Brianna wants to start her aerobics classes. Does research suggest that exercise will affect her milk supply?
Brianna experienced severe engorgement on day three after the birth. Which of the following are recommendations to manage engorgement? (click all that apply)
a. Express (or pump) milk frequently
b. Take warm showers
c. Use cold compresses between feedings
d. Take medication for pain
Which of the following are likely to be effective in the management of Brianna’s sore nipples? (click all that apply)
a. Letting the breasts air dry after nursing
b. Rubbing expressed milk on the nipples
c. Putting a petroleum based ointment on the nipples
d. Limiting the baby’s time on each breast
e. Using warm compresses on sore nipples
f. Using high suction setting on the breast pump
Painful, cracked nipples seem to be an on-going problem for Brianna. Which of the following statements are true regarding sore nipples? (click all that apply)
Severe, persistent nipple pain should be considered normal during the first 6 weeks postpartum.
One-third of women who experience nipple pain and trauma stop breastfeeding within the first 6-8 weeks postpartum.
The best prevention of nipple pain/soreness is effective positioning of the baby on the breast.
The farther back in the baby’s mouth that the nipple is positioned, the less likely nipple damage is to occur
Brianna is diagnosed with mastitis. Which of the following symptoms did she probably notice? (click all that apply)
b. Hot, swollen area in breast
c. Very painful, tender lump
d. Flu-like symptoms
Brianna asks about fenugreek to help stimulate her milk production. Which of the following statements are true regarding fenugreek? (click all that apply)
a. It is the most commonly used herbal galactogogue.
b. One of the side effects is that is it can make the mother’s urine, sweat, and milk smell like maple syrup.
c. It can make the baby’s urine smell like maple syrup.
d. It has never caused allergic reactions in mothers or infants.
Brianna and Kevin are ready to start getting out with the babies. They wonder if feeding the babies in the food court of the shopping mall is acceptable or will they be told to leave. She wonders if people will be offended. What advice should she be given? (click all that apply)
a. It is generally against the rules to breastfeed your baby in restaurants or other public places.
b. It will offend people; pump milk ahead of time and give both babies a bottle while you are out in public.
c. You can feed your baby anywhere you are legally allowed to be; if people are offended, they are the ones with the problem.
d. By breastfeeding in public, you are providing a positive role model and helping to establish breastfeeding as a social norm.
If Brianna’s employer supports her breastfeeding efforts, research has shown they will reap the following benefits. (click all that apply)
a. breastfeeding women miss less work because of infant illnesses
b. other employees will be happy to give breastfeeding women extra breaks to pump milk
c. business will develop a family-friendly image
d. business will experience loyalty and increased morale
e. business will experience better retention of employees after childbirth
Brianna’s prepregnancy BMI classification was:
b. Healthy weight
Brianna’s gestational weight gain was:
a. Lower than recommended for her BMI
b. Within the recommended range for her BMI
c. Higher than recommended for her BMI
When Brianna starts dieting to get back to her prepregnancy weight, according to the latest research, how low can her calorie intake go without affecting her milk production?
a. 1000 calories
b. 1200 calories
c. 1500 calories
d. 1800 calories
How fast can Brianna lose the weight without affecting her milk production?
a. ½ lb per month
b. 1 lb per month
c. 1 lb per week
d. 2 lb per week
Brianna was frustrated when the babies were sleeping 2-3 hours at a time. She felt that all she was doing was nursing. She was afraid they were waking up because they were not getting enough milk at each feeding. What did the lactation consultant say?
a. Your concerns are justified; they should only be eating every 4 hours.
b. A breastfed newborn normally eats up to 12 times per day.
c. You need to make the babies wait at least 4 hours between feedings.
d. You should substitute formula for some of the feedings so you can get some rest.
What is (are) the possible indicator(s) that the babies getting adequate nourishment?
a. Adequate weight gain
b. Plenty of wet and dirty diapers
c. Stools of correct consistency
d. All of the above
To prevent engorgement:
a. Take pain medication
b. Take lecithin
c. Feed the baby or pump milk frequently
d. Take cold showers
If Brianna’s mastitis is not resolved she may develop a:
a. Plugged duct
b. Breast abscess
c. Severe engorgement
d. Let-down failure
In addition to antibiotics, Brianna should treat her mastitis with pain medication, frequent pumping of the breasts, and continue to feed the babies if she can tolerate the pain.
Brianna asks the lactation consultant about drinking alcohol while she is breastfeeding. Which of the following would be a reasonable response?
a. Totally abstain from alcohol until the baby is weaned.
b. 2-3 drinks a day should be ok; just make sure there is a sober adult in the house in case of emergency.
c. Having a drink a few nights a week should be fine once the babies are sleeping all night; by the time you feed them in the morning, the alcohol will be out of your system.
d. Wine is okay, but not beer or distilled spirits.