Breastfeeding & Lactation Support Flashcards
7 cards from real CMS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Breastfeeding & Lactation Support flashcards as text
What is the primary hormone responsible for milk production in breastfeeding mothers?
Answer: Prolactin
Prolactin, secreted by the anterior pituitary gland, is the primary hormone that stimulates alveolar cells in the breast to produce milk.
Which of the following best describes the 'milk ejection' (let-down) reflex?
Answer: Oxytocin-triggered contraction of myoepithelial cells ejecting milk from alveoli
The let-down reflex is mediated by oxytocin released from the posterior pituitary, causing myoepithelial cells surrounding alveoli to contract and eject milk toward the nipple.
According to WHO and AAP guidelines, when should breastfeeding ideally be initiated after birth?
Answer: Within 1 hour of birth
WHO and AAP recommend initiating breastfeeding within the first hour of life to capitalize on the newborn's alert state, stimulate milk production, and support thermoregulation.
How does colostrum differ from mature breast milk?
Answer: Colostrum is higher in immunoglobulins and lower in fat compared to mature milk
Colostrum is rich in secretory IgA, leukocytes, lactoferrin, and growth factors while containing lower fat and lactose compared to mature milk, providing critical immunological protection.
A mother reports sore, cracked nipples after 3 days of breastfeeding. What is the most likely cause?
Answer: Improper latch technique with insufficient areolar tissue in the mouth
Nipple soreness and cracking in early breastfeeding most commonly results from an improper latch where the infant compresses the nipple tip rather than drawing in sufficient areolar tissue.
Which breastfeeding position is generally recommended for mothers recovering from cesarean section?
Answer: Football (clutch) hold
The football hold positions the infant's body under the mother's arm and away from the abdominal incision, reducing pain and allowing good head support without pressure on the surgical site.
WHO recommends exclusive breastfeeding for how long before introducing complementary foods?
Answer: 6 months
WHO recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding alongside appropriate complementary foods up to 2 years or beyond.