Quiz 4: Feeding normal infants Flashcards
Why is it important for infants to be fed breast milk?
Breast milk meets all the nutritional needs of a term infant.
Breast milk reduces the risk of gastroenteritis.
Breast milk is cheap.
All of the above
All of the above
When should you start promoting the benefits of breastfeeding?
At school
During the antenatal period
During labour
Immediately after delivery
At school
What advice should you give to a patient with small breasts?
She should not breastfeed.
She should give complementary feeds of formula.
She should express and cup feed.
She should breastfeed.
She should breastfeed.
Which type of milk contains the most antibodies?
Colostrum
Foremilk
Hindmilk
Formula
Colostrum
When should the normal infant be put to the breast for the first time?
As soon after birth as possible
Not before 1 hour or the infant will vomit
Only after 3 hours when the infant has been bathed
After the mother has had a good sleep
As soon after birth as possible
What should be given as the first feed to normal infants?
Sterile water
Breast milk
Formula
5% dextrose water
Breast milk
Which hospital policy should you encourage?
Making all mothers feed every 4 hours
Demand feeding
Rooming-in only for mothers in private wards
Moving all infants into the nursery at night so that the mothers can sleep well
Demand feeding
How can a mother stop one breast leaking while the infant feeds at the other breast?
Apply gentle pressure onto the nipple of the leaking breast.
Stop breastfeeding and feed with formula.
Massage the leaking breast.
Express both breasts before a feed.
Apply gentle pressure onto the nipple of the leaking breast.
How can a mother improve her milk supply?
By feeding her infant frequently
By schedule feeding every 4 hours
By drinking a lot of milk
By drinking a lot of coffee
By feeding her infant frequently
Which of the following suggests that the infant is getting enough breast milk?
The infant falls asleep during the feed.
The infant gains weight well.
The mother’s breasts are still full at the end of the feed.
The infant has 4 wet nappies in 24 hours.
The infant gains weight well.
How should you treat engorged breasts?
Stop breastfeeding.
Give the mother a diuretic.
Empty the breasts by frequent feeds or by expressing.
Bandage the breasts tightly.
Empty the breasts by frequent feeds or by expressing.
Which of the following signs suggest mastitis?
Both breasts feel full.
The affected breast feels hot and painful.
A fluctuant mass is present in one breast.
The milk from one breast is blood stained.
The affected breast feels hot and painful.
What feeding advice would you give a mother with mastitis?
Stop breastfeeding and give formula feeds instead.
Stop feeding on the affected breast.
Express both breasts for 3 days then start breastfeeding again.
Continue breastfeeding on both breasts.
Continue breastfeeding on both breasts.
How should a mother prevent painful nipples?
Make sure that the infant latches correctly.
Wash her nipples with soap and water twice a day.
Apply gentian violet to her nipples after each feed.
Apply surgical spirits to her nipples once a day.
Make sure that the infant latches correctly.
How should you treat cracked nipples?
Stop breastfeeding and give formula feeds.
Apply antibiotic cream to the nipples.
Give the mother daily penicillin injections for a week.
Allow some breast milk to dry on the nipples after each feed.
Allow some breast milk to dry on the nipples after each feed.
When should complementary feeds of formula be given?
To all infants for the first 3 days to ensure good weight gain
To all infants when they reach 1 month
To all infants who cry a lot
To infants who fail to gain weight by 7 days despite good advice and support with breastfeeding
To infants who fail to gain weight by 7 days despite good advice and support with breastfeeding
How long can a mother safely keep expressed milk at home?
24 hour at room temperature
36 hours in a cool place
48 hours in a refrigerator
Expressed milk cannot be safely kept
48 hours in a refrigerator
A breastfeeding mother has been given ampicillin for 5 days to treat a urinary tract infection. What advice would you give her?
Not to take the ampicillin as it may cross into her milk
To take the ampicillin and continue breastfeeding
To stop breastfeeding for the 5 days that she is taking the ampicillin
To stop breastfeeding altogether and change to formula feeds
To take the ampicillin and continue breastfeeding
How should a mother make up formula feeds?
Add 1 level scoop of powder to 25 ml water.
Add 1 teaspoon of powder to 25 ml water.
Add 1 tablespoon of powder to 50 ml water.
Add enough powder to make the water look like milk.
Add 1 level scoop of powder to 25 ml water.
What supplements should be given to a normal term infant that is being breastfed?
Supplements should not be given as they are dangerous.
Iron supplements only.
It is essential that all breastfed infants receive supplements.
Supplements may be of value when the infant does not receive enough sunshine or the mother is undernourished.
Supplements may be of value when the infant does not receive enough sunshine or the mother is undernourished.
