Section 1B

Question 1

T/F
Gastrin and Cholecystokinin promote glucose induced insulin release, and exert growth promoting effects in the gut.

Answer 1

TRUE

Question 2

True or false
A species own milk decreases somatostatin

Answer 2

TRUE

Question 3

T/F
Suckling is some thing that increases gastrin and decreases somatostatin.

Answer 3

True

Question 4

The AAP advises that weight loss in a newborn greater than BLANK percent from birthweight, is problematic and requires “intensive evaluation of breast-feeding and possible intervention to correct problems and improve milk, production and transfer”.

Answer 4

7%

This comes from AAP 2005

Question 5

By how many weeks at the latest should a baby have regained it’s birthweight?

Answer 5

2 weeks

Question 6

Babies lose more weight in the first postpartum days if there is a labor prior to a cesarean.

Answer 6

FALSE

Question 7

Cooper study involved infants:

Answer 7

Not discharged early
Nursing 3 to 4 or 4 to 6 hours
Scheduled both sides of breast feeding 5 to 10 minutes aside
These babies were sleepy

Question 8

The chart review babies in the Cooper study showed they were BLANK percent below birth
weight on average on readmission and showed clinical signs of dehydration and hypernatremia

Answer 8

23%

Question 9

True or false
A good indicator of intake is a baby stool.

Answer 9

True

Question 10

True or false
The stools of exclusively breast-fed babies are typically yellow mustardy color

Answer 10

True

Question 11

In the newborn time period, it’s expected that baby gain about BLANK Ounce per day or more in special circumstances

Answer 11

1 ounce

Question 12

The AAP recommendation for all breast-fed newborn infants is that they should be seen by a pediatrician at BLANK days of age

Answer 12

3-5 days

Question 13

In a study, looking at undernourished
mothers, while there weren’t differences in the growth of babies, when comparing a group of supplemented mothers versus under supplemented mothers, the duration of exclusive breast-feeding was higher in the supplemented moms group

Answer 13

True

Question 14

A sleepy baby is a well fed baby.

Answer 14

False

Question 15

A mother with a 36C cup bra size will make more milk than a mother with a 30 to a cup size

Answer 15

False

Question 16

True or false
Drinking more water or milk does not increase the milk supply of breast-feeding, mothers

Answer 16

TRUE

Question 17

Up to BLANK percent of postpartum women met the DSM-IV criteria for PP-PTSD after childbirth

Answer 17

9 percent

Question 18

What does Cholecystokinin hormone do?

Answer 18

Cycles the kidneys

Question 19

What does the gastrin hormone do?

Answer 19

Stimulate growth of the mom baby’s villi

Question 20

Cholecystokinin and gastrin are gastrointestinal hormones.

Answer 20

True

Question 21

True or false
Maternal plasma, prolactin concentration, generally decreases under conditions of negative energy balance .

Answer 21

False
It increases conditions of negative energy balance

Question 22

A staff member is fond of telling mothers how expensive it is to formula, feed, infants, and how inexpensive it is to breast-feed. What is she doing when she talks to mothers on this topic?
A. Prolonging breast-feeding
B promoting breast-feeding
C protecting breast-feeding
D supporting breast-feeding

Answer 22

A. Promoting breast-feeding

Question 23

Who currently collects the most comprehensive breast, feeding statistics in the United States?

Answer 23

The centers for disease control (CDC)

Question 24

Which of the following statements about prolactin is true?
A prolactin is a great laxative
B prolactin causes milk to be released
C prolactin causes milk to be made
D Prolactin is produced in the renal gland

Answer 24

C. Prolactin causes milk to be made.

Question 25

Which of the following mechanisms causes oxytocin to be released? A complete delivery of the placenta B elevated levels of gastrointestinal hormones C frequent feeding, and milk removal D nipple stretching with appropriate latch on

Answer 25

C. Frequent milk removal

Question 26

Lactogenesis three requires, which of the following to succeed? A frequent milk, removal in nipple stimulation B add a quick rest and alternating starting breast of each feed C adequate protein and carbohydrates for mother D adequate maternal hydration and lack of maternal stress

Answer 26

A. Frequent milk, removal nipple stimulation.

Question 27

One way that fat content of milk suckled by the baby is determined is: A the number of feedings in 24 hours B the speed/efficiency with which baby removes milk C the amount of fat in mothers diet D the amount of liquid Mother’s diet

Answer 27

B the speed/efficiency with which baby removes milk

Question 28

Which of the following is the MOST effective and increasing gastrin and CCK, and decreasing somatostatin in the baby? ? A Increasing stress/anxiety B crying before sleep C focusing on objects, 8 to 12 inches away D feeding with species specific milk

Answer 28

D. Feeding with species specific milk.

Question 29

According to the ASAP, regarding weight loss in the breast, feeding newborn:

Answer 29

Weight loss of more than 7% from birth weight indicates possible breast-feeding problems

Question 30

Which of the following happened when under nearest mothers were supplemented with extra energy in their diet? A Had babies that gained weight slightly better B produced more nutritious milk C had babies that gained weight significantly better D responded to their infants more appropriately

Answer 30

D Responded to their infants more appropriately

Question 31

Harmful bacteria have difficulty growing in the breast-fed infants, gut because the composition of breastmilk: A Raise the pH of the gut to basic level B provides too much iron for harmful bacteria to grow C fosters the growth of good bacteria, that crowd out other organisms D fosters the growth of the B12, in the large intestine

Answer 31

C Fosters the growth of good bacteria, that crowd out other organisms