WorksheetsMaternity - Perry chapters 27 & 29
Total questions: 18
Worksheet time: 18mins
What are some benefits for the infant specifically if the baby is breastfed?
Reduced infant and child mortality
Less likely to experience SIDS
Delayed return of menses
Decreased postpartum bleeding
Less expensive than infant formula
While assisting the new mother with breastfeeding, you are using the LATCH assessment tool. Which of the following components are included in this assessment?
Comfort level with breastfeeding
Perceived infant satiety post-feed
Audible number of swallows
Type of nipple
Level of commitment to breastfeeding
Your postpartum patient says "I feel guilty that I can't breastfeed, but my anti-epileptics are a contraindication." What is a supportive response?
"Breastfeeding is the best option for your infant. Let's talk about ways to make this happen"
"It sounds like this is hard for you. You are not alone in this feeling. Let's talk about the many safe and healthy alternatives".
"I will set up an appointment with the lactation consultant for you"
"There's no reason to feel guilty; you are still making sure your baby is fed"
What is appropriate teaching for parents who are formula feeding their newborn?
"A fast flow nipple should be used while the newborn is learning to coordinate sucking, swallowing, and breathing"
"Sit comfortable with the baby in a supine position"
"Look for signs of satiation, such as stopping sucking, to avoid overfeeding"
"Feeding should not stop for burping until there are signs of satiation or the bottle is finished"
Which of the following are contraindications to breastfeeding?
Mother is HIV positive with undetectable viral load
Maternal infection with Hepatitis A or C
Maternal cancer therapy
Maternal substance use
In which stage of lactogenesis do the breasts develop the capacity to secrete breast milk?
Stage 1 - secretory differentiation
Stage 2 - secretory activation
Stage 3 - galactopoiesis
Stage 4 - involution
What supplementations do breastfed babies need in Ontario?
No supplements; breastfeeding provides all required nutrients
Vitamin K injections at birth, 6 months, and 1 year of age
Vitamin A and B complex
Vitamin D
In an assessment of a breastfeeding patient with mastitis, you may notice the following signs and symptoms:
Fever
Gradual onset of symptoms
Bilateral lumps
Pain in breasts
Your 2 week postpartum patient tells you that breastfeeding is painful and feels like "pinching". What is an appropriate response?
"It is normal for breastfeeding to be painful"
"I will support your transition to formula feeding"
"Let's look at how the baby is latching and is positioned"
"Pain means that there is a strong latch and your baby is being well nourished"
The newborn is born at 3486g. When she is discharged 72 hours later, she is 3200g. Her parents are concerned. What is appropriate health teaching?
"Up to 10% of birth weight may be lost, which is mostly water weight from the uterus and passage of meconium."
"Breastfed babies do not gain as much weight as formula fed babies"
"This may be due to limitations in your milk supply, and we will refer you to a lactation consultant"
"This can be due to a congenital illness such as cystic fibrosis or a congenital heart defect"
The 48 hour post-partum mother says she plans to stick to a strict feeding schedule with her newborn. How can you best respond?
"A strict feeding schedule is important to ensure newborns have a proper balance of sleep and nutrition"
"A strict feeding schedule will help reduce your baby's crying due to hunger"
"I encourage you to watch the baby for feeding cues instead"
"Use a pacifier or other distraction techniques when the baby cries in between feeds"
A breastfeeding mother asks about her own nutrition. Appropriate health teaching includes:
"Eating an extra healthy snack or two each day will be enough to meet your additional calorie requirements"
"You are eating for two, so your calorie intake should be approximately doubled"
"Breastfeeding will use energy and therefore is an effective weight loss tool"
"You should avoid common food allergens such as peanuts, eggs, and strawberries while breastfeeding"
A parent wishes to begin complementary feeding of baby cereal when their infant is 4 months old to help her sleep through the night, and asks for your opinion. What is a good response?
"Cereal in addition to milk or formula can reduce night fussiness"
"Adding cereal to the bottle is the best way to safely introduce solid foods"
"Introduction of solid foods before the infant is 6 months can result in decreased intake of breast milk or formula"
"It is recommended that cow's milk be introduced prior to solid food"
Which of the following are true regarding mother-fetus Rh incompatibility?
They can be prevented with a maternal injection of Rho-GAM
They are more likely to occur in a first pregnancy than subsequent pregnancies
A previous miscarriage can result in isoimmunization in subsequent pregnancies
Because maternal and fetal circulations are separate, incompatibility only occurs in the case of perineal tears
Mother-fetus Rh blood type incompatibility issues can occur if the mother is ______ and her fetus is ______.
Rh positive; Rh positive
Rh positive; Rh negative
Rh negative; Rh positive
Rh negative; Rh negative
Mother-fetus Rh incompatibility problems result from:
The mother's antibodies agglutinating the fetus' Rh positive red blood cells
The fetus' s antibodies agglutinating its own red blood cells
The fetus's antibodies agglutinating its mother's red blood cells
The mother's antigens agglutinating Rh negative red blood cells
Which of the following are true about ABO incompatibility between the mother and fetus?
Hemolytic disease of the newborn is usually more severe than it is with Rh incompatibility
This occurs when the mother is O blood group and the fetus is A, B, or AB
Since O is the universal donor, the mother may be O blood type with no complications
ABO incompatibility may occur in the first pregnancy
When a fetus's blood is agglutinated by his mother's Rh antibodies, the severe anemia that results is called:
Isoimmunization
Rh incompatibility
Ectopic pregnancy
Erythroblastosis fetalis
