CBS Emergency Procedures & Response 2

Question 1

A breastfeeding mother in a disaster shelter reports her milk supply has dropped significantly after 48 hours of stress and disrupted feeding schedules. What is the MOST important first intervention?

Accepted Answer

Encourage frequent skin-to-skin contact and increase feeding frequency

Answer

Frequent skin-to-skin contact stimulates oxytocin and prolactin, helping restore milk supply even in stressful disaster conditions.

Question 2

During a mass casualty event, a newborn (3 days old) is separated from her mother who is receiving emergency care. The infant is showing hunger cues. What is the BEST action for the CBS?

Accepted Answer

Locate a volunteer wet nurse or donor milk if available, prioritizing reunification

Answer

Pasteurized donor human milk or an informal wet nurse arrangement is preferred over formula for a newborn when the mother is temporarily unavailable, while working toward reunification.

Question 3

A mother who recently gave birth is evacuated to a shelter after a hurricane. She mentions her nipples are cracked and painful. In the shelter setting, without normal supplies, what is the FIRST recommendation?

Accepted Answer

Apply expressed breast milk to the nipples after each feeding

Answer

Expressed breast milk has healing and antimicrobial properties and is readily available without needing additional supplies in an emergency shelter.

Question 4

In an emergency scenario, a CBS discovers a mother has developed a high fever (103°F/39.4°C), chills, and a hard, red, painful breast area. What condition should be suspected and what is the recommended action?

Accepted Answer

Mastitis; advise continued breastfeeding and urgent referral for antibiotic treatment

Answer

Mastitis with systemic symptoms (fever, flu-like symptoms) requires antibiotics, and breastfeeding should continue to prevent milk stasis and worsening infection.

Question 5

A mother reports her 2-week-old infant has stopped feeding effectively after a traumatic birth experience, and she is worried about jaundice in an emergency care setting. What is the most critical assessment?

Accepted Answer

Count wet diapers and check skin color in natural light

Answer

Assessing wet diaper output and observing skin color in natural light are the most accessible first-line tools to evaluate hydration and jaundice severity in a resource-limited emergency setting.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Emergency Procedures & Response 2