According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems.
Weight loss of less than 7% from birth weight is a sign of hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. – ANSWERWeight loss of more than 7% from birth weight indicates possible breastfeeding
problems.
When undernourished mothers were supplemented with extra energy in their diet, they:
Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately – ANSWER- Responded to their infants
more appropriately
Harmful bacteria have difficulty growing in the breastfed infants’ gut because the
composition of breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine – ANSWER- Fosters the growth of good
bacteria that crowd out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
False – ANSWER- F
Lactogenesis 2 occurs after the complete delivery of the placenta. True
False – ANSWER- T
Lactogenesis 3 is also called Galactocemia.
True
False – ANSWER- F
It is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent’s fluid intake. – ANSWER- It is driven by the nursing
parent’s fluid intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk
supply.
True
False – ANSWER- F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement.
True
False – ANSWER- T
For all breastfeeding individuals, bras are essential for comfort during lactation.
True
False – ANSWER- F
Breast surgery can potentially impact breastfeeding.
True
False – ANSWER- T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True
False – ANSWER- False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction surgery:
The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is key.
It is important to assure nutrition of the infant.
All of the above – ANSWER- All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as
a “red flag” for close assessment and follow up. True
False – ANSWER- T
Hypoplastic breasts always make ample milk.
True
False – ANSWER- F
There is no concern when a client reports a breast implant on only one side.
True
False – ANSWER- F
This could indicate history of discrepant breast size.
With flat and inverted nipples, there will be inadequate production of milk-making
hormones because prolactin involves nipple stretching while oxytocin involves nipple
stroking.
True
False – ANSWER- F
Prolactin = nipple stroking
Oxytocin = nipple stretching
The nipple stretches to four times its resting length in the baby’s mouth, according to
Smith’s research.
True
False – ANSWER- F
Stretches to 2x its length
An everted nipple is necessary for babies to attach to the breast. Unlike other
mammals, they cannot form a teat.
True
False – ANSWER- F
When counseling someone who has had a breast surgery, it is important to consider:
If the milk ducts are patent
If the nipple pores are patent
The need to monitor the baby’s weight gain very closely
All of the above – ANSWER- All of the above
Grade 3 inverted nipples are difficult or impossible to pull out/evert.
True
False – ANSWER- T
You can tell looking at a nipple at rest how it will function.
True
False – ANSWER- F
One concern about Grade 3 inverted nipples involves:
Prolactin levels
Oversupply issues
Engorgement
All of the above – ANSWER- Prolactin levels (decreased nipple stroking/stretching)
Almost all mothers have grade 3 inverted nipples.
True
False – ANSWER- F
Prenatal nipple preparation should be recommended for all women. True
False – ANSWER- F
No research supports, in fact research showed that the non-treatment group BF for
longer duration
Jo Alexander’s research indicates that 1 out of 5 women have inverted nipples.
True
False – ANSWER- F
3/5 mothers has inverted nipples.
The best way to prepare and inverted nipple for breastfeeding is: Doing nothing to the
nipple during pregnancy
Stretching the nipple and areola during pregnancy
Using a breast shell during pregnancy
Stretching the nipple and using a breast shell during pregnancy – ANSWER- Doing
nothing to the nipple during pregnancy
The women who used a breast shell had the best breastfeeding outcomes at 6 weeks in
the Alexander study.
True
False – ANSWER- F
The Alexander study has implications for postpartum care. Sometimes true
Always true
Sometimes false
False – ANSWER- F
Anemia is a marker for an ample milk supply.
True
False – ANSWER- F
Henley’s research showed 1 in 10 mothers may be anemic.
True
False – ANSWER- False.
1 in 5 mother’s may be anemic.
Even a well-managed hemorrhage can result in Sheehan’s syndrome. True
False – ANSWER- T
Some research suggests that women who are obese may have a delay in lactogenesis
True
False – ANSWER- T
One concern about corticosteroids used to prepare the baby’s lungs for breathing during
threatened preterm labor is:
An increase in engorgement Sheehan’s syndrome
A possible delay in lactogenesis 1