Quiz 4: Feeding normal infants

Please choose the one, most correct answer to each question or statement.

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
2. When should you start promoting the benefits of breastfeeding?
   • At school
   • 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.
4. Which type of milk contains the most antibodies?
   • Colostrum
   • Foremilk
   • Hindmilk
   • Formula
5. 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
6. What should be given as the first feed to normal infants?
   • Sterile water
   • Breast milk
   • Formula
   • 5% dextrose water
7. 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
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.
   • 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
   • 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.
    • 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.
    • Bandage the breasts tightly.
12. 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.
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.
14. 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.
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.
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
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
    • 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
    • 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.
    • 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.