IBCLC Breastfeeding 3

Question 1

What is the significance of skin-to-skin contact immediately after birth for breastfeeding?

Accepted Answer

It triggers innate newborn reflexes that facilitate self-attachment, stabilizes infant temperature and blood sugar, and is associated with earlier and more successful breastfeeding initiation

Answer

It is nice but has no measurable impact

Answer

It should only be done if the mother plans to breastfeed

Answer

It is only beneficial for premature infants

Question 2

What is a supplemental nursing system (SNS) and when is it indicated?

Accepted Answer

It delivers supplemental milk through a thin tube taped to the breast, allowing the infant to receive extra milk while stimulating the breast during direct nursing

Answer

It is a type of breast pump

Answer

It is a special bottle for premature infants

Answer

It is a nipple shield for flat nipples

Question 3

A mother asks about breastfeeding during a subsequent pregnancy. What is the evidence?

Accepted Answer

It is generally safe for healthy women with uncomplicated pregnancies, though milk composition and volume may change

Answer

It is always dangerous and should stop immediately

Answer

It has no effects on the nursing infant or fetus

Answer

It must stop in the first trimester

Question 4

What is tandem nursing and what are its considerations?

Accepted Answer

Breastfeeding both an older child and a newborn after a subsequent birth, with priority given to the newborn's colostrum needs

Answer

Nursing twins simultaneously

Answer

Alternating between breast and bottle

Answer

Having two mothers breastfeed the same infant

Question 5

How does breast milk composition change for a premature infant versus a full-term infant?

Accepted Answer

Preterm breast milk is higher in protein, fat, sodium, and immune factors compared to term milk

Answer

There is no difference

Answer

Preterm milk has less protein

Answer

Preterm milk is identical to term milk but lower in volume

Question 6

What is relactation and what factors influence its success?

Accepted Answer

It is the re-establishment of milk production after discontinuation, with success influenced by the duration of the gap, breast stimulation frequency, and infant cooperation

Answer

Relactation is not possible once production stops

Answer

It can only occur within 48 hours of stopping

Answer

It requires medication in all cases