Breastfeeding Education & Promotion Flashcards

A mother of a 6-week-old is concerned her milk supply is decreasing because her breasts feel softer than they did in the first two weeks. What should the CLE explain?

Answer: Breast softening at 4–6 weeks is normal as supply regulates to match infant demand and no longer over-produces

Around 4–6 weeks, supply regulation causes breasts to feel less full; this is a normal physiological change and does not indicate insufficient milk.

Which global framework provides the international code governing the marketing of breastmilk substitutes?

Answer: International Code of Marketing of Breast-milk Substitutes (1981 WHO Code)

The 1981 WHO International Code of Marketing of Breast-milk Substitutes restricts advertising and free samples of formula and related products.

A CLE works in a community with a large population of Black mothers who have lower breastfeeding rates. Which approach is MOST evidence-based for addressing this disparity?

Answer: Implement culturally congruent peer support programs and train Black lactation professionals from within the community

Culturally responsive peer support programs led by lactation supporters from the same community are among the most effective strategies for reducing racial breastfeeding disparities.

A 2-day-old exclusively breastfed infant has lost 8% of birth weight. What is the MOST appropriate guidance from a CLE?

Answer: Assess latch and feeding effectiveness, increase feeding frequency, and arrange follow-up within 24–48 hours

Up to 7–10% weight loss in the first few days is within normal range; the priority is to assess feeding effectiveness and ensure close follow-up.

When discussing breastfeeding and maternal mental health, which statement is MOST supported by current evidence?

Answer: Breastfeeding is associated with lower rates of postpartum depression in mothers who intended to breastfeed and are succeeding

Evidence shows breastfeeding is associated with reduced PPD risk when mothers achieve their breastfeeding goals, but difficulty or forced continuation can increase distress.

A hospital CLE is developing an education program for nurses on the maternity unit. Which competency is MOST critical to include for supporting breastfeeding?

Answer: How to assess latch quality and recognize signs of effective milk transfer

Nurses who can accurately assess latch and milk transfer are essential to identifying and addressing breastfeeding problems early.

Which of the following best describes the concept of 'responsive feeding' (also called cue-based or on-demand feeding)?

Answer: Feeding when the infant shows hunger cues, allowing the infant to determine feeding frequency and duration

Responsive feeding means following infant hunger and satiety cues rather than a clock, which supports adequate milk supply and infant self-regulation.