Module 5 Practice Questions

Question 1

Following the delivery of the placenta, there are many hormone changes to include:

Answer 1

progesterone falls with an increase in oxytocin and an increase in prolactin

Question 2

Retained placenta fragments may result in delayed lactogenesis II.

Answer 2

True

Question 3

When does lactogenesis I occur?

Answer 3

from early pregnancy to about the third postpartum day

Question 4

When during the day are prolactin levels the highest?

Answer 4

Night

Question 5

A drop in the maternal serum progesterone after the placenta is delivered will help initiate:

Answer 5

Lactogenesis II

Question 6

Oxytocin causes the “letdown” or “milk ejection reflex” by causing

Answer 6

contraction of the myoepithelial cells of the breasts

Question 7

After birth, an initial drop in estrogen will occur in this timeframe:

Answer 7

1-3 days PP

Question 8

The midwife should be aware that If the breasts are not stimulated by suckling and removal of milk, which hormone level will rapidly drop?

Answer 8

Oxytocin

Question 9

Prolactin is secreted by the

Answer 9

Anterior pituitary

Question 10

These immunoglobulins are present both in colostrum and mature milk and help fight respiratory infection:

Answer 10

sIgA

Question 11

The largest portion of calories in breast milk comes from

Answer 11

fat

Question 12

Breast milk is synthesized within the:

Answer 12

secretory cells of the alveoli

Question 13

Which of the following are higher in concentration in colostrum than in mature milk?

Answer 13

protein

Question 14

In the US, what is the most detrimental effect of using infant formula instead of breastfeeding?

Answer 14

Lack of immunological properties in formula

Question 15

Typical weight loss for breastfed infants during the first couple days is:

Answer 15

5-7%

Question 16

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.

Answer 16

short/after

Question 17

When an infant has achieved proper latch during breastfeeding, the midwife should note:

Answer 17

the baby’s lips flanged outward against the breast skin

Question 18

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?

Answer 18

decrease slightly initially then increase with feeding

Question 19

Normal postpartum engorgement may be accompanied by which of the following:

Answer 19

low grade fever in the mother

Question 20

Excessive postpartum engorgement may be prevented by

Answer 20

the mother breastfeeding 8-12 times in 24 hours

Question 21

Which of the following are the most common reasons mothers discontinue breastfeeding?

Answer 21

they believe they have an inadequate supply of milk or have nipple pain

Question 22

Management of nipple pain may include:

Answer 22

Breastfeeding on the least sore side first

Question 23

To help relieve plugged ducts, the midwife should recommend the following:

Answer 23

positioning either the baby’s nose or chin towards the plugged duct area

Question 24

Within what timeframe does a breastfed baby typically regain its birth weight?

Answer 24

Within the first 14 days

Question 25

The midwife should recommend that a breastfeeding mother supplements her diet with iodine by doing the the following:

Answer 25

In addition to using iodized salt, supplement with 150-250ug of iodine.

Question 26

During the first six months postpartum, when compared to a mother using formula to feed her infant, a breastfeeding mother will often

Answer 26

lose more weight even if they are less active

Question 27

A mother returning to work for an 6 hour shift needs to have all of the following, EXCEPT:

Answer 27

Refrigerator at work

Question 28

Which statement is true for breastmilk that is stored in a refrigerator freezer?

Answer 28

Should be used as soon as possible to maintain nourishment.

Question 29

Research has shown that infants fed breastmilk compared to those fed formula score _____ on I.Q. tests.

Answer 29

higher

Question 30

Breastfeeding mothers with a vegan diet may need to supplement their infants with the following:

Answer 30

Vitamin B12, Iron, Vitamin D

Question 31

Which of the following can influence a mother’s decision to breastfeed? (choose all that apply)

Answer 31

advertisements
family
socio-economic status

Question 32

When designing a breastfeeding teaching booklet, booklets with pictures accompanying the narrative text will:

Answer 32

increase the understanding of content

Question 33

Traditionally, the person having the most influence on whether or not an African American woman will breastfeed may be:

Answer 33

her maternal grandmother