Breastfeeding Module Post-Test

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This post test is to be taken after you have finished reading the Breastfeeding Module. Once you finish the test and click submit you will get a popup box. Click on "View Score" and review your answers. If you answered any questions incorrectly you will want to close out of the review and go back to the pop up box and click on "Edit your Response". Review those parts of the policy/module again that you missed and correct those answers before submitting them again. After you have corrected your test and resubmitted your response you can close out and proceed to the next step in your training.

Date: *

Date

Name *

Agency *

Please answer the following questions:

1. Encourage women to just use plain water and mild, unscented soaps when washing their breasts in the later weeks of their pregnancy and while breastfeeding. *

1 point

True

False

2. It is natural for breast milk to separate into layers of milk and cream or fat during storage and the milk may be tinted yellow, blue, green, or even brown. *

1 point

True

False

3. If a mom has a low milk supply, it is okay for a mom to get milk from her sister or friend to feed her own baby. *

1 point

True

False

4. A breastfeeding mother needs to follow a special diet in order to breastfeed. *

1 point

True

False

5. The best way to release the baby from the breast is to slip a clean finger into the corner of the baby’s mouth, between his gums. *

1 point

True

False

6. Severely sore nipples are a normal part of breastfeeding and will usually go away by 2 weeks postpartum. *

1 point

True

False

7. To thaw breast milk that is frozen, it should be heated in a microwave. *

1 point

True

False

8. A single-use electric breast pump can be used by different women. *

1 point

True

False

9. When separated from her baby, a mom should pump or express her milk as often as she would breastfeed. *

1 point

True

False

10. Smoking is a practice to be discouraged for breastfeeding women. *

1 point

True

False

11. Breastfed babies are less likely to die from Sudden Infant Death Syndrome (SIDS) compared to formula-fed babies. *

1 point

True

False

12. When counseling a pregnant woman about breastfeeding, it is important to inform her of her options and let her make the final decision about breastfeeding. *

1 point

True

False

13. Women in the U.S. are advised not to breastfeed if they are HIV-positive. *

1 point

True

False

14. Breastfeeding women should be encouraged to drink 3-4 quarts of fluid a day to ensure an adequate milk supply. *

1 point

True

False

15. Research shows that the more times breastfeeding is asked about or educated on, especially prenatally, the more successful a mom is with breastfeeding. *

1 point

True

False

16. Progesterone-only oral contraceptives are safe for the breastfeeding woman, though should not be started until 6 weeks postpartum. *

1 point

True

False

17. Women who report having had breast surgery may have an increased risk for breastfeeding complications. *

1 point

True

False

18. A baby typically starts gaining weight once mom’s milk comes in. *

1 point

True

False

19. Breastfeeding women or infants identified with a breastfeeding complication or potential complication should be referred to a CPA with extended breastfeeding education (CLC, CLS, or IBCLC) or their healthcare provider. *

1 point

True

False

20. Most medications taken by a breastfeeding mom are NOT safe for the baby. *

1 point

True

False

21. Newborn breastfed babies need to nurse every 1 ½ to 3 hours, or 8 to 12 times in 24 hours. *

1 point

True

False

22. Tandem nursing refers to breastfeeding twins. *

1 point

True

False

23. Women treated for mastitis in one breast can continue to breastfeed on the infected side. *

1 point

True

False

24. The hormone prolactin is responsible for milk production. *

1 point

True

False

25. The hormone oxytocin is responsible for letdown or release of milk. *

1 point

True

False

26. Colostrum is the early milk that is produced in small quantities in the first few days postpartum. It is rich in protective factors for the newborn. *

1 point

True

False

27. What are good indicators that a newborn is receiving adequate quantities of breast milk? (Select all that apply) *

1 point

a. 8-12 breastfeedings in 24 hours

b. At least 6-8 wet diapers each day

c. Baby demands to feed every 5-6 hours

d. Four or more soft, yellow stools in diapers each day

e. Baby sleeps throughout the night

f. A steady, acceptable weight gain

g. Baby going 3-4 hours between feedings

h. Baby takes a bottle of formula after breastfeeding

Required

28. When a baby is latched and sucking correctly, which of the following can be observed? (Select all that apply) *

1 point

a. Approximately one inch of the areola is drawn into the baby’s mouth.

b. The upper and lower lip of the baby are flanged out.

c. The tongue is gently moving in and out of the baby’s mouth.

d. The baby’s chin is pressed into the mom’s breast.

Required

29. The number one cause of sore nipples is: *

1 point

a. Breastfeeding too frequently

b. Breastfeeding when no milk has come in

c. Incorrect latch or positioning

d. Allowing the baby to suckle too long

30. A mom can encourage her baby to latch correctly by: (Select all that apply) *

1 point

a. Holding the baby with his chest to mom’s chest

b. Waiting until the baby’s mouth is open very wide

c. Holding the breast with the scissor hold

d. Making sure the fingers supporting the breast are back behind the areola

e. Touching the baby’s upper lip with her nipple to get the baby to open wide

Required

31. Engorgement is best prevented or managed by: (Select all that apply) *

1 point

a. Breastfeeding frequently

b. Making sure the baby is positioned and latched-on correctly at the breast

c. Letting nipples dry after feeding

d. Breastfeeding on both breasts at each feeding

e. Tightly binding the breasts to relieve pain

f. Avoiding missed feedings

Required

32. According to the Workplace Accommodations for Nursing Mothers Act, in Iowa an employer must provide a breastfeeding employee with: (Select all that apply) *

1 point

a. a private space free from intrusion

b. a clean restroom

c. reasonable break time

d. a refrigerator for milk storage

Required

33. Employers must provide accommodations to breastfeeding employees for how long after the child’s birth? *

1 point

a. 6 months

b. 1 year

c. 2 years

d. 3 years

34. Women with the following conditions should be advised not to breastfeed: (Select all that apply) *

1 point

a. Abusing alcohol, illegal drugs, or certain prescription medications

b. HIV positive

c. Flat nipples

d. Active tuberculosis

e. Human T-Cell Leukemia Virus Type 1 (HTLV-1)

f. Mastitis

Required

35. To ensure women receive adequate breastfeeding information and support, CPAs and other staff with extended breastfeeding education are responsible for: (Select all that apply) *

1 point

a. Encouraging all women to breastfeed

b. Providing education and information at each prenatal visit

c. Providing education and support during the postpartum period

d. Identifying breastfeeding problems and making referrals

e. Addressing any barriers and empowering them to make the choice that is best for their family

f. Discouraging moms to return to work if breastfeeding.

Required

36. During a prenatal visit a woman tells you she is going to formula-feed. How would you respond? (Select all that apply) *

1 point

a. Ask mom how she came to that decision

b. Discuss the “how to” of breastfeeding

c. Discuss why formula-feeding is not the best

d. Correct any misinformation and discuss the benefits of breastfeeding, as appropriate

Required

37. Eric was born October 10. He weighed 8 pounds 1 ounce at birth. You are certifying him today, October 22 and his weight is 7 pounds 4 ounces. How would you respond to mom’s question about Eric’s growth? *

1 point

a. Newborns usually experience a lot of weight loss in the first few weeks of life

b. Weight loss is not concerning for newborns

c. Eric has lost 10% of his weight since birth and you would refer the family to the healthcare provider

d. Mom must not have enough milk because Eric is not growing very well

38. A mom of a new baby is feeling overwhelmed and anxious about breastfeeding. She asks your opinion about whether or not she should continue trying to breastfeed. Which is the best way to handle this situation? *

1 point

a. You tell her it is okay to feel that way and using a little formula when she needs to is okay, too.

b. You listen to her feelings; affirm her feelings; educate and support her to continue breastfeeding.

c. You tell the mom that she should not be feeling this way and that those feelings are temporary and will pass; she should continue breastfeeding.

39. Elisa is returning to work full-time (8 hours/day) at 2 months postpartum and would like to continue exclusively breastfeeding. What recommendations would you make? (Select all that apply) *

1 point

a. Express her milk three times a day while at work—possibly during morning and afternoon breaks and during lunch.

b. Return to work mid-week if possible.

c. Encourage her to start collecting her breast milk as soon as she knows she will be returning to work.

d. Introduce some formula to get the baby used to the bottle.

e. Look for a day care provider that supports breastfeeding.

f. Wait until she returns to work to speak to her employer about a place and time to pump.

Required

40. A newborn is showing the following while breastfeeding: The baby’s chin is not tucked into her chest and is led onto the breast chin first. Her mouth is wide and open with lips flanged out and tongue extended. The mom can hear and see swallowing and experiences no pain. This is an example of: *

1 point

a. An inappropriate latch.

b. An appropriate latch.

c. An appropriate latch but baby should not have been led onto the breast chin first.

41. Ana reports her 3 week old baby is always hungry. She believes her milk supply is not enough. The doctor said her baby is growing well. Which of the following statements might you offer? (Select all that apply) *

1 point

a. Tell her that many moms are concerned about making enough milk. (affirm her)

b. Ask her what baby does to show he is hungry.

c. Suggest it may be an increase in appetite based on a growth spurt.

d. Suggest she offer formula after each feeding.

e. Suggest she breastfeed more often for several days.

f. Recommend she start offering solid foods.

Required

For questions #42-45, match the breastfeeding position with the letter that best describes its advantages (one answer per position) *

4 points

A. healthy baby can self-attach

B. easy, convenient

C. good for c-sections, or moms who want to rest while breastfeeding

D. good for c-sections, premature babies, large breasts, twins

42. Cradle Hold

43. Side lying

44. Football/clutch hold

45. Laid back (semi-reclined)

46. Which of the following are signs of successful breastfeeding in a newborn? (Select all that apply) *

1 point

a. at least 4 stools per day (24 hour period)

b. 6-8 wet diapers a day (24 hours period)

c. baby sleeps for 6 hours after most feedings

d. baby gains 5 to 7 ounces a week

e. baby never cries

Required

47. Which practices below are included in the Baby-Friendly Hospital Initiative’s "Ten Steps to Successful Breastfeeding"? (Select all that apply) *

1 point

a. Breastfeed within the first hour (skin-to-skin)

b. Provide a contact for help or support

c. Room-in with your baby

d. Ask to sleep with baby in your bed

e. Provide breast milk only (no water or other liquids)

f. Avoid pacifiers in the first month

Required

48. Adriana is a breastfeeding mom. She called and asked if she could take a prescription medication that she got before her pregnancy. What would you say to her? (Select all that apply) *

1 point

a. Tell her all drugs pass into breast milk to some degree.

b. Recommend she use an over the counter drug instead.

c. Tell her most medications are safe for breastfeeding and that she should talk to her doctor and/or pharmacist.

d. Recommend that she not take any medication while she is breastfeeding.

Required

49. Which of the follow practices should be AVOIDED? (Select all that apply) *

1 point

a. expressing colostrum prenatally

b. using a pump prenatally to bring out a flat nipple

c. wearing tight or restrictive clothing

d. using breast pads with plastic liners for leaking breasts

e. wearing breast shells between feedings for inverted nipples

f. using a microwave to warm breast milk

g. putting a newborn on a feeding schedule

Required

50. Which of the following describe cluster feeding? (Select all that apply) *

1 point

a. baby feeds frequently then goes for an extended time without a feeding

b. baby sucks rapidly, then pauses

c. some babies cluster feed during fussy times (such as during the evening)

d. the baby refuses to breastfeed

Required

51. Which of the following are early infant feeding cues? (Select all that apply) *

1 point

a. turning head, rooting

b. stirring

c. crying

Required

Match the breast pump (#52 - #54) with the letter that best describes its advantages. Advantages: *

3 points

a. Mom needs to increase milk supply; baby is unable to breastfeed because of prematurity or medical problem; mom is taking a contraindicated medication; mom of multiple babies; mom has mastitis or severe engorgement.

b. Relieving normal engorgement, short interruption of breastfeeding, healing sore or cracked nipples, weaning, or occasional separation from baby.

c. Mom with established milk supply who is returning to work and separated from baby for at least 6 hours a day on a regular basis; mom of babies with physical or neurological impairments, such as an inability to latch on to breast.

52. Manual

53. Hospital-Grade Electric

54. Personal Electric

b. Relieving normal engorgement, short interruption of breastfeeding, healing sore or cracked nipples, weaning, or occasional separation from baby.

52. Manual

53. Hospital-Grade Electric

54. Personal Electric

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