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Test 4: Feeding normal infants

  1. Why is it important for infants to be fed breast milk?
    • Breast milk meets all the nutritional needs of a term infant.
    • Breast milk reduces the risk of gastroenteritis.
    • Breast milk is cheap.
    • All of the above correct
  2. When should you start promoting the benefits of breastfeeding?
    • At school correct
    • During the antenatal period
    • During labour
    • Immediately after delivery
  3. What advice should you give to a patient with small breasts?
    • She should not breastfeed.
    • She should give complementary feeds of formula.
    • She should express and cup feed.
    • She should breastfeed. correct
  4. Which type of milk contains the most antibodies?
    • Colostrum correct
    • Foremilk
    • Hindmilk
    • Formula
  5. When should the normal infant be put to the breast for the first time?
    • As soon after birth as possible correct
    • Not before 1 hour or the infant will vomit
    • Only after 3 hours when the infant has been bathed
    • After the mother has had a good sleep
  6. What should be given as the first feed to normal infants?
    • Sterile water
    • Breast milk correct
    • Formula
    • 5% dextrose water
  7. Which hospital policy should you encourage?
    • Making all mothers feed every 4 hours
    • Demand feeding correct
    • Rooming-in only for mothers in private wards
    • Moving all infants into the nursery at night so that the mothers can sleep well
  8. How can a mother stop one breast leaking while the infant feeds at the other breast?
    • Apply gentle pressure onto the nipple of the leaking breast. correct
    • Stop breastfeeding and feed with formula.
    • Massage the leaking breast.
    • Express both breasts before a feed.
  9. How can a mother improve her milk supply?
    • By feeding her infant frequently correct
    • By schedule feeding every 4 hours
    • By drinking a lot of milk
    • By drinking a lot of coffee
  10. Which of the following suggests that the infant is getting enough breast milk?
    • The infant falls asleep during the feed.
    • The infant gains weight well. correct
    • The mother’s breasts are still full at the end of the feed.
    • The infant has 4 wet nappies in 24 hours.
  11. How should you treat engorged breasts?
    • Stop breastfeeding.
    • Give the mother a diuretic.
    • Empty the breasts by frequent feeds or by expressing. correct
    • Bandage the breasts tightly.
  12. Which of the following signs suggest mastitis?
    • Both breasts feel full.
    • The affected breast feels hot and painful. correct
    • A fluctuant mass is present in one breast.
    • The milk from one breast is blood stained.
  13. What feeding advice would you give a mother with mastitis?
    • Stop breastfeeding and give formula feeds instead.
    • Stop feeding on the affected breast.
    • Express both breasts for 3 days then start breastfeeding again.
    • Continue breastfeeding on both breasts. correct
  14. How should a mother prevent painful nipples?
    • Make sure that the infant latches correctly. correct
    • Wash her nipples with soap and water twice a day.
    • Apply gentian violet to her nipples after each feed.
    • Apply surgical spirits to her nipples once a day.
  15. How should you treat cracked nipples?
    • Stop breastfeeding and give formula feeds.
    • Apply antibiotic cream to the nipples.
    • Give the mother daily penicillin injections for a week.
    • Allow some breast milk to dry on the nipples after each feed. correct
  16. When should complementary feeds of formula be given?
    • To all infants for the first 3 days to ensure good weight gain
    • To all infants when they reach 1 month
    • To all infants who cry a lot
    • To infants who fail to gain weight by 7 days despite good advice and support with breastfeeding correct
  17. How long can a mother safely keep expressed milk at home?
    • 24 hour at room temperature
    • 36 hours in a cool place
    • 48 hours in a refrigerator correct
    • Expressed milk cannot be safely kept
  18. A breastfeeding mother has been given ampicillin for 5 days to treat a urinary tract infection. What advice would you give her?
    • Not to take the ampicillin as it may cross into her milk
    • To take the ampicillin and continue breastfeeding correct
    • To stop breastfeeding for the 5 days that she is taking the ampicillin
    • To stop breastfeeding altogether and change to formula feeds
  19. How should a mother make up formula feeds?
    • Add 1 level scoop of powder to 25 ml water. correct
    • Add 1 teaspoon of powder to 25 ml water.
    • Add 1 tablespoon of powder to 50 ml water.
    • Add enough powder to make the water look like milk.
  20. What supplements should be given to a normal term infant that is being breastfed?
    • Supplements should not be given as they are dangerous.
    • Iron supplements only.
    • It is essential that all breastfed infants receive supplements.
    • Supplements may be of value when the infant does not receive enough sunshine or the mother is undernourished. correct