lactation PRE TEST.docx

PRE- TEST LACTATION MANAGEMENT EDUCATION TRAINING
MULTIPLE CHOICE Shade the Dot with your Answer – 1 point each Correct Answer.
1. Which does NOT belong to the group? Practices that assist and/or promotes breastfeeding.
o Weighing and immunization done immediately.
o Early skin-to skin contact.
o Rooming –In.
o Presence of doula in the labor room.
2. Which does NOT belong to the group? There are danger from the use of breastmilk substitutes.
These danger may include:
o Infant formula cannot be contaminated through manufacturing error.
o Infant formula may contain unsafe ingredients or may lack vital ingredients.
o Families may dilute the formula to make it last longer.
o Powdered breast – milk substitutes are not sterile and can pose further risks to infants.
3. Which does NOT belong to the group? When a mother has a sore nipples, the following are FALSE:
o Apply expressed breast milk to the nipples after a breastfeed to lubricate and soothe the nipple tissue.
o Begin each breastfeed on the least sore breast.
o Teach mother correct attachment.
o Limit the frequency or length of breastfeeding.
4. Which Does NOT Belong To The Group? Lactation Amenorrhea Method of Family Planning is –
o …98% effective in preventing conception following specific criteria.
o …done when mother is exclusively breastfeeding at daytime.
o …done when baby is less than 6 months old.
o …done when mother is not menstruating.
5. Which does NOT belong to the group? Breastmilk production—
o …begins even before baby is born, with colostrum.
o …involves prolactin and oxytocin after delivery.
o …usually takes 3-4 days before large volume is produced.
o …is not under the control of maternal hormones during a pregnancy.
6. Which does NOT belong to the group? In building the confidence of mothers :
o Accept what the mother thinks and feels if it is correct.
o Recognize and acknowledge what she is doing right.
o Offer practical help.
o Give only relevant information.
7. Which does NOT belong to the group? Mother is in best position for breastfeeding if :
o Her legs are not hanging loose or uncomfortable.
o She uses scissors- hold to support her breast.
o She is comfortable, with back supported.
o Her feet are supported.

8. Which does NOT belong to the group? Facts about Executive Order 51:
o It prohibits the use of health facilities in promoting breastfeeding substitutes.
o It prohibits use of infant formula.
o It regulates marketing and advertisements of breastmilk substitutes.
o It also known as the Milk Code of the Philippines.
9. Which does NOT belong to the group? Help establish breastfeeding :
o Use artificial teats to develop sucking reflex.
o Assist mothers to express breastmilk starting within 6 months after birth
o Allow baby to go to the breast while receiving tube feed.
o Encourage babies to stay at the breast for longer periods.
10. Which does NOT belong to the group? It is useful to express your milk if :
o … your breasts are always overfull.
o … you need additional hind milk for supplements.
o … you are away from your baby.
o …your baby is sucking well at the breast.
11. Which does NOT belong to the group? Cause of low milk production.
o This is inherent in some women.
o Infrequent feeds.
o Poor attachment.
o Mother lacks confidence.
12. Which does NOT belong to the group? Signs that a baby is suckling effectively :
o The baby finishes the feed and releases the breast by himself or herself and looks contented.
o The baby’s cheeks are full and not drawn inward during a feed.
o The baby takes slow, deep sucks, sometimes pausing for a short time.
o You can see or hear the baby swallowing.
13. Which does NOT belong to the group? The advantage of providing support for a women in labor :
o Lessens chances of breastfeeding.
o Reduces stress.
o Speeds up labor and birth.
o Reduces perception of pain.
14. Which does NOT belong to the group? A baby delivered by a Caesarean Section—
o …has equal chances of being breastfeed.
o …may be sedated from maternal medications.
o …Is likely not to experience early skin-to-skin contact.
o …is less likely to have early contact.
15. Which does NOT belong to the group? A pregnant women needs to understand that :
o Breastfeeding is not important after complementary foods have been introduced.
o Breastfeeding lowers a women’s risk of getting breast or ovarian cancer.
o Breastfeeding is important to her baby and herself.
o Exclusive breastfeeding for 6 months is recommended.

True or False Shade the Dot with your Answer – 1 point each Correct Answer.
Choose True or False to describe each guidance in implementing the Ten Steps to Successful Breastfeeding to support
Mothers and Hospital.
16. It is supportive to keep the baby with their mother and let them breastfeed when they show that they are ready
.Help the mother to recognize feeding cues that show the baby is ready to breastfeed.
o True
o False
17. If you are suspicious of COVID-19 infection in the post-partum mother, it is Important to separate the
breastfeeding newborn from her until swab test comes out negative, post- quarantine period. The
Newborn must rely on expressed donor breast milk from non-infected women.
o True
o False
18. Some women have a large Areola, and you see a lot even if the baby is well attached. Some have a small Areola,
and you see very little even if the baby is poorly attached. This is why seeing a lot or a little of the Areola is a
reliable sign of good or poor attachment. It is more reliable to compare how much areola you see above and
below a baby’s mouth (if any is visible).
o True
o False
19. Expressed breast milk that has been defrosted and not consumed may be refrigerated again, for later use, to
avoid wastage.
o True
o False
20. Pregnancy is a key time to discuss with women about the importance and management of breastfeeding. Remind
them that is their choice, so you will not be critical if they choose to not breastfeed. Talk to all pregnant women
about how they will feed their babies.
o True
o False
21. An abscess is when a collection of pus forms in a part of the breast. The breast develops a painful, swelling,
which feels full of fluid. An abscess needs surgical incision and drainage. If possible, when the situation does
not involve HIV transmission, let the baby continue to feed from the breast. There is no danger to the baby.
o True
o False
22. A women should stop breastfeeding when she has cough and colds.
o True
o False
23. Babies tend to need water when under 6 months old, especially when there is a medical reason.
o True
o False

24. The health worker must decide that the baby is not getting enough milk. This does not mean that the mother is
unable to produce enough milk, but that the baby is not getting, enough perhaps because, for example, they are
not suckling enough or are poorly attached.
o True
o False
25. A “rooting reflex” is when something touches a baby’s lips or cheek, they turn their head towards it. The baby
then opens their mouth, especially if the upper lip is touched. It is normally the nipple or breast that the baby is
“rooting” for.
o True
o False
26. In a facility, BFHI or the Ten Steps to Successful Breastfeeding may be the responsibility of a certain
department or quality committees must only include leaders and professionals in primary health care of mothers,
infants and children. Health workers themselves can actively participate in these committes and help with
quality improvement. They can have an important influence on upgrading the quality of care, and improving the
implementation of Ten Steps to successful Breastfeeding.
o True
o False
27. It is no longer considered necessary to separate mothers with tuberculosis (TB) or leprosy from their infants. If
necessary, treat both mother and baby together.
o True
o False
28. In a women who is HIV- Infected, mastitis or nipple fissure (especially if bleeding or discharging oozing) may
increase the risk of HIV transmission. Therefore , the recommended to increase the frequency and duration of
feeds in mastitis is not appropriate.
o True
o False
29. Staff members should provide information to new mothers on where they can access breastfeeding support in
their communities.
o True
o False
30. When introducing supplementary feeding to a newborn in the facility, reasons for supplementation are
documented.
o True
o False

Ten Steps to successful Breastfeeding (2018,WHO) Shade the Dot with your Answer – 2 points each Correct Answer.
The question provides guidance in complying with a specific step under the Ten Steps to Successful Breastfeeding
(2018, WHO).Please choose the appropriate step that matches the guidance.
1. Mothers are taught how to recognize and respond to the feeding cues of their baby, and the signs that they
are satisfied.
o STEP 1. Hospital policy and practices must ensure compliance to the code of Marketing of Breastmilk
Substitutes, an infant feeding policy that is routinely communicated to staff and parents, and establish
ongoing monitoring and data- management systems.
o STEP 2. Ensure that staff have sufficient knowledge, competence and skills to support breastfeeding.
o STEP 3. Discuss the importance and management of breastfeeding with pregnant women and their
families.
o STEP 4. Facilitates immediate and uninterrupted skin-to-skin contact and support mothers to initiate
breastfeeding as soon as possible after birth.
o STEP 5. Enable mothers and their infants to remain together and to practice rooming – in 24 hours a day.
o STEP 6. Support mothers to initiates and maintain breastfeeding and management common difficulties.
o STEP 7. Do not provide breastfed newborns any food or fluids other than breast milk, unless medically
indicated.
o STEP 8. Support mothers to recognize and respond to their infants cues for feeding.
o STEP 9. Counsel mothers on the use and risks of feeding bottles, teats and pacifiers.
o STEP 10. Coordinate discharges so that parents and their infants have timely access to ongoing support
and care.
2. All health worker receive a competency assessment at least every 2 years.
families.
indicated.
and care.
3. Let mothers and babies stay together day and night.
families.
indicated.
and care.

4. Mothers are counselled on the use and risks of feeding bottles, teats and pacifiers.
families.
indicated.
and care.
5. All mother of term infants are placed in skin-to-skin contact with them immediately or within five minutes
after birth. This contact is NOT interrupted for at least 60 minutes.
families.
indicated.
and care.
6. Show mother how to breastfeed, and how to maintain lactation even if they should be separated from their
infants.
families.
indicated.
and care.

7. All pregnant women receive prenatal counseling.
families.
indicated.
and care.
8. Supplementary feeding is only given (1) if medically indicated and (2) if mothers have made a “fully
informed choice” after counselling on various option and the risk and benefits of each.
families.
indicated.
and care.
9. The policy prohibits promoting or giving samples of breast-milk substitutes, feeding bottles or teats to
mothers.
families.
indicated.
and care.

10. Mothers are linked to breastfeeding- support resources in the community upon discharge. These include at
least one source (such as from the hospital, community health services,support groups or peer counsellors).
families.
indicated.
o STEP 10. Coordinate discharge so that parents and their infants have timely access to ongoing support
and care.

lactation PRE TEST.docx

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Similar to lactation PRE TEST.docx

Similar to lactation PRE TEST.docx (20)

Recently uploaded

Recently uploaded (20)

lactation PRE TEST.docx