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Quantum Units Education®

Guide to Breastfeeding (Updated)

1. Colostrum changes into mature milk by the _____ day after birth.

A. Second to third

B. Third to fifth

C. Fourth to sixth

D. Fifth to eighth


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 all of the following, except for:

A. Autism

B. Asthma

C. Sudden infant death syndrome (SIDS)

D. Type 2 diabetes


4. Formula has more vitamins than breastmilk.

A. True

B. False


5. A newborn’s stomach is only the size of a walnut.

A. True

B. False


6. The more a baby nurses, the more milk the mother’s breasts will make.

A. True

B. False


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

A. Oxytocin

B. Estrogen

C. Relaxin

D. Prolactin


8. The sucking instinct is very strong within the baby’s first _____ of life.

A. Ten minutes

B. Hour

C. Day

D. Week


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

A. 4 to 6

B. 6 to 10

C. 8 to 12

D. 14 to 16


10. If a baby is hungry, they will do all of the following, except:

A. Bob their head against the mother.

B. Try to make eye contact.

C. Squirm around.

D. Stay curled up against the mother’s chest.


11. The mother should support the baby’s head and shoulders as they search for her breast, and if needed she should help her baby latch on.

A. True

B. False


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

A. The mother can see little or no areola.

B. The mother can see the baby’s ears “wiggle” slightly.

C. The baby’s lips turn inward.

D. The baby’s chin touches the mother’s breast.


13. Which breastfeeding hold is useful for premature babies?

A. Clutch hold

B. Cross-cradle hold

C. Cradle hold

D. Laid-back hold


14. Which breastfeeding hold is useful if the mother had a C-section?

A. Clutch hold

B. Cross-cradle hold

C. Cradle hold

D. Laid-back hold


15. Which of the following is a late sign of hunger?

A. The baby puts their hands or fists to their mouth.

B. The baby makes sucking motions with their mouth.

C. The baby turns toward anything that touches their cheek.

D. The baby is crying.


16. Research has found that when a baby shares a bedroom with their parents, the baby has a lower risk of SIDS.

A. True

B. False


17. Babies need 400 IU of _____ each day.

A. Vitamin D

B. Vitamin B12

C. Phylloquinone

D. Folic acid


18. The more often a mother breastfeeds, the more milk her breasts will make.

A. True

B. False


19. Many leading health organizations recommend that most infants breastfeed exclusively for the first _____ months.

A. 3

B. 6

C. 9

D. 12


20. The first bowel movement usually occurs within _____ after birth.

A. 8 hours

B. 24 hours

C. 2 days

D. 4 days


21. If the mother has sore nipples, she should wash her nipples with soaps and ointments that contain astringents, because washing with clean water is not enough to keep her nipples and breasts clean.

A. True

B. False


22. Growth spurts, causing a baby to want to nurse longer and more often, commonly happen at all of the following ages, except for:

A. 2 to 3 weeks

B. 6 weeks

C. 3 months

D. 6 months


23. If the mother has a problem with engorgement, she should not let more than _____ hours pass between pumping sessions.

A. 2

B. 3

C. 4

D. 5


24. A plugged milk duct feels like a tender and sore lump in the breast and could cause a low-grade fever.

A. True

B. False


25. A plugged duct is often a sign that the mother:

A. Is not nursing or pumping often enough.

B. Is not producing enough milk.

C. Is doing too much.

D. Is deficient in iron.


26. A mother should see her doctor right away if:

A. She has a breast infection in which both breasts look affected.

B. There is pus or blood in her breastmilk.

C. She has red streaks near the affected area of the breast.

D. A mother should see her doctor right away if she has a breast infection in which both breasts look affected, if there is pus or blood in her breastmilk, if she has red streaks near the affected area of the breast, or if her symptoms came on severely or suddenly.


27. A nursing strike is usually a sign that the baby is ready to wean.

A. True

B. False


28. Even in hot climates, breastfed infants do not need water or juice.

A. True

B. False


29. When a baby is ready for solid foods, cereal is a good first food to give the baby.

A. True

B. False


30. If the mother does not quit smoking, she should not breastfeed her baby.

A. True

B. False


31. According to the American Academy of Pediatrics, the mother should wait _____ or more hours before nursing her baby after having an alcoholic drink.

A. 2

B. 4

C. 6

D. 8


32. Almost all medicines pass into the mother’s breastmilk in small amounts.

A. True

B. False


33. The mother should not breastfeed her baby if she has:

A. A cold

B. The seasonal flu

C. Diarrhea

D. HIV or AIDS


34. The mother should avoid which vaccination while breastfeeding?

A. Diphtheria

B. Smallpox

C. Hepatitis

D. Whooping Cough


35. Breastmilk should not be stored in:

A. Glass bottles

B. Hard BPA-free plastic bottles

C. Disposable bottle liners

D. Milk storage bags


36. A mother needs to drink plenty of fluids to stay hydrated because fluid intake affects the amount of breastmilk she will make.

A. True

B. False


37. Which type of tea has natural estrogen that can decrease a mother’s milk supply?

A. Sage

B. Peppermint

C. Yarrow

D. Jasmine


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