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1. Colostrum, the first breast milk made after birth, is rich in nutrients and antibodies to protect the nursing baby.
A. True
B. False
2. How long after childbirth before colostrum changes into mature milk?
A. 1-2 days
B. 3-5 days
C. 6-7 days
D. 10-12 days
3. Although formula cannot match the chemical makeup of human breast milk, formula is easier for babies to digest than breast milk.
A. True
B. False
4. When compared to breast-fed babies, formula-fed babies have higher risks of which of the following?
A. Necrotizing enterocolitis
B. Asthma
C. Childhood leukemia
D. All of the above
5. Breastfeeding has been shown to lower the risk of sudden infant death syndrome (SIDS).
A. True
B. False
6. Breastfeeding is linked to a lower risk for the mother for all of the following, except:
A. Type 2 diabetes
B. Breast cancer
C. Osteoporosis
D. Postpartum depression
7. Which tissue is involved in milk production?
A. Glandular tissue
B. Connective tissue
C. Lymph tissue
D. Fatty tissue
8. A woman with very small breasts may not be able to make enough milk for her baby, as breast size is linked to the amount of milk a woman makes.
A. True
B. False
9. Alveoli make milk in response to which hormone?
A. Oxytocin
B. Prolactin
C. Estrogen
D. Progesterone
10. Which hormone causes the muscles of the uterus to contract during and after birth, helping the uterus to return to its original size?
A. Oxytocin
B. Prolactin
C. Estrogen
D. Progesterone
11. A mother should try to breastfeed as soon after deliver as possible due to the baby’s sucking instinct being very strong within ______ of life.
A. The first hour
B. The first 6 hours
C. The first 12 hours
D. The first 24 hours
12. The more milk a baby removes from the mother’s breasts, the more milk the mother will make.
A. True
B. False
13. Breastfeeding should happen at least _______ times every 24 hours for the mother to make plenty of milk for the baby.
A. 4 to 6
B. 6 to 10
C. 8 to 12
D. 10 to 14
14. All of the following are signs of a good latch, except:
A. The baby’s chest is against the mother’s body and the baby does not have to turn their head while drinking.
B. The mother sees little or no areola.
C. If areola is showing, the mother will see more below the baby’s lip and less above.
D. The baby’s chin touches the mother’s breast.
15. Which of the following positions is useful for mothers who have had a c-section?
A. Cradle hold
B. Cross cradle or transitional hold
C. Clutch or “football” hold
D. All of the above
16. A mother should wait to offer her breast until the baby cries, since forcing the baby to feed can lead to too much weight gain.
A. True
B. False
17. It is important that the baby finishes the first breast before switching to the second, as the “hind” milk is a rich source of which of the following?
A. Antibodies
B. Carbohydrate
C. Protein
D. Fat
18. Being skin to skin with the mother helps babies to:
A. Cry less
B. Stabilize the baby’s heart rate
C. Stabilize the baby’s breathing rate
D. All of the above
19. In the early weeks after birth, the mother should wake her baby to feed if _____ hours have passed since the beginning of the last feeding.
A. 3
B. 4
C. 5
D. 6
20. Many babies lose a small amount of weight in the first days after birth.
A. True
B. False
21. At birth, the baby’s stomach can comfortably digest about 2 ounces of milk, or what would fit in a walnut.
A. True
B. False
22. The breasts should be washed with soap or ointments that contain astringents, as washing with just water isn’t enough for proper cleaning and could lead to an infection.
A. True
B. False
23. Sore nipples may lead to a breast infection, which needs to be treated by a doctor.
A. True
B. False
24. All of the following are true regarding a plugged duct, except:
A. It will be accompanied by a fever or other symptoms.
B. The mother should breastfeed often on the affected side, as often as every two hours.
C. Often a plugged duct is the first sign that a mother is doing too much.
D. Plugged ducts can lead to a breast infection.
25. If living in hot climates, breastfed infants will need to be supplemented with water or juice.
A. True
B. False
26. All of the following are true regarding jaundice, except:
A. Jaundice is caused by an excess of bilirubin.
B. Jaundice can appear as a yellowing of the skin and eyes.
C. Jaundice usually clears up by two weeks of age and is not harmful.
D. Jaundice is best treated by decreasing the frequency of breastfeeding or feeding for shorter periods of time.
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