Chapter 7: End of Chapter Review Questions

List three reasons a breastfeeding mother may develop mastitis.

Development after cracked or sore nipples, missing a feeding or mom sleeping through the night, restrictive clothing or a tight bra.

T/F: The main obstacle to nursing multiples is milk supply.

False

List at least three major risk factors for developing severe hyperbilirubinemia.

Jaundice observed in the first 24 hours of life, blood group incompatibility or haemolytic disease, gestational age 35-36 weeks, previous siblings received phototherapy, significant bruising, exclusive breastfeeding when not going well and/or excessive weight loss, east Asian race

List three common causes of persistent nipple pain.

Trauma from poor positioning, poor latch, improper release of suction after a feeding, infection, thrush, incorrect flange size during pumping or too much pressure while pumping and disorganized or dysfunctional suck.

T/F: Before a mother uses galactogogues to improve supply, she should be pumping with a hospital-grade electric pump every 2-3 hours during the day and once at night or she should be pumping after each feeding.

True

T/F: Smoking can lower milk production and decrease fat content.

True

T/F: The alcohol levels in breast milk matches maternal plasma levels.

True

Preterm infants have higher readmission rates because of: a. Hypoglycemia b. Suck-swallow coordination c. Hypothermia d. All of the above

d. All of the above

Signs of a hyperactive letdown are: a. Milk streams quickly b. Infant may be overwhelmed by the volume c. Infant may choke, cough, or gulp d. All of the above

d. All of the above

Marijuana is expressed into breast milk at what ratio compared to maternal plasma levels? a. Twofold b. Fourfold c. Sixfold d. Eightfold

d. Eightfold