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

Both WHO and AAP recommend exclusive breastfeeding for approximately 6 months, after which complementary foods are introduced while breastfeeding continues.

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

Classic galactosemia is one of the few absolute contraindications to breastfeeding because the infant cannot metabolize galactose found in breast milk lactose.

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

Recognizing early feeding cues (rooting, hand-to-mouth) versus late cues (crying) allows feeding before the infant is too distressed to latch effectively.

Question 4

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

Accepted Answer

HIV infection

Answer

In the US, maternal HIV infection is an absolute contraindication to breastfeeding due to the risk of viral transmission through breast milk.

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

Frequent breastfeeding promotes bowel movements which eliminate bilirubin via the stool, and improves milk intake to reduce enterohepatic recirculation.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Maternal & Infant Health 5