ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) / AREADY
GRADED A+
How much would it cost to scale up BF efforts to prevent diarrheal illness - ANSWER:
6 billion a year worldwide
Maternal Benefits of breastfeeding - ANSWER: decreases risk of:
-HTN
-DM
-high cholesterol
-CV disease
-ovarian and endometrial cancer
3 Strategies to increasing bf - ANSWER: 1. Protection
2. Promotion
3. Support
Promotion - ANSWER: Focuses on bf advantages: personally, community wide,
country wide, globally
Protection - ANSWER: workplace laws
bf in public
The International Code
Support - ANSWER: healthcare workers
community resources (ex. La Leche)
WIC
CradleMe
Top causes of child death <5 years old - ANSWER: Pneumonia
Diarrhea (prevented by BF and complementary feeding at 6 months of age)
Ten Steps to Successful Breastfeeding - ANSWER: 1. Written breastfeeding policy
2. Train all healthcare staff in the skills necessary to implement this policy
3. Inform all pregnant women about the benefits and management of breastfeeding
4. Help mothers initiate bf within 30 min of birth
5. Show them how to maintain lactation even if separated from infants
6. Give NB infants no food or drink other than breast milk, unless medically indicated
7. Rooming in 24 hours a day
8. Encourage bf on demand
9. Give no pacifiers or artificial nipples
10. Community support groups for bf
, Central step to initiating BF - ANSWER: skin to skin for 1 hour
Why is breastfeeding so difficult? - ANSWER: 1. Unrealistic expectations
2. Lack of timely interventions
3. Misunderstanding about why Mom's stop breastfeeding
Greatest risk to stopping bf - ANSWER: Not intervening with Mom's problems on day
3-7
Fastest drop off - ANSWER: 10 days post discharge
Reasons Mom's quit bf - ANSWER: Worrying about milk supply
Latching issues
Breast pain / soreness
Return to work / school
Weight gain expectations - ANSWER: No >7% weight loss from birth
No weight loss after 5-6 days
Back to birth weight by day 12-14 days
Stool - ANSWER: 4 on 4 until one month of age
6 wet diapers
Breastfeeding disparities - ANSWER: hospitals in minority neighborhoods do less to
promote nursing
Breastfeeding targets - ANSWER: increasing the proportion of employers with
worksite lactation programs
reduce the percentage of bf infants who receive formula before 2 days of age
Cells that make milk - ANSWER: alveolar
Surrounds the alveolar cells and squeezes milk out of pocket and into the ducts
(smooth muscle) - ANSWER: myoepithelial cells
Surrounds the myoepithelial cells ; veiny in appearance - ANSWER: capillary network
Secretes milk / colostrum + sebum - ANSWER: montgomery glands
-antimicrobial and sticky
Major lactation hormones - ANSWER: 1. Prolactin (anterior pituitary)
2. Oxytocin (posterior pituitary)
Prolactin - ANSWER: all humans have it
increased secretion and increased responsiveness postpartum
T4 - ANSWER: innervates the nipples