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

Addressing latch and positioning problems is the first step; weight loss up to 10% in the first week can often be managed by improving feeding technique.

Question 2

Mastitis most commonly occurs in which postpartum timeframe?

Accepted Answer

Second to third week postpartum

Answer

Mastitis most frequently occurs in the second and third weeks postpartum, though it can happen at any point during lactation.

Question 3

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

Accepted Answer

Staphylococcus aureus

Answer

Staphylococcus aureus, often from the infant's oral flora, is the predominant pathogen in lactational mastitis.

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

Continued milk removal from the affected breast is essential to resolve mastitis and prevent abscess formation.

Question 5

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

Accepted Answer

Ibuprofen

Answer

Ibuprofen is preferred for breastfeeding mothers because it transfers minimally into breast milk and has anti-inflammatory properties beneficial for mastitis.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Maternal & Infant Health 3