby with normal bacteria.
Laxative effect which helps infants pass meconium.

Question 13

Which hormone is important in breast milk production?

Answer 13

Prolactin

Question 14

When do levels of lactation inhibitory factor rise?

Answer 14

If any area of the breast is not being drained.

LIF signals to the breast tissue to stop milk production.

Question 15

Name 2 methods of expressing breast milk

Answer 15

Hand expression

Hand and electric pumps

Question 16

What is the ‘let down’ reflex

Answer 16

How milk is encouraged to flow

Question 17

How long can expressed milk be stored for in a domestic freezer?

Answer 17

Up to 6 months

Question 18

How long can expressed milk be stored for in the fridge?

Answer 18

Up to 5 days

Question 19

Problems during breast feeding - painful nipples

Answer 19

Usually due to poor attachment

If there is no signs of nipple infection, application of topical preparations is ineffective

Question 20

Problems during breast feeding - engorgement

Answer 20

Painful swelling of the breasts

Question 21

Problems during breast feeding - mastitis

Answer 21

Red inflamed breasts

Question 22

Mastitis - what antibiotics should be given to the mother?

Answer 22

Oral flucloxacillin

Question 23

If the patient has mastitis, should she stop breast feeding?

Answer 23

NO

- continue beast feeding

Question 24

Mother is concerned that she doesn’t have enough milk to provide for her baby. What are 3 positive and reassuring signs that all is well?

Answer 24

• Ask about number of dirty nappies in 24 hours
• Ask about number of wet nappies in 24 hours
• appropriate measurement of weight

Question 25

How many dirty nappies should a baby produce in 24 hours ?

Answer 25

At least 3

Question 26

How many wet nappies should a baby produce in24 hours?

Answer 26

At least 6

Question 27

Why should phenobarbitone be avoided in breast feeding?

Answer 27

Causes suckling difficulties

Question 28

Why should amiodarone be avoided in breast feeding?

Answer 28

Causes neonatal hypothyroidism

Question 29

Why should benzodiazepines be avoided in breast feeding?

Answer 29

Causes drowsiness

Question 30

Why should bromocriptine be avoided in breast feeding?

Answer 30

Suppresses lactation

Question 31

HIV women cannot breast feed. True or false?

Answer 31

True

Question 32

What is the likely cause of “milk insufficiency” during breast feeding?

Answer 32

Ineffective attachment

Infrequent feeding

Question 33

Breast thrush clinical features

Answer 33

Pain in both breasts
Pain after every feed
No change in nipple shape/colour