OBJECTIVE ASSESSMENT
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1. For how long is exclusive breastfeeding recommended for infants?
A. The first 3 months of life
B. The first 4 months of life
C. The first 6 months of life
D. The first 12 months of life
Correct Answer: C. The first 6 months of life
2. How soon after birth should breastfeeding be initiated in a healthy newborn?
A. Within 2 hours of birth
B. Within the first hour of birth
C. Within 30 minutes of birth
D. After the first feeding assessment
Correct Answer: C. Within 30 minutes of birth
3. Breastfeeding has been shown to reduce the incidence of which of the
following conditions in infants?
,A. Gastroenteritis, necrotizing enterocolitis, acute otitis media, lower respiratory
tract infections
B. Asthma, atopic disease, diabetes mellitus, sudden infant death syndrome
C. Childhood leukemia
D. All of the above
Correct Answer: D. All of the above
4. Which of the following are documented maternal benefits of breastfeeding?
A. Decreased risk of breast and ovarian cancer
B. Reduced risk of metabolic syndrome and type 2 diabetes mellitus
C. Enhanced maternal-infant bonding and reduced postpartum depression
D. All of the above
Correct Answer: D. All of the above
5. Which condition is considered a contraindication to breastfeeding?
A. Maternal diabetes mellitus
B. Maternal tuberculosis
C. Neonatal galactosemia
D. Neonatal jaundice
Correct Answer: C. Neonatal galactosemia
6. Colostrum is best described as breast milk that is:
A. High in fat and carbohydrates
B. Rich in immunoglobulins and antibodies
C. Low in protein
D. Produced only after milk “comes in”
Correct Answer: B. Rich in immunoglobulins and antibodies
,7. Compared with mature breast milk, colostrum is:
A. Higher in fat
B. Higher in lactose
C. Lower in fat
D. Identical in composition
Correct Answer: C. Lower in fat
8. Colostrum facilitates the passage of which substance in the newborn?
A. Bilirubin
B. Urine
C. Meconium
D. Gastric secretions
Correct Answer: C. Meconium
9. Breast milk is naturally low in which nutrients, requiring supplementation?
A. Calcium and magnesium
B. Vitamin A and zinc
C. Vitamin D and iron
D. Vitamin C and folate
Correct Answer: C. Vitamin D and iron
10. At approximately what point in pregnancy is a woman capable of milk
production?
A. 12 weeks gestation
B. 16 weeks gestation
, C. 20 weeks gestation
D. At delivery
Correct Answer: C. 20 weeks gestation
11. Which hormone is responsible for triggering the milk let-down reflex?
A. Prolactin
B. Estrogen
C. Progesterone
D. Oxytocin
Correct Answer: D. Oxytocin
12. The term mammogenesis refers to:
A. Milk ejection from the breast
B. Milk synthesis within the alveoli
C. Growth and development of mammary glands in preparation for lactation
D. Hormonal regulation of breastfeeding
Correct Answer: C. Growth and development of mammary glands in
preparation for lactation
13. After the first 24 hours of life, how often should a newborn breastfeed?
A. 4–6 times per day
B. 6–8 times per day
C. 8–12 times per day
D. Every 4 hours
Correct Answer: C. 8–12 times per day