Module 1A

Question 1

Iron and follate during pregnancy can prevent

Answer 1

Iron deficiency anemia and birth defects

Question 2

Iodized salt during pregnancy is important

Answer 2

Can effect IQ

Question 3

Colostrum

Answer 3

First vaccination and protects against diseases

Question 4

Nursing a baby for over a year

Answer 4

Decreases by 10-15% hypertension hyoerlipidemia, and cardiovascular disease for postmetapausal women

Question 5

Lactation limits the chance of stroke for women

Answer 5

True

Question 6

Prolactin

Answer 6

In charge of producing milk, nurse frequent and nurse often the longer between nursing the less prolactin is released

Question 7

Weight gain increased with more frequent, lower duration feedings when compared to less frequent longer feeds

Question 8

More feedings

Answer 8

Produce more milk per feeding

Question 9

Sucking within first 2 hours create significantly more milk due to progesterone drop and prolactin levels rising

Question 10

Oxytocin

Answer 10

Causes milk to be ejected

Question 11

Every Baby hand movement on breast

Answer 11

Causes oxytocin release

Question 12

By day 8 of breast feeding

Answer 12

The body is producing around 600 to 1000ml per day

Question 13

Preterm milk

Answer 13

Higher in protein fat and electrolytes.

Question 14

Fat content (energy content)

Answer 14

Increases over time for breast feeding

Question 15

Lactose and volume is high in the morning for feeds

Answer 15

Fat is high in the evening 4pm to 10 at night which is the most calorically dense milk great for premies

Question 16

Longer times between feeding

Answer 16

Decreases the amount of fat available at next feeding

Question 18

Higher fat milk results from faster consumption by baby

Question 19

No difference in fat intake for breastfeeding off of one vs both breasts

Question 20

Max fat levels are after 30 minutes after feed

Answer 20

So frequent feeds are good in concerned babies

Question 21

Iron is more bioavailable in breast milk when compared to formula

Question 22

Breastfeeding helps to prevent diarrhea especially in low birth weight infants

Question 23

Breast fed babies gut is more acidic than formula fed.

Question 24

IGA antibodies

Answer 24

Help to prevent Necrotising enterocolitis in babies and it is only available in breast milk

Question 25

Mom creates antibodies when she is exposed to something and passes antibodies through breast milk.

Question 26

Babies should regain birth weight by 2 weeks

Answer 26

Babies should lose no more than 7% of weight and by day 5 no more weight should be lost

Question 27

Sleepy babies

Answer 27

Should be concerned for calorically deprived baby

Question 28

Babies should get

Answer 28

140 minutes of breastfeeding a day

Question 29

Don’t use uo as primary way to tell if infants are well hydrated

Question 30

Muconium

Answer 30

Sticky for first few days

Question 31

Breast fed baby stool is light orange brown

Answer 31

Seed in stool is normal for breastfed baby

Question 32

More stools per day

Answer 32

For breastfed babies

Question 33

Hypernatremia in infants due to inadequate milk consumption is a concern for new infants

Question 34

Admitted infants had far fewer feeds per day

Answer 34

Feed 10-12 times per day

Question 35

How much Kcal additional a day is needed for lactation vs before women are pregnant

Answer 35

500

Question 36

Rapid eye movement (feeding cue)

Answer 36

Good time to feed

Question 37

Feeding cues

Answer 37

Rapid eye movement (early cue) Smacking lips Sucking on blanket Suck on fists Baby crying and inconsolable (late feeding cue)

Question 38

Fists go from clenched to unclenched as baby becomes satiated

Question 39

Faster milk is expelled the more fat content

Question 40

Vaping and smoking

Answer 40

Not good, nicotine is transferred through breast milk

Question 41

Silicone is very porous

Answer 41

Avoid silicone for breast pumps because biofilms can develop which can only be removed by wiping or scrubbing

Question 42

For sleeping babies when placed a breast

Answer 42

Skin to skin is a great way to encourage the baby to feed. Breast massage can also be used. For premature babies Holding baby upright while breast feeding can help to keep baby awake

Question 43

Melatonin in breast milk

Answer 43

In later hours of day there is melatonin in breast milk, Babies don’t make their own melatonin for 2-3 months after birth.

Question 44

Watch out for lactation supplements gimmicks

Answer 44

Like lactation cookies, the research doesn’t support increasing milk supply

Question 45

Breast feeding one breast vs both breasts

Answer 45

Babies can feed on only 1 breast and get the same nutrients

Question 46

For bottle eversion where babies won’t drink from bottle

Answer 46

Have someone other than mom feed the baby, try different nipple tips for bottle.

Question 47

Pacifiers

Answer 47

Can be linked to increased ear infection. Pacifier use prevents SIDS according to AAP.

Question 48

Do not

Answer 48

Microwave breast milk or formula

Question 49

Breast milk in fridge

Answer 49

Good for 4 days

Question 50

Get mom comfortable first

Answer 50

Don’t start a feed until mom gets into a comfy position using pillows to prop her elbows and back for instance

Question 51

Who, American academy of pediatrics

Answer 51

Wait until about 6 months to introduce pureees

Question 52

Long feeds can be concerning

Answer 52

Efficient feeds can help moms get more rest, latch assessment and close monitoring for feeding cues.

Question 53

Afternoon milk

Answer 53

Higher in fat content good for nicu babies