Lactation Specialist Clinical Tools & Breastfeeding Devices Flashcards

When fitting a breast pump flange, what measurement is used to determine the correct tunnel size?

Answer: Nipple diameter at the base

Flange tunnel size is matched to the nipple diameter at the base, typically adding 2–3 mm for comfort and effective milk removal.

A mother reports that her nipple turns white after pumping and she experiences burning pain. The most appropriate intervention is to:

Answer: Evaluate for Raynaud's phenomenon and check flange fit

White nipple with burning pain after pumping suggests Raynaud's phenomenon and/or flange trauma; both flange fit and vasospasm should be assessed.

Which pump setting should be adjusted first when a mother reports low milk output with a hospital-grade electric pump at maximum suction?

Answer: Decrease suction and optimize cycle speed for comfort

Maximum suction is rarely optimal; reducing suction to the highest comfortable level and adjusting cycle speed typically yields better milk transfer.

A nipple shield is MOST appropriately used for which clinical situation?

Answer: Facilitating latch in a preterm infant with weak suck

Nipple shields are best supported by evidence for helping preterm or weak-sucking infants achieve and maintain latch at the breast.

What is the primary disadvantage of using a nipple shield without close follow-up?

Answer: It may reduce milk transfer and lead to inadequate infant intake

Nipple shields can reduce milk transfer efficiency, risking inadequate intake and potentially decreasing supply without regular weight checks.

A supplemental nursing system (SNS) at the breast is indicated when:

Answer: A baby needs supplementation while maintaining breast stimulation

An SNS delivers supplement through a thin tube at the breast so the infant feeds at the breast while receiving additional nutrition, preserving breast stimulation.

When teaching a mother to use a manual breast pump, which technique maximizes milk output?

Answer: Using short rapid compressions during letdown, then slower long pulls

Mimicking the infant's two-phase suck pattern—rapid stimulation at letdown followed by slow nutritive pulls—optimizes milk output with a manual pump.