Health and Healing Exam Questions With Complete
Solutions
What are factors that may delay lactogenesis II?
Poor breast milk removal
mother baby separation
traumatic birth
C section
uncontrolled diabetes
thyroid disease
Mental illness
What is the only supplement recommended for a baby to take
and for how long?
Vitamin D 400 IU
Birth to 1y
When is it recommended to used artificial nipple and pacifier?
4-6 weeks after sucking pattern well established
To help keep the baby's hands out of the way during latching
and breastfeeding, restrict the baby's hands by loosely swaddling
True or False?
False
Why is effective position and latching essential for successful
breastfeeding?
Help infant suck effectively
Ensure effective breast milk transfer to assist with optimal
,growth of the infant
Stimulate, build, and maintain a mother's breast milk production
Help prevent many breastfeeding problems such as sore nipples,
mastitis, low breast milk supply, and poor infant weight gain
What is the gastric volume of a near term infant?
10mL
How do you position an infant for breastfeeding?
unswaddled
tummy to mommy
shoulders and hips aligned and well supported
head and neck slightly tilted back
How to position an infant during latching of breast feeding?
Head slightly extended with lower lip and chin touching the
breast allowing for deep latching
What are signs of an effective latch?
Mouth is opened wide
Lips are curled out
Areola more visible above the upper lip than below
Head slightly extended
head back nose free
Chin pressed into breast
What should you look out for during suckling?
Cheeks remain full and rounded not dimpling or indrawn
Mother feels tugging sensation with no pain
Active sucking and swallowing of breast milk may be heard
,Infant comfortable, managing flow of breast milk, maintaining
latch
Infant is relaxed and does not tense
What is the nipple tilting technique?
Mother presses breast near nipple causing it to tilt upwards and
infants upper lip is aligned
What is the breast sandwich technique?
Compressing the breast from top to bottom, shaping the breast
parallel to infants lower lip
What is the dancer hand hold technique? When is it used?
Used when an infant can't maintain the latch
Mother supports the breast in a U shape with hands and gently
supports the baby cheek on one side
What is the cross cradle position technique? Benefits and
considerations?
Right arm holds baby along spine
Right hand supports shoulder and neck
Forearm supports back and bottom
Benefits:
Close to mother, good head and neck control, good for low
muscle tone infants or weak rooting reflex or suck
Considerations:
Arm may get tired
, What is the cradle position technique? Benefits and
considerations?
Hold baby with left arm with head near elbow, left hand holds
the butt
Support left breast with right hand
Benefits:
Comfortable
Considerations:
More challenging
Minimal control over head and neck
Difficult to achieve deep latch
Avoid with low muscle tone, early or late preterm infants
What is the football position? Benefits and considerations?
Infant is laying on back looking at mothers side, legs and feet
facing towards back of mother, hand supporting neck and
shoulders, other hand on breast
Benefits;
Comfortable with C section
good for difficulty latching
Good for low muscle tone, weak rooting reflex
good for sore nipples or larger breasts
good for twin feeding
Considerations:
Solutions
What are factors that may delay lactogenesis II?
Poor breast milk removal
mother baby separation
traumatic birth
C section
uncontrolled diabetes
thyroid disease
Mental illness
What is the only supplement recommended for a baby to take
and for how long?
Vitamin D 400 IU
Birth to 1y
When is it recommended to used artificial nipple and pacifier?
4-6 weeks after sucking pattern well established
To help keep the baby's hands out of the way during latching
and breastfeeding, restrict the baby's hands by loosely swaddling
True or False?
False
Why is effective position and latching essential for successful
breastfeeding?
Help infant suck effectively
Ensure effective breast milk transfer to assist with optimal
,growth of the infant
Stimulate, build, and maintain a mother's breast milk production
Help prevent many breastfeeding problems such as sore nipples,
mastitis, low breast milk supply, and poor infant weight gain
What is the gastric volume of a near term infant?
10mL
How do you position an infant for breastfeeding?
unswaddled
tummy to mommy
shoulders and hips aligned and well supported
head and neck slightly tilted back
How to position an infant during latching of breast feeding?
Head slightly extended with lower lip and chin touching the
breast allowing for deep latching
What are signs of an effective latch?
Mouth is opened wide
Lips are curled out
Areola more visible above the upper lip than below
Head slightly extended
head back nose free
Chin pressed into breast
What should you look out for during suckling?
Cheeks remain full and rounded not dimpling or indrawn
Mother feels tugging sensation with no pain
Active sucking and swallowing of breast milk may be heard
,Infant comfortable, managing flow of breast milk, maintaining
latch
Infant is relaxed and does not tense
What is the nipple tilting technique?
Mother presses breast near nipple causing it to tilt upwards and
infants upper lip is aligned
What is the breast sandwich technique?
Compressing the breast from top to bottom, shaping the breast
parallel to infants lower lip
What is the dancer hand hold technique? When is it used?
Used when an infant can't maintain the latch
Mother supports the breast in a U shape with hands and gently
supports the baby cheek on one side
What is the cross cradle position technique? Benefits and
considerations?
Right arm holds baby along spine
Right hand supports shoulder and neck
Forearm supports back and bottom
Benefits:
Close to mother, good head and neck control, good for low
muscle tone infants or weak rooting reflex or suck
Considerations:
Arm may get tired
, What is the cradle position technique? Benefits and
considerations?
Hold baby with left arm with head near elbow, left hand holds
the butt
Support left breast with right hand
Benefits:
Comfortable
Considerations:
More challenging
Minimal control over head and neck
Difficult to achieve deep latch
Avoid with low muscle tone, early or late preterm infants
What is the football position? Benefits and considerations?
Infant is laying on back looking at mothers side, legs and feet
facing towards back of mother, hand supporting neck and
shoulders, other hand on breast
Benefits;
Comfortable with C section
good for difficulty latching
Good for low muscle tone, weak rooting reflex
good for sore nipples or larger breasts
good for twin feeding
Considerations:
