1. contraindications for breastfeeding
Answer -HIV positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
2. BF became recognized as a public health priority in the US in what
year?
Answer 1990
3. Nursing a baby for a year or more decreases the risk of
hypertension, dia- betes, hyperlipidemia, and cardiovascular
disease when postmenopausal by
%.
Answer 10-15%
4. Women who do NOT BF are at greater risk for these 3 cancers
Answer breast, ovarian, endometrial
5. UNICEF stands for
Answer United Nations International Children's Emergency Fund
,6. The WHO and UNICEF have set out 3 strategies needed for
increasing BF initiation and duration in every country
Answer breastfeeding protection, breastfeeding promotion, breastfeeding support
7. Breastfeeding protection focuses on
Answer government, manufacturer and social responsibility to assure breastfeeding's
ability to compete with commercial interests
8. Breastfeeding promotion focuses on
Answer advantages of breastfeeding on a personal, community, country or global
level
9. Breastfeeding protection also includes
Answer addressing improper marketing practices as described in "The international
code"
10. In the US, state and local BF legislation addresses BF in
public, employment issues, jury duty, family law, mothers in prison etc.
is an example of
Answer breastfeeding protection
11. Breastfeeding support
Answer focuses on interaction of helpers with family, as well as program development and
implementation.
,12. This forms the basis of the Baby-Friendly Hospital Initiative
Answer The Ten Steps to Successful Breastfeeding
13. The Ten Steps to Successful Breastfeeding (critical
management proce- dures)
Answer 1a. comply with the International code of marketing of breast-milk substitutes & relevant
world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to statt &
parents 1c. est. ongoing monitoring & data-management systems
2. ensure that statt have suflcient knowledge, competence, and skills to support BF
14. The Ten Steps to Successful Breastfeeding (key clinical practices
)
Answer 3. discuss the importance & mgmt of BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common diflculties
6. do NOT provide breastfed newborns any food or fluids other than breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24 hr/day
8. support mother's to recognize & respond to feeding cues
, 9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
15. Highest level of evidence
Answer meta-analysis an systematic review
16. An international health policy framework to regulate the
marketing of breastmilk substitutes in order to protect breastfeeding,
published by the WHO in 1981
Answer The International Code of Marketing of Breastmilk Substitutes (The code)
17. The code
Answer regulates the marketing of BM substitutes which includes formulas, teats and bottles
18. The World Breastfeeding Trends Initiative is intended to
Answer track, assess and monitor the implementation of the "Global Strategy" at the
country and sub-country level
19. How to support exclusive BFing
Answer -expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave