A low-income mom began breastfeeding in the hospital and was discharged with a healthy infant. The critical time for a public health nurse to visit after discharge (which would improve the likelihood of continuing breastfeeding) is _____ after discharge.
32.Which of the following correctly describes the current status of breastfeeding in the United States?
a.Women are meeting the Healthy People 2020 goals for breastfeeding initiation, but not for breastfeeding at 6 and 12 months.
b.Women are meeting the Healthy People 2020 goals for breastfeeding initiation and breastfeeding at 6 months, but not for 12 months.
c.Women are meeting all the Healthy People 2020 goals for breastfeeding; therefore there is discussion of revising the goals to set a higher target.
d.Women in the south are not meeting any of the Healthy People 2020 breastfeeding objectives.
33.Which correctly describes the Healthy People 2020 breastfeeding goals?
a.82% of mothers initiating breastfeeding, 61% of mothers breastfeeding at 6 months, and 34% of mothers breastfeeding at 12 months
b.75% of mothers initiating breastfeeding, 50% of mothers breastfeeding at 6 months, and 25% of mothers breastfeeding at 12 months
c.100% of mothers initiating breastfeeding, 55% of mothers breastfeeding at 6 months, and 22% of mothers breastfeeding at 12 months
d.None of the above
34.Shelly is a 25-year-old breastfeeding mom who is trying to lose weight. Her OBGYN has suggested that she go on a very-low-fat diet (~15% of calories) to help with weight loss. How will this change the fat composition of her breast milk?
a.It will not change the fat composition at all.
b.Her breast milk will contain more very-long-chain fatty acids.
c.Her breast milk will contain more saturated fatty acids.
d.Her breast milk will contain more medium-chain fatty acids.
e.Her breast milk will contain more cholesterol.
Use the following information for questions 35-37:
A young woman comes into your office for a lactation consultation complaining that her 1-month-old baby is colicky and slow to gain weight. Her baby requires 6 to 7 diaper changes each day and suffers from diarrhea. She tells you she allows the baby to nurse equally on each breast so that she does not feel “overfull”; she is desperate for help and asks your advice on what to do. A 24-hour diet history provides the following information about her eating habits.
Breakfast:cereal, milk, banana, and walnut pieces; sometimes she has eggs
Lunch:peanut butter sandwich, salad, and grapes with a glass of milk
Dinner:fish or chicken, vegetables, potato or rice, applesauce, and milk
Snacks:change daily, but she likes trail mix because it is easy to eat when nursing
35.What would the best advice be for this woman?
a.Allow your baby to nurse on one breast only until it is completely empty.
b.Allow us to evaluate you while you are nursing your baby and see what you are doing.
c.Stop nursing immediately and use an infant formula so your baby starts growing.
d.Use supplemental infant formula after each feeding because the baby is obviously not getting enough to eat.
e.a and b only
36.What is likely happening to this baby and causing the diarrhea?
a.The baby is not latched on properly.
b.The mother is not producing enough breast milk.
c.The baby is getting too much foremilk and not enough hindmilk.
d.The baby has a poor suckle.
e.The baby is lactose intolerant.
37.After looking at her diet, what changes could you suggest to help with the baby’s colic?
a.Eliminate all fruit except canned fruit
c.Eliminate dairy products
d.All of the above
e.b and c only
38.A nursing mother is given a diaper bag full of formula samples and coupons by her nurse upon discharge from the hospital. What is the nurse telling her?
a.She has been a great patient and her nurse wants to give her a gift.
b.The nurse wants to make sure she can get a discount on formula should she decide to try it instead of breastfeed.
c.The nurse knows she is returning to work and will need to supplement the baby’s diet.
d.The nurse is letting her know that formula is just as good as breast milk.
e.Both b and c
39.Is it normal for colostrum to be green?
a.Yes; colostrum is the first milk and is always green.
b.No; this definitely sounds wrong; you should talk to you doctor about it.
c.The green color will clear up if you continue to nurse.
40.Continuing to nurse while you are sick actually protects your baby because:
a.you do not pass germs through breast milk.
b.your breast milk is full of antibodies that are passed on to your baby.
c.you do not contaminate bottles by handling them.
d.infant formulas are higher in vitamins and minerals and help boost the baby’s immune system.
41.A baby that is not given vitamin K at birth may have:
a.excessive bleeding due to a lack of blood clotting.
b.decreased calcium absorption.
c.increased incidence of colic.
d.increased incidence of diarrhea.
e.All of the above
42.What would be the best response to a new mother who asks you: “My baby is two months old and I just started working again part time; I pump once at work every day, and get between two and three ounces. Is this enough?”
a.It depends on how much your baby drinks.
b.You will need to pump or nurse every 2-3 hours to maintain your supply.
c.It is imperative that you are consistent with pumping and feeding.
d.All of the above
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