CBS Maternal & Infant Health 3

Question 1

A newborn has lost 9% of birth weight by day 3. The mother has flat nipples and reports pain during feeding. What is the priority intervention?

Accepted Answer

Assess latch, offer hands-on positioning support, and consider nipple eversion techniques

Answer

Initiate formula supplementation immediately and discontinue breastfeeding

Answer

Schedule a follow-up appointment in one week

Answer

Recommend nipple shields without a latch assessment

Question 2

Mastitis most commonly occurs in which postpartum timeframe?

Accepted Answer

Second to third week postpartum

Answer

First week postpartum

Answer

Three to six months postpartum

Answer

After weaning begins

Question 3

What is the most common bacterial organism responsible for infectious mastitis?

Accepted Answer

Staphylococcus aureus

Answer

Streptococcus pyogenes

Answer

Escherichia coli

Answer

Candida albicans

Question 4

A mother with mastitis asks if she should stop breastfeeding on the affected side. What is the evidence-based recommendation?

Accepted Answer

Continue breastfeeding or pumping on the affected side to promote drainage

Answer

Stop breastfeeding completely until antibiotics are finished

Answer

Breastfeed only on the unaffected side

Answer

Apply ice and avoid any breast stimulation

Question 5

Which maternal medication is considered safe during breastfeeding for pain management of mastitis?

Accepted Answer

Ibuprofen

Answer

Aspirin

Answer

Codeine

Answer

Naproxen sodium

Question 6

A CBS notices a mother's nipple blanches white after feeding, followed by burning pain. This presentation is MOST consistent with:

Accepted Answer

Raynaud's phenomenon of the nipple

Answer

Nipple thrush

Answer

Contact dermatitis

Answer

Bacterial mastitis

Question 7

Which vitamin deficiency is of particular concern in exclusively breastfed infants and requires supplementation per AAP guidelines?

Accepted Answer

Vitamin D

Answer

Vitamin C

Answer

Vitamin B12

Answer

Vitamin K