CBS Breastfeeding Techniques & Support 3

Question 1

A mother asks how to know when to switch breasts during a feeding. What is the best guidance?

Accepted Answer

Switch when the baby falls asleep or active swallowing stops at the first breast

Answer

The optimal time to switch is when the baby stops actively swallowing at the first breast, ensuring they receive both foremilk and hindmilk.

Question 2

Which reflex is primarily responsible for milk ejection during breastfeeding?

Accepted Answer

Let-down (milk ejection) reflex triggered by oxytocin

Answer

The let-down reflex is triggered by infant suckling which stimulates the posterior pituitary to release oxytocin, causing myoepithelial cells to contract and eject milk.

Question 3

A premature infant at 34 weeks gestation is unable to latch effectively. What feeding strategy is most consistent with supporting future breastfeeding?

Accepted Answer

Begin pumping, use cup or finger feeding, and practice skin-to-skin regularly

Answer

Pumping maintains milk supply, skin-to-skin promotes breastfeeding readiness, and alternative feeding methods like cup or finger feeding avoid nipple/flow confusion.

Question 4

What is 'biological nurturing' (laid-back breastfeeding)?

Accepted Answer

A semi-reclined maternal position that activates the infant's innate feeding reflexes

Answer

Biological nurturing uses a semi-reclined position so gravity helps the infant self-attach, activating primitive neonatal reflexes that support effective latching.

Question 5

A mother is concerned her milk supply is low because her breasts no longer feel full. What should she be told?

Accepted Answer

Breast fullness is unreliable; infant output and weight gain are better indicators of adequate supply

Answer

Breast fullness is a poor indicator of supply; after the first few weeks, breasts regulate and feel softer even when production is adequate.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Breastfeeding Techniques & Support 3