CLE Maternal & Infant Health Considerations 3

Question 1

Which of the following best describes the composition of colostrum compared to mature breast milk?

Accepted Answer

Higher in immunoglobulins and protein, lower in fat and lactose

Answer

Colostrum is rich in secretory IgA, lactoferrin, leukocytes, and protein while containing lower levels of fat and lactose than mature milk.

Question 2

A mother who had a cesarean birth under general anesthesia is concerned about breastfeeding initiation. She should be advised that:

Accepted Answer

She can breastfeed as soon as she is alert and able to position the infant safely

Answer

Anesthetic agents used in general anesthesia transfer minimally to breast milk; the mother can breastfeed once she is sufficiently alert to hold the baby safely.

Question 3

Breast milk jaundice (as distinct from breastfeeding jaundice) typically occurs:

Accepted Answer

After the first week, peaks at 2 weeks, and may persist for several weeks

Answer

Breast milk jaundice is caused by substances in mature milk that inhibit bilirubin conjugation; it appears after day 4-7, peaks around 2 weeks, and can last 3-12 weeks.

Question 4

Which maternal condition is an absolute contraindication to breastfeeding in the United States?

Accepted Answer

HIV infection

Answer

In the U.S., HIV-positive mothers are advised not to breastfeed because breast milk can transmit HIV to the infant, unlike in resource-limited settings where benefits may outweigh risks.

Question 5

What is the primary purpose of the 'Ten Steps to Successful Breastfeeding' as outlined by WHO/UNICEF in the Baby-Friendly Hospital Initiative?

Accepted Answer

To establish evidence-based hospital practices that protect, promote, and support breastfeeding

Answer

The Ten Steps provide hospitals with a framework of evidence-based practices shown to significantly increase breastfeeding initiation and duration rates.

(CLE) Certified Lactation Educator Practice Test

(CLE) Certified Lactation Educator Practice Test

CLE Maternal & Infant Health Considerations 3