-88 Questions and Answers

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CBC EXAM

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -88 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: The MOST COMMON cause of inadequate milk supply is:

• Impaired let-down reflex
• Restricted maternal fluid intake
• Inadequate or infrequent milk removal
• Inadequate maternal diet

Answer:

• Inadequate or infrequent milk removal

Question 2: What are some assessment considerations when a breastfeeding mother is vegan?

Answer:

Infants are at a higher risk for B12 deficiency and a decrease in vitamins A, D, and B6. Supplementation may be required.Question 3: A cultural attitude that emphasizes the sexual nature of breasts is MOST LIKELY

associated with:

• Conflicts in custody disputes involving breastfeeding babies
• Decreased breast reduction surgery
• Harassment for breastfeeding in public

• Mothers enjoying the attention created by larger breasts during lactation

Answer:

• Harassment for breastfeeding in public

Cultures that sexualize breasts are often the most resistant to women using their breasts to feed their infants anywhere.

Question 4: What are some management strategies for sore nipples?

Answer:

Feed baby on the less tender side first Warm, moist compresses Express breast milk and allow to air dry Lanolin Nipple ointments Gel dressings (hydrogel) Salt water soaks

Question 5: A healthcare provider wants to encourage pregnant women to choose

breastfeeding. What statement is MOST supportive?

• Are you considering breastfeeding?
• What have you heard about breastfeeding?
• Are you going to breastfeed or bottle feed?
• You aren't thinking about breastfeeding are you?

Answer:

• What have you heard about breastfeeding?

This is an open ended question and allows the provider to explore moms ideas of breastfeeding

Question 6: What feeding cues does the infant exhibit last?

Answer:

Crying Question 7: 26 year old Sarah is having her first baby in four weeks. She asks her healthcare provider if she will be able to breastfeed after having a breast reduction with her nipple

auto-transplanted at an earlier age. The BEST response is:

• It may be possible for the first three months

• She should try and see what happens
• There will be no problem breastfeeding
• She wont be able to due to nerve damage

Answer:

• Try and see what happens

No assumptions can be made about her ability to breastfeed after breast surgery. She should be followed closely for the first four weeks postpartum because the surgery can disrupt ducts and nerve pathways.Question 8: Kelsey had a breast reduction when she was 20 years old. Now that she has a baby

she may need to use:

• A breast pump to relieve engorgement
• A nipple shield to enhance nipple stimulation
• A feeding tube system because of lactation insufficiency
• Breast shells to enhance nipple eversion

Answer:

• A feeding tube system because of lactation insufficiency

Question 9: Which component of human milk is destroyed by freezing?

Answer:

Macrophages are living cells and therefore killed by freezing. Lysozyme, secretory IgA, and lactoferrin are not significantly effected by freezing.

Question 10: What is cluster feeding and when does it occur?

Answer:

When baby feeds frequently and for short amounts of time. This occurs typically 24-48 hours after birth.Question 11: What are some management strategies for a mother who is diagnosed with mammary candidiasis?

Answer:

Wash bra and breast pads daily Wash nipples with soap and water if cracked Rinse nipples with water and vinegar after feedings Nystatin

Clotrimazole Miconazole Gentian violet Jack Newman's all-purpose nipple ointment If listed topicals do not bring relief, oral fluconazole can be taken for 14-28 days

Question 12: Which component of human milk is MOST variable?

Answer:

Lipids are the most variable component. The proportion of fat in milk increases as the breast empties, and there is a slight variation in fatty acid profiles with maternal diet. Elements like minerals, carbs, and proteins are stable over the course of the day and duration of breastfeeding.Question 13: Martin is a healthy, thriving, 10 day old newborn who has a bilirubin level of 12.0

mg/dL. The FIRST suggestion for this baby's care should be:

• Replace most of the feeds with formula
• Institute phototherapy except during feeds
• Continue 10-12 effective breastfeedings every day
• Have the baby spend several sessions undressed in a sunny window

Answer:

• Continue 10-12 effective breastfeedings every day

Question 14: You are asked to evaluate a baby's ability to breastfeed before discharge following and uncomplicated hospital birth 12 hours ago. The baby weighs about 2700g or 6lbs. Which of the following characteristics of her sucking would lead you to believe this baby was NOT born at term?

• Moves smoothly from rooting behavior to latch on
• Sucks, swallows, and breathes with a coordinated rhythm
• Sucks in short bursts with pauses
• Begins to suck rapidly, then slows to a steady rhythm

Answer:

• Sucks in short bursts with pauses

Short sucks with a pause are an indicator of an immature infant, the others are all things a mature infant may do during feeding