CBS Maternal & Infant Health 5

Question 1

According to WHO and AAP recommendations, until what age should exclusive breastfeeding be maintained?

Accepted Answer

6 months, then introduce complementary foods

Answer

3 months, then introduce formula

Answer

4 months for formula-fed infants, 6 months for breastfed

Answer

12 months, with no complementary foods before that

Question 2

A mother reports her infant has been diagnosed with galactosemia. What guidance should the CBS provide about breastfeeding?

Accepted Answer

Breastfeeding is contraindicated; the infant requires a galactose-free formula

Answer

Continue breastfeeding; galactosemia has no effect on breast milk tolerance

Answer

Breastfeed only at night when galactose levels in milk are lowest

Answer

Supplement with lactase enzyme drops before each feeding

Question 3

What is the significance of the 'feeding cue hierarchy' in newborn assessment?

Accepted Answer

It helps caregivers identify early hunger cues before crying escalates

Answer

It determines how many minutes each feeding should last

Answer

It predicts which infants will have latch difficulties

Answer

It guides decisions about when to introduce a pacifier

Question 4

Which condition in the mother is a recognized absolute contraindication to breastfeeding in the United States?

Accepted Answer

HIV infection

Answer

Hepatitis B infection

Answer

Active untreated tuberculosis

Answer

Cytomegalovirus (CMV) seropositivity

Question 5

A CBS is assessing a newborn with hyperbilirubinemia. The bilirubin level is rising. What breastfeeding guidance is most appropriate?

Accepted Answer

Increase breastfeeding frequency to 10-12 times per 24 hours to promote stooling

Answer

Discontinue breastfeeding and switch to formula permanently

Answer

Limit feeds to 10 minutes to prevent jaundice worsening

Answer

Supplement with water between feedings to dilute bilirubin

Question 6

What physiological mechanism explains why skin-to-skin contact immediately after birth supports breastfeeding initiation?

Accepted Answer

It stimulates maternal oxytocin and infant feeding behaviors, facilitating the first latch

Answer

It raises the infant's temperature, triggering feeding reflexes

Answer

It transfers beneficial bacteria only found on the mother's chest

Answer

It synchronizes the infant's sleep-wake cycles with feeding times

Question 7

A lactating mother asks about resuming hormonal contraception. Which contraceptive option has the LEAST impact on milk supply?

Accepted Answer

Progestin-only pill (mini-pill)

Answer

Combined oral contraceptive pills (estrogen + progestin)

Answer

Monthly combined injectable contraceptive

Answer

Contraceptive patch (estrogen + progestin)