Introductory Breastfeeding Support Quiz

A mother of a newborn reports that she is experiencing extreme pain while nursing. You ask her if her baby is latching on correctly and she says to all external appearances yes. She says she has no signs of thrush or mastitis. What would you advise she consider next as a possible cause of her pain (choose one)?

• Raynaud's syndrome

• Nothing, she just needs to wait for her nipples to toughen up.

• Tongue-tie

• Fibromyalgia

A mother complains of severe crack and bleed nipples from a poor latch that has allready been corrected. She says since they are not healing very fast, is there something she can do? You advised she make up some All Purpose Nipple Ointment (APNO) using equal parts of the following over-the-counter drugs (Choose all that apply):

• Clearasil

• Bactroban

• Betamethasone

• KY jelly

• Miconazole

A mother is worried that her 2 week old baby only wants to nurse for 10-15 minutes per feed every 3 hours. What do you tell her (choose one)?

• Hold the baby's head to the breast when it tries to unlatch so the baby will feed longer.

• She likely is not producing enough milk and should start supplementing with formula.

• She should only feed the baby only every 4 hours so the baby learns to take more milk at each feeding.

• She should pump and offer a bottle of EBM after every feed.

• Some babies are very efficient from day one and as long as the baby has proper weight gain and wet and dirty diapers counts there is nothing to worry about.

A mother whom you know to be taking Zoloft, tells you she has been given a prescription by her doctor for Reglan to increase her low milk supply and ask if you think it a good idea for her to take it. You say (choose one):

• It's fine to take by itself but she should temporarily stop taking the Zoloft since it's unsafe to take the two together.

• She should not take it due to a side effect in some moms of severe depression.

• It's complete safe for her to use it and she should not to worry at all.

• She should ask her doctor for a Yaz birth control pills as they have the nice side effect of increasing your milk supply and are less risky.

A mother is tells you that here exclusively breastfed baby is going in for surgery and that she was told by the surgeon that the baby should not be breastfed at all on the day of the surgery. You tell her (choose one):

• She should follow the surgeons advice but pump her milk to keep her supply up that day.

• That the surgeon's advice is wrong as breast milk is considered a clear liquid.

The mother describes the following symptoms in her baby * He gulps, chokes, sputters, or coughs during feedings at breast * He arches and holds himself very stiffly, sometimes screaming * He burps or passes gas frequently between feedings, tends to spit up a lot * He has green, watery or foamy, explosive stoolsYou advice her that she likely has _________ and that she should start ___________ (fill in the blanks, separating your answers with a comma).

A working mother reports that she is having trouble pumping enough for her baby's bottles at daycare. She says her baby is eating 6 oz per bottles at daycare every 3 hours and is still acting like she is hungry. You tell her that the baby is being fed too much as typical breastfed babies need no more 3-4 oz per bottle. You advise that she instruct her daycare provider to do paced bottle feeding. You explain that paced bottle feeding involves (choose one answer):

• Pacing around the room while bottle feeding which slows down the baby's eating pace and encourages the baby to not overeat.

• Pulling the bottle out of the baby's mouth slightly after every 1/2 oz eaten so the baby's brain has time to recognize when the stomach is full.

• Decreasing the amount of time between feeds so the baby is not so hungry and thus won't overeat.

• Adding Pace Picante to her bottles so she eats less.

A mother is having problems producing enough milk for her one week old baby due to mismanagement of breastfeeding and needs to temporarily supplement with formula. Since you don't want her supplementing using a bottle just yet in order to avoid the risk of nipple confusion you must suggest an alternative. Other then an SNS, Haberman feeder, or tube feeding, what is a good alternative supplementation method that you can suggest to her (all correct use the format _____-feeding with a dash seperating the words)?

A mother says her baby sometimes bites her nipple during breastfeeding and refuses to let go. Which of the following are good suggestions for putting an end to this (choose all that apply)?

• Push the baby's head gently into her breast. When she unlatches, refuse continue that nursing session.

• Scream in pain to let the baby know how much it hurts. When she unlatches, refuse continue that nursing session.

• Pinch the baby's nose briefly. When she unlatches, refuse continue that nursing session.

• Stop breastfeeding permanently as babies are too young to be able to learn not to bite.

• Swat the baby's bottom firmly and say loudly "bad baby". Then place baby on floor and refuse to pick them up for a while.

A mother tells you that her one week old baby has lost too much weight according to her pediatrician and he wants her to start supplementing with formula. You ask her a few questions about her babies birth and current weight and learn the following:Birth-weight: 9 lbs 2 oz. Current weight:: 8 lbs 9 oz.What do you tell her (choose one answer)?

• You tell her that it's normal for a baby to lose up to 10% of their birth-weight in the first week and as long as he regains it by 2 weeks old there is nothing to worry about.

• You tell her that her baby has lost more then 10% of it's birth-weight and thus needs to be supplemented.

• You tell her that babies shouldn't be loosing weight at all during the first week so she needs to start supplementing the baby.

The mother says her baby has the following systems:* Bloody mucousy stools* Constant colic* Eczema* Constant fussiness* Frequent spit-upWhat would you tell the mom her problem likely is (choose one)?

• The problem is likely a hind-milk/fore-milk imbalance that bock feeding should correct.

• The baby is likely lactose intolerant and needs to be switched to lactose-free formula.

• The problem is likely a allergy to cow's milk protein and she should eliminate dairy from her diet.

• Probably just standard reflux symptoms. She should just get a prescription for reflux medication from the baby's doctor.

A mother thinks her milk supply has gone down. Which of the following are questions you would want to ask to help determine if her baby really is getting enough breast milk (Choose all they apply)?

• How much are you able to pump?

• Is your baby often fussy at feedings?

• Does she gulp down a bottle of breast milk or formula after feeding at the breast?

• How many wet and dirty diapers per day does the baby have on average?

• What has been the babies weight gain pattern?

A mother-to-be comes to you and explains that she had to have her left breast removed due to breast cancer and wants to know if she can breastfeed. You tell her (Choose one answer):

• Yes but she won't be able to produce enough milk so she will need to supplement with formula.

• Yes, it's definitely possible to produce enough milk with only one breast so she should likely be able to exclusively breastfeed just fine.

• No, she needs both breasts in order to produce milk.

A mother is having a hard time getting her breastfed baby to take a bottle from her and she would like to be able to leave the house by herself with others able to feed the baby once in a while. You tell her the following (choose all that apply):

• She should have given a bottles from the very beginning to avoid her refusing it later on.

• She should have her DH/SO give the bottles instead of herself and leave the house during this time.

• She should just hold out until the baby is gets so hungry that it stop's refusing the bottle.

• She should use a slow flow nipple.

• Bring the baby towards he breast las if to breastfeed but at the last second shove the bottle in the babies mouth in order to trick the baby into taking the bottle.