31.The purpose of a human milk bank is to:
a.provide a place to donate milk for women whose supply exceeds the demands of their infants.
b.provide human milk to infants who cannot be breastfed by their mothers.
c.allow women to “keep their figure” by using a pump instead of allowing the child to nurse.
d.All of the above
e.a and b only
32.The scarcity of human milk banks in North America results from all of the following EXCEPT:
a.the availability of wet nurses.
b.a resurgence of tuberculosis.
c.HIV.
d.risks related to donors who might use drugs.
33.Milk banks store donated milk in plastic containers because it _____.
a.expedites shipping
b.is less costly than glass
c.keeps white blood cells found in breast milk intact
d.is easier to express milk into plastic containers
34.The energy content of breast milk in women who deliver pre-term infants is _____.
a.30-37 kcal/100 mL
b.40-48 kcal/100 mL
c.58-70 kcal/100 mL
d.72-120 kcal/100 mL
35.Once growth is established in preterm infants, the infants’ nutritional needs exceed the content of human milk for which of the following nutrients?
a.Phosphorus
b.Calcium
c.Vitamin D
d.Vitamin C
e.All of the above
36.A new mother goes to the mall shopping with her friends. She is gone longer than planned and is not able to nurse her baby until she returns 6 hours later. What is the most likely problem she will have?
a.A breast infection
b.Engorgement
c.Plugged ducts
d.Sore nipples
e.Mastitis
37.What advice would be helpful for a first-time mom who would like to know how to prevent a decrease in milk production?
a.Relax and avoid stress.
b.Breastfeed or pump frequently.
c.Completely empty your breasts at each feeding, either by nursing or pumping.
d.All of the above
e.a and c only
38.A lactation consultant is observing a new mom breastfeeding and notices that the baby is making smacking and clicking sounds as she sucks. This tells her that:
a.the baby is eating well and has a strong suckle.
b.the baby has a cleft palate and should be closely followed.
c.the baby is not latched on correctly and this may increase the risk of sore nipples.
d.this is just a noisy baby.
e.Noise is not an indicator of anything.
39.Large doses of St. John’s wort decrease prolactin levels in women. This could potentially:
a.reduce oxytocin levels.
b.cause breast milk to taste like maple syrup.
c.cause a woman to become constipated.
d.reduce breast milk supply.
e.cause depression in some women.
40.Your best friend had a baby 3 months ago and is anxious to go “out on the town” with her friends. She is still breastfeeding, but would like to be able to have some drinks. What advice would you give her?
a.It is okay to drink while nursing because it actually helps babies sleep.
b.It is okay to drink while nursing because it increases breast milk production.
c.Pump your milk immediately after drinking and it will be eliminated from your body.
d.Pump milk before going out and use that until the alcohol has been cleared from your system.
e.Drink only beer because babies tolerate it.
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