breast feeding quiz objective questions

Breastfeeding provides optimal nutrition for infants and benefits both mother and baby. It involves the feeding of an infant with breast milk from the female breast. Breast milk is produced when suckling stimulates the release of prolactin and oxytocin, which causes milk production and ejection from the alveoli into ducts. Breast milk contains proteins, fats, carbohydrates, vitamins, and minerals essential for infant growth and development as well as protection from disease. Proper positioning and latch are important to establish successful breastfeeding and adequate milk production.
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BREAST FEEDING

DEFINITION OF BREASTFEEDING

Breastfeeding is the feeding of an infant or
young child with breast milk directly from
female human breasts (i.e., via lactation) not
from a baby bottle or other container.

ANATOMY AND PHYSIOLOGY OF BREAST


fat Lacteferous
lobules ducts
chest wall/
rib cage dilated
section
of duct to
hold milk

pectoralis major nipple
muscle

normal duct cells

Nipple:18-20 basement
duct Enlargement: membrane
lumen


Breastfeeding
CON’T…
• Nipple and aerola enlarge and darken during
pregnancy.
• Small bump on aerola called Montgomery
gland.
montgomery gland:
• To soften the nipple
(prepare the nipple for
breastfeed)

The milk ejection reflex
The Prolactin Reflex

1. (Long arrow) Nerve impulses from sucking go to brain
2. (Short arrow) The pituitary gland releases prolactin into the
blood
3. (Breast) This causes the alveolar cells to secrete milk and
swells the alveoli




The Milk Ejection Reflex
1. (Long arrow) Nerve impulses from sucking go to the brain
2. (Short arow) The pituitary gland releases oxytocin into the
bloodstream
3. (Breast) This causes muscles around the alveoli in the
breast to squeez milk to the nipple

HOW BREAST MILK IS PRODUCED
• The let-down reflex
• How body responds to baby’s suckling:
Infant suckling stimulates the nerve endings in the nipple
and areola, which signal the pituitary gland in the brain to
release two hormones, prolactin and oxytocin.
How Breast Responds to Baby’s Suckling:
• Prolactin causes alveoli to take nutrients (proteins,
sugars) from blood supply and turn them into breast milk.
• Oxytocin causes the cells around the alveoli to contract
and eject milk down the milk ducts. This passing of the
milk down the ducts is called the “let-down” (milk
ejection) reflex

1. BREAST FEEDING WEEK

Quiz competiton

2. QNO 1 When exclusively breastfeeding
Mother should start giving food along with
breastmilk?

A) 4 months
B)4-6 months
C)6 months
D) 9-12 months

3. Q no 2 What kind of hygienically
prepared fresh home-made food should
be given to the baby?
A)juiceRice-DalWaterSoup

B) Mashed family food

4. Q no 3. A mother has sufficient breastmilk
supply. She wants to give her child 1-2
cups of animal milk per day over & above
the food she is giving. Appropriate time to
do so will be after the baby is
A) 6 Months of age

B) 1 Year of age

C) 2 Years of age

5. Q no 4 How to recognize that mother’s
milk is sufficient for the baby after 15
days?
A) Urine output & weight

B) Stools

C)Crying

D) By looking at abdomen

6. Q no 5 An exclusively breastfed baby may
pass stools very frequently or once in 7-8
days
A)Yes

B) No

7. Q no 6 If a baby cries excessively, it
means that mother’s milk is inadequate
for the baby
A) Yes

B) No

8. Q no 7 How much part of the breast
should be in baby’s mouth while
breastfeeding?
A) Only nipple

B) nipple & small part of areola

C) nipple & maximum part of areola

D) any part

9. Q no 8 Which option should be chosen by
HIV-positive mother in India for feeding
her baby?
A) Exclusive (only) breastfeeding

B) Exclusive formula milk

C) Mixed Feeding (Breastmilk & Formula
both)

10. Q no 9 What is the duration of normal
breastfeeding?
A) 10 –45 Min

B) 5 – 10 min

C) 45 – 60 min

11. Q no 10 Once the breastfeeding is
established (after 15 days), Baby should
be breastfed every
A) 1 Hr.

B) 2 Hrs.

C) 3 Hrs.

D) According to the timetable

12. Q no 11 Where should the baby be kept
in a Maternity Home?
A) Baby room/another room

B) With the mother (Same attached Bed)

C) in a cradle next to the mother

13. Q no 12 Breastmilk in the first 2-3 days
after delivery (colostrum) is inadequate in
quantity. Hence during this period it is
necessary to feed outside milk (cow
buffalo tinned)
A) Yes

B) No

14. Q no 13 After a normal delivery,
breastfeeding should be initiated within:
A) 1 Hr.

B) 2 Hrs.

C) 12 Hrs.

D)24 Hrs.

E) 48 Hrs

15. Q no 14 After delivery, when should
mother start using family planning
options?
A) One & half months after delivery

B)after first menses

C)Soon after delivery

D) a & c

16. Q no 15 Feeding baby Balkadu/Gripe
water/ Tonics for teething /Somawa
chautrisi/ Kumari Asav etc is
A) Unnecessary & dangerous

B) Traditional & hence must be given

C) Unnecessary

D) Dangerous

17. Q no 16 Breastfed children are less likely
to have:
A. Diarrhea
B. Ear infections
C. Pneumonia
D. All of the above

18. Q no 17. Besides protecting your child
against disease, what is another
advantage of breastfeeding?
A. Breastmilk is easier to digest than
formula
B. Breastmilk doesn't need to be prepared
C. Breastmilk is free and readily available
D. All of the above

19. Q no 18. How does breastfeeding help
the birth parent?
A. Breastfeeding helps you get back to
your normal weight
B. Breastfeeding reduces your risk for
ovarian cancer
C. Breastfeeding increases bone strength
D. A and B

20. Q no 19. Although breastfeeding is
natural, you may need help at first. Who
can help you learn what to do?
A. A lactation consultant at the hospital
where you deliver your child
B. Your pediatrician
C. A breastfeeding counselor
D. All of the above

21. Q no 20. Which is the most important
hormone your body uses to make
breastmilk?
A. Estrogen
B. Prolactin
C. Progesterone
D. Insulin

22. Q no 21. The milk made by the body in
the first days after birth has a certain
name. What is it?
A. Lactose
B. Acidophilus
C. Colostrum
D. None of the above

23. Q no 22 How often does a breastfed baby
eat?
A. 3 times a day
B. 6 times a day
C. 8 to 12 times a day
D. 20 times a day

24. Q no 23. How can you tell if your baby is
getting enough milk when breastfeeding?
A. Your baby has at least 6 wet diapers a
day
B. Your baby has several bowel
movements each day
C. Your baby steadily gains weight
D. All of the above

25. Q no 24. How many extra calories a day
should you eat when breastfeeding?
A. 100
B. 200
C. 500
D. 1,000

26. Q no 25. Which of these medicines should
you no use while breastfeeding?
A. Birth control pills
B. Cold remedies
C. Pain relievers
D. All of the above if you haven't checked
with your healthcare provider

27. Q no 26. Breastfeeding is not
recommended for birth parents who have:
A. Hepatitis C
B. Tuberculosis that has been treated
C. Diabetes
D. HIV

28. Q no 27 . Which of the following is a
common myth about breastfeeding?
* A) Breastfeeding always hurts
* B) Breastfeeding promotes bonding
between mother and baby
* C) Breastfeeding reduces the risk of
certain cancers
* D) Breastfeeding helps the uterus
contract postpartum

29. Q no 28. What is one of the primary
differences between foremilk and
hindmilk?
* A Foremilk is richer in fat
* B) Hindmilk is higher in lactose
* C) Hindmilk is richer in fat
* D) Foremilk is produced only at night

30. Q no 29. Which of the following
techniques can help ensure a proper
latch?
* A) Tickle the baby's lips with the nipple
* B) Insert the nipple into the baby's
mouth while it is closed
* C) Use a pacifier immediately before
breastfeeding
* D) Pull the baby away if it doesn't latch
immediately

31. Q no 30. When should a breastfeeding
mother consider introducing a pacifier to
her baby?
* A) Within the first week
* B) After breastfeeding is well established
(usually after 3-4 weeks)
* C) Immediately after birth
* D) Only after the baby starts solids

32. Q no 31. What is the recommended
position for a breastfeeding baby to
prevent ear infections?
* A) Lying flat on their back
* B) Sitting upright
* C) Lying on their side
* D) Head slightly elevated

33. Q no 32 Which breastfeeding position is
often recommended for mothers with
large breasts?
* A) Cradle hold
* B) Football hold
* C) Cross-cradle hold
* D) Side-lying position

34. Q no 33. Which component of breast milk
is particularly important for brain
development in infants?
* A) Protein
* B) DHA (Docosahexaenoic acid)
* C) Lactose
* D) Calcium

35. Q no 34. What is the main function of the
hormone oxytocin in breastfeeding?
* A) Stimulating milk production
* B) Stimulating milk ejection (let-down)
* C) Increasing milk storage capacity
* D) Enhancing milk flavor

36. Q no 35. When should a breastfeeding
mother consider introducing a pacifier to
her baby?
* A) Within the first week
* B) After breastfeeding is well established
(usually after 3-4 weeks)
* C) Immediately after birth
* D) Only after the baby starts solids

37. Q no 36 Which of the following
techniques can help ensure a proper
latch?
* A) Tickle the baby's lips with the nipple
* B) Insert the nipple into the baby's
mouth while it is closed
* C) Use a pacifier immediately before
breastfeeding
* D) Pull the baby away if it doesn't latch
immediately

38. Q no 37 What is a galactagogue?
* A) A type of breastfeeding position
* B) A food or drug that promotes milk
production
* C A device to measure milk intake
* D) A type of nipple shield

39. Q no 38 . What should a mother do if she
needs to return to work and continue
breastfeeding?
* A) Wean the baby immediately
* B) Switch to formula entirely
* C Pump and store breast milk
* D) Only breastfeed when at home

40. Q no 39 . What is the recommended
position for a breastfeeding baby to
prevent ear infections?
* A) Lying flat on their back
* B) Sitting upright
* C) Lying on their side
* D) Head slightly elevated

41. Q no 40 Which of the following is a
potential benefit of breastfeeding for the
environment?
* A) Reduced carbon footprint
* B) Increased use of disposable products
* C) Higher energy consumption
* D) Greater reliance on industrial
production

42. Q no 41. Which breastfeeding technique
can help prevent sore nipples?
* A) Changing the breastfeeding position
frequently
* B) Feeding for shorter durations
* C) Applying lotion to the nipples
* D) Using a pacifier frequently

43. Q no 42. What is cluster feeding?
* A) Feeding the baby solid foods and
breast milk together
* B) Feeding the baby frequently over a
short period of time
* C) Feeding the baby less frequently but
for longer periods
* D) Feeding multiple babies at once

44. Q no 43. Which of the following is a
common reason for a baby to refuse
breastfeeding?
* A) Teething
* B) Hunger
* C) Being well-rested
* D Comfortable environment

45. Q no 44. What should a mother do if she
notices a decrease in her milk supply?
* A) Stop breastfeeding immediately
* B) Increase the frequency of
breastfeeding or pumping
* C) Introduce formula feeding
* D) Decrease her fluid intake

46. Q no 45. What is the primary
carbohydrate found in breast milk?
* A) Sucrose
* B) Lactose
* C) Fructose
* D) Maltose

47. Q no 46. Which of the following is a sign
that a baby is hungry?
* A) Smiling
* B) Crying
* C) Sucking on fists
* D) Sleeping

48. Q no 47. What is mastitis?
* A) A common breastfeeding position
* B) An infection of the breast tissue
* C) A technique for increasing milk supply
* D A type of nipple cream

49. Q no 48. Which nutrient is breast milk
naturally high in, helping to support the
infant's immune system?
* A) Vitamin A
* B) Iron
* C) Antibodies
* D) Fiber

50. Q no 49. Which of the following can help
prevent breast engorgement?
* A) Feeding the baby on a strict schedule
* B) Frequent breastfeeding
* C) Limiting the duration of feedings
* D Avoiding nighttime feedings

51. Q no 50. Which of the following is a
common reason for nipple pain during
breastfeeding?
* A) Proper latch
* B) Short feedings
* C) Incorrect positioning
* D) Frequent breastfeeding

52. Q no 51. Which hormone is responsible
for the let-down reflex?
* A) Estrogen
* B) Progesterone
* C) Oxytocin
* D) Prolactin

53. Q no 52. What should a breastfeeding
mother do if her baby has thrush?
* A) Stop breastfeeding immediately
* B) Consult a healthcare provider for
treatment
* C) Use formula temporarily
* D) Avoid cleaning the nipples

54. Q no 53. Which of the following foods
should be consumed in moderation by a
breastfeeding mother due to its potential
effect on the baby?
* A) Leafy greens
* B) Caffeine
* C) Whole grains
* D) Fruits