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Breastfeeding Overview

Why Breastfeeding Is Important

1. Colostrum is:

A. The thick first milk that a mother makes during pregnancy and just after birth.

B. Very rich in nutrients and includes antibodies to protect the baby from infections.

C. Helpful for newborn infants’ digestive system’s growth and function.

D. All of the above.


2. For most babies, especially premature babies, breastmilk substitutes like formula are harder to digest than breastmilk.

A. True

B. False


3. Research suggests that breastfed babies have lower risks of:

A. Childhood leukemia

B. Childhood obesity

C. Sudden infant death syndrome

D. All of the above


Finding Support and Information

4. Breastfeeding mothers can participate in WIC longer than non-breastfeeding mothers.

A. True

B. False


Breastfeeding Myths

5. Formula has more vitamins than breastmilk.

A. True

B. False


6. Size and shape of breasts do not affect ability to breastfeed and have nothing to do with how much milk a woman makes.

A. True

B. False


7. A newborn’s stomach is the size of a(n):

A. Egg

B. Hazelnut

C. Tennis ball

D. Golf ball


How Your Milk Is Made

8. The alveoli make milk in response to the hormone:

A. Prolactin

B. Oxytocin

C. Both (A) and (B)

D. None of the above


9. Which hormone rises when the baby suckles?

A. Prolactin

B. Oxytocin

C. Both (A) and (B)

D. None of the above


10. Let-down happens when:

A. The baby begins to nurse.

B. A mother hears her baby cry.

C. A mother is thinking about her baby.

D. All of the above.


Learning to Breastfeed

11. To prepare for breastfeeding, the most important thing expectant moms can do is:

A. Have confidence in themselves.

B. Get good prenatal care.

C. Take a breastfeeding class.

D. Get the items that will be needed for breastfeeding.


12. Newborns usually need to nurse at least _____ times every 24 hours.

A. 4 to 8

B. 6 to 10

C. 8 to 12

D. 10 to 16


13. Mothers should support their baby’s head and shoulders and help them latch on.

A. True

B. False


14. All of the following are signs of a good latch, except for:

A. The latch feels comfortable to the mother and does not hurt or pinch.

B. No areola is seen, or if it is showing, more is seen below the baby’s lip and less above.

C. The baby’s lips turn outward like fish lips, not inward.

D. The mother sees the baby’s ears wiggle slightly.


15. Which of the following positions is useful for premature babies and babies with a weak suck?

A. Clutch or “football” hold

B. Cross-cradle or transitional hold

C. Side-lying position

D. Cradle hold


16. Babies need _____ International Units of vitamin D each day.

A. 200

B. 400

C. 600

D. 800


17. Many leading health organizations recommend that most infants breastfeed for at least 12 months, with exclusive breastfeeding for the first six months.

A. True

B. False


18. The baby should not lose any weight during the first days after birth.  If this happens, the baby is not getting enough milk.

A. True

B. False


Common Challenges

19. Engorgement sometimes causes a low-grade fever and can be confused with a breast infection.

A. True

B. False


20. If a mother has a plugged duct, she should not breastfeed on that side until the plug has loosened and her milk is moving freely.

A. True

B. False


21. Often, a plugged duct is a sign that a mother is not getting enough exercise.

A. True

B. False


22. The mother should see their doctor right away if:

A. There is pus or blood in her breastmilk.

B. They have red streaks near the affected area of the breast.

C. Her symptoms came on severely and suddenly.

D. Any of the above.


Common Questions

23. Breastfed infants only need water or juice, in addition to breastmilk, in hot climates.

A. True

B. False


24. A woman should not breastfeed under any of the following situations, except for:

A. Taking any prescription or over-the-counter medications.

B. Have HIV or AIDS.

C. Have untreated, active tuberculosis.

D. Taking cancer chemotherapy agents.


25. Which vaccine should be avoided while breastfeeding?

A. Smallpox

B. Yellow fever

C. Both (A) and (B)

D. None of the above


Breastfeeding and Special Situations

26. Most mothers can make plenty of milk for:

A. Twins

B. Triplets

C. Quadruplets

D. All of the above


Pumping and Storing Your Milk

27. Breastmilk can be stored in all of the following, except for:

A. Glass

B. Hard BPA-free plastic bottles

C. Disposable bottle liners

D. Milk storage bags


Nutrition and Fitness

28. Which of the following should be avoided by mothers that are nursing their babies?

A. Unpasteurized milk and soft cheeses

B. Sushi and other raw fish

C. Both (A) and (B)

D. None of the above


29. If a mother follows a vegan diet or one that does not include any form of animal protein, they and their baby might not get enough:

A. Protein

B. Vitamin B-12

C. Niacin

D. All of the above


Weaning Your Baby

30. From the first time a baby is fed something other than breastmilk, the process of weaning begins.

A. True

B. False


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