Breastfeeding and Lactation Flashcards
Who among these mothers can breastfeed?
A. A 19-year-old mother with hepatitis B infection
B. A 32-year-old mother with active tuberculosis who has
been treated for 1 week
C. A 29-year-old mother currently on therapeutic doses
of chemotherapy
D. A 21-year-old mother with a history of cocaine use
with a positive urine screen for cocaine and marijuana
A
Viral Hepatitis is not an absolute contraindication. If the mother is HBSAg(+), treat the baby with HBIg within 12-25 hours + give immunization. Regardless, breastfeeding must continue even without HBIg and vaccine
- Which of the following is/are contraindication/s to
breastfeeding?
A. Known maternal cytomegalovirus infection
B. Herpes simplex viral lesions on the breast
C. Latent TB infection
D. AOTA
B
The policy implementing health reforms in essential
newborn care is otherwise known as:
A. RA 9709
B. EO 51
C. RA 7600
D. AO 2009-25
D
Unang Yakap: Immediate & thorough drying, Early skin-to-skin
contact, Properly-timed cord clamping, Non-separation of newborn
from mother for early breastfeeding
. Which of the following drugs is absolutely contraindicated
in breastfeeding
A. Warfarin
B. Dilantin
C. Amiodarone
D. Methimazole
D
Does not affect thyroid function or intellectual development in
breastfed infants with doses up to 20mg daily. Some experts
recommend it as the antithyroid DOC in nursing mothers
Which of the following infectious agents is NOT detected
in breastmilk
A. Syphilis
B. Toxoplasma
C. Cytomegalovirus
D. Human Immunodeficiency Virus
A
A term infant is seen by her pediatrician at two weeks of
age. The infant’s mother has mastitis and is being treated with Dicloxacillin. Which of the following
recommendations is appropriate for the mother in this
vignette
A. Temporarily stop breastfeeding, use a breast pump
and disregard pumped milk until antibiotic course is
finished
B. Continue breastfeeding and/or use a breast pump
C. Temporarily stop breastfeeding and provide pumped
breastmilk
D. Temporarily stop breastfeeding and avoid use of a
breast pump
B
Mastitis is an acute bacterial infection of the breast caused by
Staphylococcus, E. coli, and Streptococci
● Continue to breastfeed on both breasts starting with
unaffected side
● Ensure bed rest
● Select antibiotics that are effective and safe for the infant
(min. 10-14 days of treatment)
● Local treatment
Which Republic Act promotes setting up of lactation
stations and providing rotation periods for the
breastfeeding employees in private and government
offices?
A. 10152
B. 7600
C. 9709
D. 10028
D
Expanded Exclusive Breastfeeding in the Workplace: Mandates that all workplaces in BOTH private & government offices need to set up lactation stations & provide lactation periods. lactation periods: >
40 mins for every 8hr work period OR 2-3 breastmilk expression lasting 15-30 mins w/i a workday
According to the World Health Organization, which of the
following hospital-based newborn interventions is
associated with increased newborn breastfeeding rates
A. A strict breastfeeding schedule of feeding every 3
hours
B. Initiation of breastfeeding for all babies within the first
hour after birth
C. AOTA
D. Separation of babies and mothers from other siblings
B
WHO UNICEF recommend that breastfeeding should be initiated within
the first hour of life and children should be exclusively breastfed for the
first 6 months of life
→ No other food or liquids provided including water
→ Nearly 2 out of 3 infants are not exclusively breastfed for the
recommended 6 months
→ Has not improved in the past two decades
Which of the following statements regarding
immunoglobulins in human milk is TRUE
A. The concentration of IgA in human milk decreases
over time
B. There is no IgM in human milk
C. IgA represents 90% of all immunoglobulins in human
milk
D. Colostrum contains a lower concentration of
immunoglobulins
C
Colostrum has high protein and Ig content. IgA represents
Which among the following practices is NOT
recommended to encourage successful breastfeeding
A. Practicing timed feedings
B. Expressing hind milk
C. Keeping mommy and baby together
D. Inclusion of father in breastfeeding education
A
Encourage breastfeeding on demand
The factors leading to inadequate breastmilk production
in mothers of preterm infants include all of the following
EXCEPT
A. Altered colostrum composition after premature
delivery precluding its use
B. Lack of appreciation of volume and frequency of
pumping needed to be established in the first 2
weeks after delivery
C. Delayed lactogenesis
D. Lack of hospital grade electric pumps
A
Colostrum has no direct effect on breastmilk production
A breastfeeding mother complains of breast pain.
The following factors are associated with candidal
infections of the nipple EXCEPT:
A. Maternal fever
B. Mother is sleeping with milk-soaked breast pads
C. Recent antibiotic use by the mother
D. History of diabetes
A
Fever is not a necessary prerequisite to Candida infection
Compared to cow’s milk formula, human milk
contains:
A. Less carnitine
B. Less cholesterol
C. More amino-acids
D. More long-chain polyunsaturated fatty acids
D
Compared to cow’s milk formula, human milk
contains:
A. Less carnitine
B. Less cholesterol
C. More amino-acids
D. More long-chain polyunsaturated fatty acids
D
A 2-week-old male newborn is brought to the
office by his mother for routine well-child examination.
The patient is breast-fed, and his mother follows a vegan
diet. The mother says she plans to breast-feed until the
patient reaches six months of age, and then she will
introduce him to solid foods that conform to her vegan
diet. On the basis of this information, the patient is at
greatest risk for which vitamin deficiency
A. B1
B. B12
C. B6
B
The question stem implies that the infant will not be given enough protein since his mother will make him conform to her vegan diet. Cobalamin is almost exclusively found in animal products. Thus,
cobalamin deficiency is the best answer