CBS CBS Community Resources & Advocacy 2 — Questions and Answers
Question 1: Which US state was the first to pass a law explicitly protecting a woman's right to breastfeed in public?
- California
- New York
- Florida (Correct answer)
- Hawaii
Correct answer: Florida
Florida passed the first US law explicitly protecting a woman's right to breastfeed in any public or private location in 1993.
Question 2: The Surgeon General's Call to Action to Support Breastfeeding (2011) identified which as a major societal barrier to breastfeeding in the US?
- Lack of formula alternatives
- Inadequate breastfeeding support in the workplace and healthcare system (Correct answer)
- Too many lactation consultants in rural areas
- Overuse of nipple shields
Correct answer: Inadequate breastfeeding support in the workplace and healthcare system
The Surgeon General's report highlighted systemic barriers including lack of workplace support, insufficient healthcare provider training, and limited community resources.
Question 3: A CBS working in a community health setting can best support breastfeeding rates by:
- Prescribing galactagogues to all mothers
- Connecting families to peer support networks, WIC, and follow-up IBCLC care (Correct answer)
- Discouraging formula use regardless of medical need
- Replacing pediatric well-child visits
Correct answer: Connecting families to peer support networks, WIC, and follow-up IBCLC care
A CBS's role includes building a referral network and connecting families with tiered resources appropriate to their needs, from peer support to clinical care.
Question 4: Under the Affordable Care Act (ACA), most private health insurance plans in the US are required to cover:
- All lactation supplements without copay
- Breastfeeding support, counseling, and equipment (breast pump) at no cost to the patient (Correct answer)
- Only in-hospital lactation consultations
- Formula if breastfeeding fails
Correct answer: Breastfeeding support, counseling, and equipment (breast pump) at no cost to the patient
The ACA mandates coverage of breastfeeding support, counseling, and breast pump equipment as a preventive service with no cost-sharing for women with private insurance.
Question 5: Which organization publishes the International Code of Marketing of Breast-milk Substitutes, which restricts formula marketing practices?
- American Academy of Pediatrics
- World Health Organization (WHO) (Correct answer)
- Centers for Disease Control (CDC)
- La Leche League International
Correct answer: World Health Organization (WHO)
The WHO published the International Code in 1981 to regulate the marketing of breast-milk substitutes and protect breastfeeding globally.
Question 6: When advocating for a breastfeeding-friendly workplace policy, a CBS should emphasize which evidence-based benefit to employers?
- Reduced formula costs for the employer
- Decreased employee absenteeism and increased retention due to infant illness reduction (Correct answer)
- Elimination of all sick leave policies
- Mandatory paid breastfeeding breaks of 2 hours each
Correct answer: Decreased employee absenteeism and increased retention due to infant illness reduction
Research shows that workplace lactation programs reduce infant illness (reducing parent absenteeism) and improve employee retention, providing measurable return on investment.
CBS CBS Community Resources & Advocacy 2
Which US state was the first to pass a law explicitly protecting a woman's right to breastfeed in public?