CMS Breastfeeding & Lactation Support 2

Question 1

A breastfeeding mother presents with a red, warm, tender wedge-shaped area on one breast along with fever of 38.5°C and flu-like symptoms. This presentation is most consistent with:

Accepted Answer

Mastitis

Answer

Breast engorgement

Answer

Blocked milk duct without infection

Answer

Breast abscess requiring surgical drainage

Question 2

What is the recommended management for lactational mastitis in an otherwise healthy breastfeeding mother?

Accepted Answer

Antibiotics (e.g., dicloxacillin) and continued breastfeeding or pumping

Answer

Immediate cessation of breastfeeding from the affected breast

Answer

Surgical drainage and temporary breastfeeding cessation

Answer

Antihistamines and cold compresses only, without antibiotics

Question 3

Which medication is contraindicated in breastfeeding mothers due to significant risk of infant harm and milk supply suppression?

Accepted Answer

Ergotamine

Answer

Ibuprofen

Answer

Acetaminophen

Answer

Amoxicillin

Question 4

Which assessment finding would most strongly suggest insufficient breast milk supply in a breastfeeding newborn?

Accepted Answer

Feeding sessions consistently lasting 45 to 60 minutes with continued signs of hunger

Answer

Six to eight wet diapers per day after day 4

Answer

Infant regaining birth weight by day 10 to 14

Answer

Feeding every 2 to 3 hours around the clock

Question 5

Which finding indicates a correct and effective breastfeeding latch?

Accepted Answer

Infant's chin touches the breast, mouth is wide open, and lips are flanged outward

Answer

Infant's lips are pursed inward around the nipple tip

Answer

Only the nipple is visible in the infant's mouth with the areola exposed

Answer

Clicking or smacking sounds are audible during feeding

Question 6

Domperidone is classified as a galactogogue. By what mechanism does it increase milk supply?

Accepted Answer

It acts as a dopamine antagonist, increasing prolactin secretion

Answer

It directly stimulates oxytocin release from the posterior pituitary

Answer

It provides phytoestrogens that mimic estrogen effects on breast tissue

Answer

It enhances nutrient absorption improving overall milk fat content

Question 7

What is the most effective first-line management for breast engorgement in a breastfeeding mother?

Accepted Answer

Frequent nursing or pumping with warm compresses before feeding and cold compresses after

Answer

Applying ice packs continuously and restricting oral fluid intake

Answer

Binding the breasts tightly between each feeding session

Answer

Transitioning immediately to formula feeding to relieve pressure