CBS Quality Assurance & Standards 2 — Questions and Answers
Question 1: Which organization publishes the International Code of Marketing of Breast-milk Substitutes that lactation support programs must follow?
- World Health Organization (WHO) (Correct answer)
- American Academy of Pediatrics (AAP)
- International Board of Lactation Consultant Examiners (IBLCE)
- United States Breastfeeding Committee (USBC)
Correct answer: World Health Organization (WHO)
The WHO published the International Code of Marketing of Breast-milk Substitutes in 1981 to regulate advertising and distribution of formula and related products.
Question 2: A breastfeeding specialist notices a colleague providing outdated information about nipple shields. What is the BEST quality-assurance action to take?
- Privately share current evidence-based resources with the colleague (Correct answer)
- Report the colleague to administration immediately
- Correct the colleague in front of the client
- Ignore it as it is not your responsibility
Correct answer: Privately share current evidence-based resources with the colleague
Sharing current evidence-based resources privately supports a culture of continuous improvement without undermining the colleague's relationship with the client.
Question 3: What does the Baby-Friendly Hospital Initiative (BFHI) Ten Steps primarily aim to measure and improve?
- Hospital breastfeeding support practices (Correct answer)
- Formula marketing compliance
- Maternal nutrition standards
- Neonatal intensive care protocols
Correct answer: Hospital breastfeeding support practices
The BFHI Ten Steps provide a standardized framework for hospitals to assess and improve practices that support successful breastfeeding initiation.
Question 4: In a quality improvement project, which metric BEST reflects the effectiveness of a hospital's breastfeeding support program?
- Exclusive breastfeeding rate at discharge (Correct answer)
- Number of lactation consultants on staff
- Amount of donor milk available
- Frequency of skin-to-skin documentation
Correct answer: Exclusive breastfeeding rate at discharge
Exclusive breastfeeding rate at discharge is the standard outcome measure used by BFHI and public health bodies to evaluate program effectiveness.
Question 5: A CBS is asked to review a hospital's consent form for breastfeeding education. Which element is MOST critical to include for ethical and legal standards?
- Client's right to ask questions and withdraw consent (Correct answer)
- A list of all formula brands available
- The specialist's personal breastfeeding experience
- Discharge timeline for the mother
Correct answer: Client's right to ask questions and withdraw consent
Informed consent requires that clients understand their right to ask questions and to withdraw consent at any time, per ethical and legal standards.
Question 6: Which practice represents adherence to the WHO Code in a hospital maternity unit?
- Not displaying formula company logos or promotional materials (Correct answer)
- Offering branded formula gift bags to all new mothers
- Inviting formula representatives to staff education sessions
- Using formula company-sponsored educational brochures
Correct answer: Not displaying formula company logos or promotional materials
The WHO Code prohibits the promotion of breast-milk substitutes, including display of logos and distribution of promotional materials in healthcare settings.
Question 7: When conducting a chart audit for breastfeeding quality assurance, which documentation element is MOST important to verify?
- Timing of first breastfeed after birth (Correct answer)
- Mother's insurance status
- Attending physician's specialty
- Brand of breast pump provided
Correct answer: Timing of first breastfeed after birth
Early initiation of breastfeeding (within one hour of birth) is a key BFHI indicator and a critical quality metric tracked in chart audits.
CBS Quality Assurance & Standards 2
Which organization publishes the International Code of Marketing of Breast-milk Substitutes that lactation support programs must follow?