Question 1

Infants who are diagnosed with galactosemia should not be breastfed.

Accepted Answer

Infants with galactosemia cannot properly process galactose, which occurs naturally in breast milk. Therefore, breastfeeding can be harmful to their health and alternative formula options must be used.

Question 2

Treatment for plugged ducts would least likely include _____.

Accepted Answer

Stopping breastfeeding is not recommended as it can increase the risk of further blockages and lead to engorgement or mastitis. The other options listed are common strategies for relieving plugged ducts.

Question 3

Human immunodeficiency virus can be transmitted from the mother to the infant through breastfeeding.

Accepted Answer

HIV can be present in breast milk and can be transmitted from an infected mother to her infant during breastfeeding. Antiretroviral therapy and other interventions can reduce the risk of transmission. In some cases, formula feeding may be recommended to further reduce the risk.

Question 4

A woman experiencing letdown failure may be prescribed a(n) _____ nasal spray.

Accepted Answer

Oxytocin nasal sprays can be used to treat letdown failure in lactating women. Oxytocin is a hormone that is responsible for milk ejection during nursing. By administering the hormone through a nasal spray, letdown can be triggered and milk can be expressed more easily.

Question 5

The best way to prevent sore nipples is to _____.

Accepted Answer

Proper positioning of the baby during breastfeeding ensures that the baby latches correctly, which helps prevent sore nipples.

Question 6

The Rush Mothers' Milk Club program uses a team approach to feeding very low-birthweight infants their own mothers' milk.

Accepted Answer

The statement is true. The Rush Mothers' Milk Club program does use a team approach to feeding very low-birthweight infants their own mothers' milk.

Question 7

Alcohol has been found to be a galactogogue that facilitates milk letdown and rectifies milk insufficiency.

Accepted Answer

Alcohol consumption can actually inhibit milk production and interfere with the breastfeeding process, rather than facilitating milk letdown or rectifying milk insufficiency.

Question 8

Any skin-to-skin contact with a premature infant in the neonatal intensive-care unit should be avoided.

Accepted Answer

Skin-to-skin contact, also known as kangaroo care, is actually beneficial for premature infants in the neonatal intensive-care unit. It helps regulate their body temperature, heart rate, and breathing, and promotes bonding between the baby and parents. However, precautions should be taken to ensure proper infection control measures are in place.

Question 9

Severe nipple pain, the presence of nipple fissures, and pain that persists throughout a feeding are normal and do not require medical attention.

Accepted Answer

Severe nipple pain, the presence of nipple fissures, and pain that persists throughout a feeding are not normal and may indicate a problem with latching or other breastfeeding issues. Seeking medical attention and support from a lactation consultant can help address these issues and improve breastfeeding outcomes.

Question 10

The condition characterized by milk streaming from the breast as feeding begins is called _____.

Accepted Answer

Hyperactive letdown is the condition where milk streams from the breast as feeding begins. Mastitis is an infection of the breast tissue, hyperlactation is an oversupply of milk, engorgement is swelling of the breast due to an increase in milk production, and letdown failure is the inability to release milk from the breast.

Question 11

The highest-calorie portion of milk is usually produced during the last 10 minutes of pumping.

Accepted Answer

The highest-calorie portion of milk, often referred to as the "hindmilk," is richer in fat and is usually expressed towards the end of a pumping session, making the milk expressed in the last 10 minutes higher in calories.

Question 12

Alcohol is transferred from the mother to the infant through her breast milk.

Accepted Answer

Alcohol can be transferred from the mother's bloodstream into her breast milk and subsequently to the infant during breastfeeding. This can cause harm to the infant's developing brain and lead to various issues such as impaired cognitive functioning, slow weight gain, and altered sleep patterns. It is recommended to avoid alcohol consumption during breastfeeding or to wait for a sufficient period of time after drinking before breastfeeding.

Question 13

The BPPOP mission was to improve the ability of AAP members to support new mothers and their breastfeeding infants.

Accepted Answer

This is indeed the mission of BPPOP (Breastfeeding Promotion in Pediatric Offices Program) which was launched by AAP (American Academy of Pediatrics) to enhance the knowledge and skills of pediatricians and their staff to support breastfeeding mothers and their infants.

Question 14

Which of the following is least likely to cause persistent nipple pain?

Accepted Answer

Using a warm compress on nipples is least likely to cause persistent nipple pain as it can often provide relief and help with healing. Poor latch, improper release of suction after a feed, infection, and pumping with excess suction can all cause persistent nipple pain.

Question 15

A nursing mom should avoid cabbage and legumes because they have the potential to cause gas in the baby.

Accepted Answer

While cabbage and legumes may cause gas in some babies, each baby is different and may not be affected. These foods are actually healthy for a nursing mom and should not be entirely avoided without consulting a doctor or lactation consultant.

Question 16

A woman with mastitis should continue to nurse her baby.

Accepted Answer

It is recommended that a woman with mastitis continues to nurse her baby, as frequent and thorough emptying of the breast can help to resolve the infection.

Question 17

Which of the following is true of hyperlactation?

Accepted Answer

Hyperlactation is a condition in which the milk volume produced by the mother exceeds the intake of the baby. This can lead to engorgement, oversupply, and forceful letdown, which can cause discomfort for both the mother and the baby.

Question 18

The vast majority of women experience significant problems with breastfeeding.

Accepted Answer

While some women may experience difficulty with breastfeeding, studies have shown that the majority of women are able to successfully breastfeed their babies without significant problems. However, it is important to note that individual experiences may vary and support and resources should be available to all women who choose to breastfeed.

Question 19

One effective treatment for a plugged duct is to _____.

Accepted Answer

The most effective treatment for a plugged duct is to completely empty the breast. This can be achieved through frequent nursing or pumping. Using cabbage leaves or taking extra vitamin D may provide some relief, but they are not effective solutions on their own. Stopping nursing or using a breast pump exclusively can actually worsen the problem by decreasing milk production and increasing engorgement. Having a glass of red wine daily may be enjoyable, but it has no proven effect on treating a plugged duct.

Question 20

Medicinal herbs are regulated as dietary supplements and are tested for safety and efficacy.

Accepted Answer

In the United States, medicinal herbs are regulated as dietary supplements by the Dietary Supplement Health and Education Act of 1994 (DSHEA), which does not require them to be tested for safety or efficacy before being marketed.

Quiz 7: Nutrition During Lactation: Conditions and Interventions