EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS 100%
What can cause engorgement? - ✔✔✔ Correct Answer > too much
milk left in breast (baby is too weak), breast implants, tight bra
With engorgement the more time spent breastfeeding in the first 48
hours will result in less _____, it pressure is not resolved it will have a
,____ impact on breast milk supply. - ✔✔✔ Correct Answer >
engorgement, negative
What is a marker that they had a breast augmentation> - ✔✔✔
Correct Answer > really round aeorola, or incision
Can woman with implants/ breast reduction breast feed? - ✔✔✔
Correct Answer > Yes do not know impact until trying, just because
colostrum not sure if will get normal milk -colustrum is pregnancy
hormone induced, need nerves for rest of milk
Sheehan's syndrome (postpartum pituitary necrosis) - ✔✔✔ Correct
Answer > A patient fails to lactate after an emergency C-section with
marked blood loss. Pituitary has been deprived of blood and functions
are impaired other symptoms included low blood pressure, anemia,
fatigue, profound hair loss, dull hair. Can have symptoms partially or
fully resolved.
Can a baby latch with inverted nipple? - ✔✔✔ Correct Answer > Yes
baby can form teat, although thing about the need for nipple stroking
(prolactin) and nipple stretching (oxytocin)
3 classification of inverted nipples - ✔✔✔ Correct Answer > grade 1-
easily pulled out by breast pump or nursing, at reast look inverted
,grade 2 can be pulled out but dont maintain their projection grade 3
difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems
due to? - ✔✔✔ Correct Answer > Poor oxygen to milk making cells,
or causing mom to feel exhausted or depressed causing lack of bf
Maternal obesity/overweight can delay lactogenis ___ - ✔✔✔ Correct
Answer > 2
PCOS excess insulin increases production of _____, higher androgens
cause acne, excessive hair growth, wt gain and problems with ovulation
and _______, possible treatment with - ✔✔✔ Correct Answer >
androgens, lactation, metformin
Drug that cause milk delay? - ✔✔✔ Correct Answer >
peeudoephedrine (think pseudofed), corticosteriods, betamethason
(giving to women who will deliver before 24 weeks) if given 3-9 days
before delivery can delay lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. -
✔✔✔ Correct Answer > prolactin
, Are nicotine patches safe during BF - ✔✔✔ Correct Answer > refer to
healthcare provider
Cadmimum is a heavy metal found in _____ and _____ - ✔✔✔
Correct Answer > cigarettes and formula
What types of formulas have more cadmimum? - ✔✔✔ Correct
Answer > Soy based
22% of all SIDs contributed deaths can be contributed to - ✔✔✔
Correct Answer > maternal smoking during pregnancy
Are electronic cigarettes safe in pregnancy? - ✔✔✔ Correct Answer >
tested by FDA some contain nicotine and carcinogens, nicotrine transfer
appears minimal
Cannabis and Breastfeeding? - ✔✔✔ Correct Answer > passive
exposure is a concern, no safe threshold, lack of studies and high fat
solubility makes cannabis difficult to analyaze in breast milk, opinions
vary
THC is still measurable in EBM ____ days after maternal marijuana use
- ✔✔✔ Correct Answer > 6