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Test 4: Feeding normal infants
- 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
- When should you start promoting the benefits of breastfeeding?
- At school
- During the antenatal period
- During labour
- Immediately after delivery
- 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.
- Which type of milk contains the most antibodies?
- When should the normal infant be put to the breast for the first time?
- As soon after birth as possible
- 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
- What should be given as the first feed to normal infants?
- Sterile water
- Breast milk
- 5% dextrose water
- Which hospital policy should you encourage?
- Making all mothers feed every 4 hours
- Demand feeding
- Rooming-in only for mothers in private wards
- Moving all infants into the nursery at night so that the mothers can sleep well
- 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.
- Stop breastfeeding and feed with formula.
- Massage the leaking breast.
- Express both breasts before a feed.
- How can a mother improve her milk supply?
- By feeding her infant frequently
- By schedule feeding every 4 hours
- By drinking a lot of milk
- By drinking a lot of coffee
- 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.
- The mother’s breasts are still full at the end of the feed.
- The infant has 4 wet nappies in 24 hours.
- How should you treat engorged breasts?
- Stop breastfeeding.
- Give the mother a diuretic.
- Empty the breasts by frequent feeds or by expressing.
- Bandage the breasts tightly.
- Which of the following signs suggest mastitis?
- Both breasts feel full.
- The affected breast feels hot and painful.
- A fluctuant mass is present in one breast.
- The milk from one breast is blood stained.
- 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.
- How should a mother prevent painful nipples?
- Make sure that the infant latches correctly.
- 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.
- 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.
- 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
- 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
- Expressed milk cannot be safely kept
- 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
- To stop breastfeeding for the 5 days that she is taking the ampicillin
- To stop breastfeeding altogether and change to formula feeds
- How should a mother make up formula feeds?
- Add 1 level scoop of powder to 25 ml water.
- 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.
- 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.