A health care professional was asked by a nursing mom, “How many glasses of wate

Question

A health care professional was asked by a nursing mom, “How many glasses of water should I drink a today?” What would be an appropriate recommendation?

6-8 glasses

8-10 glasses

>10 glasses

Drink enough fluids to keep your urine pale yellow

1 points   

QUESTION 2

Breastfeeding may be used to reduce infant discomfort during minor invasive procedures.

True

False

1 points   

QUESTION 3

Which of the following would NOT be considered a simple step to manage nipple pain?

Air-drying breasts after nursing

Rubbing expressed milk or an all-purpose ointment on nipples

Using Vaseline to protect nipples

Using warm compresses

1 points   

QUESTION 4

The dominant carbohydrate in human milk is _____.

galactose

glucose

lactose

sucrose

maltose

1 points   

QUESTION 5

All of the following are recommended treatments for plugged ducts EXCEPT _____.

stop breastfeeding until you see a health care provider

gently massage the affected breast

apply warm compresses

change nursing positions

take one tablespoon per day of lecithin

1 points   

QUESTION 6

The major component of breast milk is _____, while the second largest
component is _____.

water, lipids

lipids, water

protein, carbohydrate

carbohydrate, protein

protein, lipids

1 points   

QUESTION 7

Milk “comes in” during which stage of lactogenesis?

Lactogenesis I

Lactogenesis II

Lactogenesis III

Lactogenesis IV

Lactogenesis V

1 points   

QUESTION 8

The best way to prevent/cure a plugged duct is to:

use a needle to unblock the duct

completely empty the breast

stop nursing and use a breast pump exclusively.

take extra vitamin D

have a glass of red wine daily

1 points   

QUESTION 9

Medicinal herbs have been shown to be a safe alternative to drugs during lactation.

True

False

1 points   

QUESTION 10

The most important step to prevent sore nipples is to _____.

take a prophylactic dose of antibiotics

make sure the baby is positioned properly

place cabbage leaves on your breasts before nursing

place herbal salve on the nipple area

nurse frequently

1 points   

QUESTION 11

Continuing to nurse while you are sick actually protects your baby because:

you do not pass germs through breast milk

your breast milk is full of antibodies that are passed on to your baby

you do not contaminate bottles by handling them

infant formulas are higher in vitamins and minerals and help boost the baby’s immune system

1 points   

QUESTION 12

Which of the following is a nutritional benefit of breastfeeding?

It provides optimal nutrition to the infant

The balance of nutrients matches requirements needed for human growth

Infants do not need additional fluids or water when breastfeeding.

The low protein content is easily tolerated

All of the above are considered nutritional benefits

1 points   

QUESTION 13

How many hours can freshly expressed breast milk be left at room temperature and still be considered safe for a baby?

1-3 hr @ 78°F

2-4 hr @ 78°F

3-5 hr @ 78°F

4-6 hr @ 78°F

6-8 hr @ 78°F

1 points   

QUESTION 14

Which of the following would NOT be considered a common condition that is experienced by a woman who is breastfeeding?

Sore nipples

Engorgement

Mastitis

Plugged ducts

All of the above are common problems.

1 points   

QUESTION 15

The total bilirubin content of an infant’s meconium is _____.

<200 mg

375 mg

400 mg

450 mg

1 points   

QUESTION 16

The 2002 DRI for lactating women is _____ additional calories per day during the first 6 months with a 0.8 kg per month weight loss.

200

330

500

650

unlimited

1 points   

QUESTION 17

Because human infants grow at a relatively slow rate, the mineral content of human milk is _____ that of other animals who grow faster.

lower than

higher than

equal to

half of

1 points   

QUESTION 18

Breast milk jaundice is believed to be caused by _____.

variability in the infant’s ability to process bilirubin

a component in the mother’s milk increasing bilirubin absorption

infrequent breastfeeding

All of the above

1 points   

QUESTION 19

Which of the following herbs is considered “safe” to use during lactation?

Echinacea

St. John’s wort

Fenugreek

Feverfew

Foxglove

1 points   

QUESTION 20

If a 110-lb nursing woman (50 kg) wants to drink alcohol, how many cans of beer (15 g alcohol/12 oz) can this woman drink and stay within the Institute of Medicine’s alcohol recommendations?

0

1

2

3

1 points   

QUESTION 21

Alcohol has been found to be a “galactologue” that facilitates milk let-down and helps aid milk insufficiency.

True

False

1 points   

QUESTION 22

A new mother goes to the mall shopping with her friends. She is gone longer than planned and is not able to nurse her baby until she returns 6 hours later. What is the most likely problem she will have?

A breast infection

Engorgement

Plugged ducts

Sore nipples

Mastitis

1 points   

QUESTION 23

What is a possible reason that breastfeeding may prevent allergies?

Influence on gut microbial flora

Transfer of maternal immunity

Transfer of maternal fatty acids and IGA in breast milk

Low content of

All of the above

1 points   

QUESTION 24

Common pediatric allergens include all of the following, except:

Cows Milk

Eggs

Peanuts

Shell Fish

Oats

1 points   

QUESTION 25

It is recommended that women allow infants to drain one breast completely before offering the other breast primarily because:

this allows them to get more foremilk, which may decrease incidence of diarrhea and prevent colic

this allows them to get both foremilk and hindmilk, which may decrease incidence of diarrhea.

this prevents excess gas from forming

1 points   

QUESTION 26

Breast milk jaundice is believed to be caused by _____.

variability in the infant’s ability to process bilirubin

a component in the mother’s milk increasing bilirubin absorption

infrequent breastfeeding

All of the above

1 points   

QUESTION 27

The purpose of a human milk bank is to:

provide a place to donate milk for women whose supply exceeds the demands of their infants

provide human milk to infants who cannot be breastfed by their mothers

allow women to “keep their figure” by using a pump instead of allowing the child to nurse

All of the above

a and b only

1 points   

QUESTION 28

The major class of protein found in mature human milk is:

whey

casein

lactose

maltose

colostrum

1 points   

QUESTION 29

Hyperbilirubinemia in newborns is caused by _____.

destruction of red blood cells

high blood lipid levels

high maternal intake of vitamin A

labor lasting over 12 hours

1 points   

QUESTION 30

A nursing mom should avoid cauliflower because it has the potential to cause gas in her baby.

True

False

1 points   

QUESTION 31

If nursing mothers want to store expressed milk in a refrigerator, what should the temperature setting be?

<50 degrees F

<39 degrees F

>40 degrees F

78 degrees F

1 points   

QUESTION 32

What nutrition interventions are recommended for management of early jaundice?

Early and frequent breastfeeding

IV water feedings

Increased formula feedings

Dextrose feedings as a supplement to nursing

1 points   

QUESTION 33

The hormone responsible for uterine contractions and the minimization of maternal postpartum blood loss is:

prolactin

oxytocin

estrogen

progesterone

testosterone

1 points   

QUESTION 34

A woman with mastitis should continue to nurse her baby.

True

False

1 points   

QUESTION 35

What fat-soluble vitamin is given to infants at birth?

Vitamin A

Vitamin D

Vitamin E

Vitamin K

1 points   

QUESTION 36

Colostrum differs from mature milk in the following ways:

it is higher in protein monoulear cells and is thick and yellow color

it is higher in protein, but coger in sodium, potassium, and chloride, and is bluish in color

it is coger in protein, but higher in fat, sodium, potassium, and chloride, and is bluish in color

it is coger in protein, but higher in carbohydrates, and similar in sodium, potassium, and chloride

1 points   

QUESTION 37

The functional units of the mammary gland are the:

lobules

myoepithelial cells

alveoli

areolas

secretory cells

1 points   

QUESTION 38

What nutrient forms a soft, easily digestible curd in the baby’s stomach?

Copper

Vitamin K

Whey

Casein

Iron

1 points   

QUESTION 39

What hormone is necessary for the let-down reflex?

Oxytocin

Prolactin

Estrogen

Progesterone

Both c and d

1 points   

QUESTION 40

A lactation consultant is observing a new mom breastfeeding and notices that the baby is making smacking and clicking sounds as she sucks. This tells her that:

the baby is eating well and has a strong suckle

the baby has a cleft palate and should be closely followed

the baby is not latched on correctly and this may increase the risk of sore nipples

this is just a noisy baby

Noise is not an indicator of anything

1 points   

QUESTION 41

Protein content in human milk is affected by the _____.

age of the infant

amount of protein in the mother’s diet

hormone variation in the mother

All of the above

a and c only

1 points   

QUESTION 42

When is the safest time for a nursing mom to take a drug?

In the morning

After eating a meal

After the infant nurses

Any time is safe to take a drug

It is never safe for a nursing mom to take drugs

1 points   

QUESTION 43

All of the following are recommended treatments for plugged ducts EXCEPT _____.

stop breastfeeding until you see a health care provider

gently massage the affected breast

apply warm compresses

change nursing positions

take one tablespoon per day of lecithin

1 points   

QUESTION 44

For a woman experiencing let-down failure, good advice would include all of the following EXCEPT:

getting out of the house for a walk

changing nursing positions

playing soothing music

increasing water consumption and decreasing caffeine

All of the above are recommended techniques

1 points   

QUESTION 45

If a breastfeeding mother needs to use a specific medication, what should you tell her?

If the hazards are minimal, use the medication after nursing

Try an oral inhalant vs. an oral medication

Take the lowest effective dose of the medication for the shortest duration

All of the above

1 points   

QUESTION 46

The hormone responsible for uterine contractions and the minimization of maternal postpartum blood loss is:

prolactin

oxytocin

estrogen

progesterone

testosterone

1 points   

QUESTION 47

A vegan breast feeding woman should be advised to:

continue her vegan diet, if she chooses, while making sure that her intake of vitamin B12 and other nutrients is adequate from food and/or supplements

continue her vegan diet with no concerns about adequate nutrients in her milk

become a lacto-ovo vegetarian to ensure adequate calcium and vitamin D intake

begin adding meta and other iron-rich foods to her diet to ensure her milk has iron

1 points   

QUESTION 48

The energy content of breast milk in women who deliver pre-term infants is _____.

30-37 kcal/100 mL

40-48 kcal/100 mL

58-70 kcal/100 mL

72-120 kcal/100 mL

1 points   

QUESTION 49

Large doses of St. John’s wort decrease prolactin levels in women. This could potentially:

reduce oxytocin levels

cause breast milk to taste like maple syrup

cause a woman to become constipated

reduce breast milk supply

cause depression in some women

1 points   

QUESTION 50

Medications contraindicated during breastfeeding include all of the following EXCEPT:

antineoplastic agents

radioactive isotopes

antihistamines

drugs of abuse

drugs that suppress lactation

6-8 glasses

8-10 glasses

>10 glasses

Drink enough fluids to keep your urine pale yellow

Explanation / Answer

Answer:

1). 8-10 glasses

Everyone has heard the advice, "Drink eight 8-ounce glasses of water a day." That's about 1.9 liters, which isn't that different from the Institute of Medicine recommendations. Although the "8 by 8" rule isn't supported by hard evidence, it remains popular because it's easy to remember. Just keep in mind that the rule should be reframed as: "Drink eight 8-ounce glasses of fluid a day," because all fluids count toward the daily total.

2). True

3) Using Vaseline to protect nipples

Simple s to manage nipple pain

4). Lactose

Mature human milk contains 3%--5% fat, 0.8%--0.9% protein, 6.9%--7.2% carbohydrate calculated as lactose, and 0.2% mineral constituents

5). stop breastfeeding until you see a health care provider

6). water, lipids

Mature human milk contains 3%--5% fat, 0.8%--0.9% protein, 6.9%--7.2% carbohydrate calculated as lactose, and 0.2% mineral constituents and remaining water.

7). Lactogenesis II

During second lactogenesis of milk production blood flow to the mammary gland is increased; "milk comes in", "dramatic change in" milk composition during this period. Begins 2-5 days post-partum.

8). completely empty the breast

The best way to prevent clogged ducts is to empty your breasts completely and on a schedule. Breast milk production is a system of supply and demand, and clogged ducts often happen when supply suddenly exceeds demand. If you’re prone to clogged ducts, it’s best to not skip pumping sessions unless you have no choice; additionally, you should try to make sure that you empty your breasts as much as you can.

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