CBS Newborn Behavior & Development 2 — Questions and Answers
Question 1: Cluster feeding in newborns is best defined as:
- Feeding only during daytime hours to establish a schedule
- Multiple feedings spaced very close together over a period of hours (Correct answer)
- Feeding every 4 hours on a strict schedule
- Refusing the breast for several hours followed by one long feeding
Correct answer: Multiple feedings spaced very close together over a period of hours
Cluster feeding refers to multiple feedings bunched closely together, typically in the evening, and is normal newborn behavior that helps stimulate milk supply.
Question 2: At approximately what age do infants typically experience their first major growth spurt that may lead to increased feeding frequency?
- 1–2 days
- 7–10 days
- 2–3 weeks (Correct answer)
- 6–8 weeks
Correct answer: 2–3 weeks
A common growth spurt occurs at approximately 2–3 weeks of age, during which infants may feed more frequently to increase milk supply.
Question 3: Ankyloglossia (tongue-tie) may affect breastfeeding primarily by:
- Causing excessive milk production in the mother
- Restricting tongue movement and impairing the infant's ability to latch effectively (Correct answer)
- Increasing the infant's risk of respiratory infection
- Causing the infant to sleep excessively after feedings
Correct answer: Restricting tongue movement and impairing the infant's ability to latch effectively
Ankyloglossia restricts tongue mobility, which can impair the infant's ability to achieve an effective latch and extract milk efficiently.
Question 4: Which of the following best describes the stomach capacity of a healthy term newborn on day 1 of life?
- Approximately 20–30 mL
- Approximately 5–7 mL (Correct answer)
- Approximately 45–60 mL
- Approximately 1–2 mL
Correct answer: Approximately 5–7 mL
On day 1, a term newborn's stomach capacity is only about 5–7 mL, which is consistent with the small volumes of colostrum produced.
Question 5: Physiologic jaundice in a breastfed newborn typically appears:
- Within the first 24 hours of life
- On days 2–4 of life (Correct answer)
- At 2 weeks of age
- Only in formula-fed infants
Correct answer: On days 2–4 of life
Physiologic jaundice typically appears on days 2–4 of life; jaundice within the first 24 hours is pathologic and requires immediate evaluation.
Question 6: The WHO and AAP recommend introduction of complementary (solid) foods at approximately what age for healthy term infants?
- Around 3 months
- Around 4 months
- Around 6 months (Correct answer)
- Around 9 months
Correct answer: Around 6 months
Both the WHO and AAP recommend exclusive breastfeeding for about 6 months, with complementary foods introduced around 6 months of age.
Question 7: Which behavioral state is most conducive to successful breastfeeding in a newborn?
- Deep sleep
- Active sleep (REM)
- Quiet alert state (Correct answer)
- Crying state
Correct answer: Quiet alert state
The quiet alert state is optimal for breastfeeding because the infant is awake, calm, and responsive to feeding cues without being distressed.
CBS Newborn Behavior & Development 2
Cluster feeding in newborns is best defined as: