CMS Breastfeeding & Lactation Support

Question 1

What is the primary hormone responsible for milk production in breastfeeding mothers?

Accepted Answer

Prolactin

Answer

Estrogen

Answer

Progesterone

Answer

Oxytocin

Question 2

Which of the following best describes the 'milk ejection' (let-down) reflex?

Accepted Answer

Oxytocin-triggered contraction of myoepithelial cells ejecting milk from alveoli

Answer

Prolactin release from the anterior pituitary stimulating milk synthesis

Answer

The infant's suckling reflex initiating the feeding cycle

Answer

Breast fullness sensation occurring prior to a scheduled feeding

Question 3

According to WHO and AAP guidelines, when should breastfeeding ideally be initiated after birth?

Accepted Answer

Within 1 hour of birth

Answer

Within 30 minutes of birth

Answer

Within 2 hours of birth

Answer

After the newborn's first bath and assessment

Question 4

How does colostrum differ from mature breast milk?

Accepted Answer

Colostrum is higher in immunoglobulins and lower in fat compared to mature milk

Answer

Colostrum has lower protein content and higher fat than mature milk

Answer

Colostrum has higher fat content and fewer antibodies than mature milk

Answer

Colostrum contains no nutritional value and serves only as a laxative

Question 5

A mother reports sore, cracked nipples after 3 days of breastfeeding. What is the most likely cause?

Accepted Answer

Improper latch technique with insufficient areolar tissue in the mouth

Answer

Breast engorgement causing excessive pressure

Answer

Mastitis developing in the early postpartum period

Answer

Milk oversupply causing forceful letdown

Question 6

Which breastfeeding position is generally recommended for mothers recovering from cesarean section?

Accepted Answer

Football (clutch) hold

Answer

Cradle hold

Answer

Cross-cradle hold

Answer

Laid-back (biological nurturing) position

Question 7

WHO recommends exclusive breastfeeding for how long before introducing complementary foods?

Accepted Answer

6 months

Answer

3 months

Answer

4 months

Answer

12 months