CBS Maternal & Infant Health 2

Question 1

A mother at 3 weeks postpartum reports her breasts feel soft and no longer engorged. She worries her milk supply has dropped. What is the most appropriate response?

Accepted Answer

Reassure her that this is normal as supply regulates to infant demand

Answer

Refer her immediately to a physician for hormonal testing

Answer

Recommend supplementing with formula to ensure adequate intake

Answer

Suggest pumping after every feed to stimulate more production

Question 2

Which maternal condition is MOST associated with delayed lactogenesis II (milk coming in)?

Accepted Answer

Retained placental fragments

Answer

Gestational hypertension

Answer

Iron-deficiency anemia

Answer

Hypothyroidism

Question 3

An infant born at 35 weeks gestation is breastfeeding. Compared to a term infant, this late preterm infant is at higher risk for:

Accepted Answer

Hyperbilirubinemia and poor weight gain

Answer

Overfeeding at the breast

Answer

Early introduction of solid foods

Answer

Maternal nipple trauma due to strong suck

Question 4

A CBS is counseling a mother with polycystic ovary syndrome (PCOS) who is concerned about milk supply. Which statement is accurate?

Accepted Answer

PCOS is associated with insufficient glandular tissue and may reduce supply

Answer

PCOS has no effect on milk supply

Answer

PCOS always causes complete lactation failure

Answer

PCOS only affects milk supply if insulin levels are normal

Question 5

What is the recommended maximum safe level of alcohol intake before breastfeeding, and how long should a mother wait before nursing after one standard drink?

Accepted Answer

One standard drink; wait at least 2 hours per drink

Answer

No alcohol is safe; abstain completely during breastfeeding

Answer

Two standard drinks; wait 30 minutes

Answer

One standard drink; wait 30 minutes

Question 6

A mother asks about breastfeeding during a subsequent pregnancy. Which statement reflects current evidence-based guidance?

Accepted Answer

Breastfeeding during uncomplicated pregnancy is generally safe

Answer

Breastfeeding must stop immediately upon confirmed pregnancy

Answer

Milk supply automatically ceases at conception

Answer

Tandem nursing (breastfeeding during pregnancy) causes fetal harm

Question 7

Which finding during a breastfeeding assessment would MOST indicate the infant is receiving adequate milk transfer?

Accepted Answer

Audible swallowing and 6-8 wet diapers per day after day 4

Answer

Infant nurses for exactly 20 minutes per side

Answer

Infant falls asleep within 5 minutes of latching

Answer

Mother reports feeling a let-down reflex every feed