CBS Maternal & Infant Health 4

Question 1

An infant is diagnosed with ankyloglossia (tongue-tie). Which breastfeeding problem is MOST directly associated with this condition?

Accepted Answer

Maternal nipple pain and poor milk transfer

Answer

Maternal oversupply

Answer

Infant colic and excessive gas

Answer

Delayed solid food introduction

Question 2

What does the term 'galactagogue' refer to?

Accepted Answer

A substance that promotes or increases milk supply

Answer

A medication that suppresses milk production

Answer

A diagnostic test for breast milk composition

Answer

A technique for manual milk expression

Question 3

A mother who had a bilateral breast reduction surgery is concerned about breastfeeding. What is the MOST important factor that determines her likelihood of adequate milk supply?

Accepted Answer

Whether the nipple-areolar complex was preserved with intact ductal connections

Answer

The time elapsed since surgery

Answer

Her pre-surgical breast size

Answer

Whether she breastfed a previous child

Question 4

Which infant stool characteristic during the first week of life best indicates adequate breast milk intake?

Accepted Answer

Transition from meconium to yellow, seedy stools by day 3-4

Answer

Black, tarry stools through day 7

Answer

Green, mucousy stools beginning day 2

Answer

White or clay-colored stools by day 5

Question 5

A CBS is working with a mother who has type 1 diabetes. Which breastfeeding-related concern is MOST specific to this population?

Accepted Answer

Blood glucose fluctuations during and after feeding requiring dose adjustments

Answer

Increased risk of mastitis compared to non-diabetic women

Answer

Inability to produce sufficient colostrum

Answer

Breast milk will contain excess glucose harmful to the infant

Question 6

What is the primary purpose of hand expression in the first hours after birth?

Accepted Answer

To collect colostrum and stimulate early prolactin response

Answer

To replace breastfeeding if the infant cannot latch

Answer

To check milk supply adequacy

Answer

To prevent engorgement before milk comes in

Question 7

A mother with a history of postpartum depression after her first child is now breastfeeding her second. Breastfeeding is associated with which hormonal benefit related to mood?

Accepted Answer

Elevated oxytocin levels associated with reduced stress and improved mood

Answer

Increased cortisol release reducing anxiety

Answer

Suppression of serotonin reuptake mimicking antidepressants

Answer

Increased dopamine from nipple stimulation