Module 5 Practice Questions Flashcards
Following the delivery of the placenta, there are many hormone changes to include:
progesterone falls with an increase in oxytocin and an increase in prolactin
Retained placenta fragments may result in delayed lactogenesis II.
True
When does lactogenesis I occur?
from early pregnancy to about the third postpartum day
When during the day are prolactin levels the highest?
Night
A drop in the maternal serum progesterone after the placenta is delivered will help initiate:
Lactogenesis II
Oxytocin causes the “letdown” or “milk ejection reflex” by causing
contraction of the myoepithelial cells of the breasts
After birth, an initial drop in estrogen will occur in this timeframe:
1-3 days PP
The midwife should be aware that If the breasts are not stimulated by suckling and removal of milk, which hormone level will rapidly drop?
Oxytocin
Prolactin is secreted by the
Anterior pituitary
These immunoglobulins are present both in colostrum and mature milk and help fight respiratory infection:
sIgA
The largest portion of calories in breast milk comes from
fat
Breast milk is synthesized within the:
secretory cells of the alveoli
Which of the following are higher in concentration in colostrum than in mature milk?
protein
In the US, what is the most detrimental effect of using infant formula instead of breastfeeding?
Lack of immunological properties in formula
Typical weight loss for breastfed infants during the first couple days is:
5-7%
When considering beginning a medication for a breastfeeding mother, it is best to choose a medication that has a ________ half life and teach a mom to take the medication ________ feeding.
short/after
When an infant has achieved proper latch during breastfeeding, the midwife should note:
the baby’s lips flanged outward against the breast skin
The nurse obtains an initial heel-stick glucose level on a baby one hour following birth. The midwife anticipates which of the following changes in glucose for a breastfeeding baby?
decrease slightly initially then increase with feeding
Normal postpartum engorgement may be accompanied by which of the following:
low grade fever in the mother
Excessive postpartum engorgement may be prevented by
the mother breastfeeding 8-12 times in 24 hours
Which of the following are the most common reasons mothers discontinue breastfeeding?
they believe they have an inadequate supply of milk or have nipple pain
Management of nipple pain may include:
Breastfeeding on the least sore side first
To help relieve plugged ducts, the midwife should recommend the following:
positioning either the baby’s nose or chin towards the plugged duct area
Within what timeframe does a breastfed baby typically regain its birth weight?
Within the first 14 days
The midwife should recommend that a breastfeeding mother supplements her diet with iodine by doing the the following:
In addition to using iodized salt, supplement with 150-250ug of iodine.
During the first six months postpartum, when compared to a mother using formula to feed her infant, a breastfeeding mother will often
lose more weight even if they are less active
A mother returning to work for an 6 hour shift needs to have all of the following, EXCEPT:
Refrigerator at work
Which statement is true for breastmilk that is stored in a refrigerator freezer?
Should be used as soon as possible to maintain nourishment.
Research has shown that infants fed breastmilk compared to those fed formula score _____ on I.Q. tests.
higher
Breastfeeding mothers with a vegan diet may need to supplement their infants with the following:
Vitamin B12, Iron, Vitamin D
Which of the following can influence a mother’s decision to breastfeed? (choose all that apply)
advertisements
family
socio-economic status
When designing a breastfeeding teaching booklet, booklets with pictures accompanying the narrative text will:
increase the understanding of content
Traditionally, the person having the most influence on whether or not an African American woman will breastfeed may be:
her maternal grandmother
