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WorksheetsQuiz competition - BFW-2025
Total questions: 60
Worksheet time: 30mins
According to the WHO, how long Mother should exclusive breastfeed?
6 months
2 months
4 months
8 months
As per WHO, how long mother can continue breastfeeding while introducing complementary foods?
Until 18 months
Up to 2 years or beyond
Until 6 months
Until 1 year
A Mother introducing solid foods to her baby. She ask Nursing officers, how breastfeeding can benefit baby health during this transition.
It has impact on the weaning process.
It helps in reducing the risk of allergies.
It deceases the likelihood of obesity.
It has no impact on health.
What essential mineral should mother add to her weaning food to ensure her baby gets all the nutrition they need?
Sodium
Iron
Potassium
Vitamin A
Mother ask regarding responsive feeding, What is the correct response by the nursing officer.
Feeding only on schedule time
Forcing the child to eat
Feeding the child while distracted
Recognizing hunger cues and feed as per their needs.
What’s the main goal of antenatal breastfeeding education for expectant mothers ?
To increase the maternal appetite during pregnancy to enhance the breast milk production
To teach mothers how to bottle-feed along with breast feeding
To prepare mothers for successful breastfeeding after delivery
To prevent weight gain during pregnancy
During which trimester should Mothers ideally start her antenatal breastfeeding education?
Second trimester
Third trimester
First trimester
After delivery
What is a key aspect of breastfeeding that mothers should discuss in their antenatal classes?
Breastfeeding in public places
Introducing solid foods at 4 months
Using formula as a primary source of nutrition
Signs of effective breastfeeding
When is World Breastfeeding Week celebrated every year?
15-21 September
10-16 October
1-7 July
1-7 August
What is the theme of the World Breastfeeding week 2025 ?
Lactation management
Complementary feeding
Prioritize breastfeeding: create sustainable support system
Breastfeeding promotion and support
What is the role do progesterone have in breast development during pregnancy?
Stimulates milk production
Regulates hormone responsible for breast development
Prepares the breast tissue for lactation
Triggers uterine contractions
After the arrival of his baby, father was discussing with the nursing officer about the benefits of colostrum. The nurse explained that colostrum helps in all except;
Acts as a natural laxative
it provides immune protection
surfactant production
it helps in gut maturation
What is the golden rule should Mira remember about breastfeeding after giving birth?
Start breastfeeding as early as possible
Delay breastfeeding until milk comes in
Give glucose water or honey first
Avoid colostrum
Which of the following immunoglobulin is abundantly present in breast milk, which helps to build immunity for babies?
Immunoglobulin A
Immunoglobulin G
Immunoglobulin D
Immunoglobulin E
Mother is attending an antenatal class conducted by Ms. Joy, and discussed about breastfeeding. He explains that counseling mothers like you can help to prevent all Except?
Delayed initiation of breastfeeding
Low milk supply due to poor technique
Postnatal depression
Breast engorgement
Which of the following hormones responsible for milk production ?
Prolactin
Estrogen
Progesterone
Oxytocin
Riyaan is a super mom who is on a vegetarian diet with some dairy, exclusively breastfeeding her 4-month-old baby. What supplement should she focus on to support her baby's neurological development?
Vitamin C
Vitamin B12
Iron
Zinc
Riyaan is a primipara mother worried about whether her newborn is getting enough breast milk. What is a key sign that her baby is getting enough milk?
Infant appears content after feeding
Mother experiences nipple pain
one to two wet diaper per day
Infant has a dry mouth
Meet Shaan, a new father learning about breastfeeding! He discovers it's important to let his baby finish one breast before switching to the other. Why is this important?
To avoid sore nipples.
To prevent maternal breast engorgement.
To reduce milk protein overload.
To ensure hindmilk, rich in fat and calories, is consumed.
Aanya is determined to give her baby the best start in life! She discovers a magical nutrient in breast milk that is crucial for brain development. Can you guess what this nutrient is?
DHA (Docosahexaenoic Acid)
Vitamin D
Calcium
Iron
What hormone helps with milk ejection during breastfeeding?
Prolactin
Estrogen
Progesterone
Oxytocin
Tara's Nurse counsellor suggests that her breast milk might be low on certain vitamins and recommends a supplementation of which of the following vitamin ?
Vitamin D
Vitamin K
Vitamin A
Vitamin E
Neha recently read a book which mentioned IMS Act 1992. She wondered what could be the full name of this Act?
Infant Milk Substantial Act
Infant Milk Substandard Act
Infant Milk Substance Act
Infant Milk Substitutes Act
Sarita a new mother delivered baby by LSCS and experiencing low milk output. Nursing officer consider which of the following is the cause of low milk output, Except?
On NPO
stress and anxiety
Pain
lack of confidence
During a parenting class, nutritionist Ms. Sarah shares insights about the differences between colostrum and mature milk. She highlights that compared to colostrum, mature milk is
lower in fat and higher in sodium
higher in sodium, potassium, and chloride
lower in protein, sodium, and fat-soluble vitamins
higher in fat and carotenoids
Researchers have discovered that a specific protein in breast milk plays a crucial role in iron absorption and also enhances the immune response in newborns. What is the name of this protein?
Lactoferrin
Albumin
Immunoglobulin A
Casein
In which year did India adopt the Baby Friendly Hospital Initiative to promote breastfeeding and improve infant health?
1994
1991
1992
1993
Who is brand ambassador of this MAA campaign launched by Union Health Minister & Family Welfare
Aanya, a nutritionist, is researching amino acids in human milk. One amino acid is missing from human milk. Can you identify which one?
Lysine
Glutamic acid
Glycine
Cysteine
What is this position of breast feeding?
Cross cradle hold
Cradle hold
Lateral hold
Football hold
What is this position of breast feeding of twins?
Double football
Cradle
Cross cradle
Double cradle
Which immune factors are rich in preterm milk?
secretory IgA, lactoferrin and lysozyme
IgE, IgG and IgA
IgG, IgE and lactoferrin
IgE, lactoferrin and lysozyme
The RDA for energy during lactation is?
An additional 750 kcal/day
An additional 200 kcal/day
An additional 500 kcal/day
An additional 400 kcal/day
Protein value is maximum in_________ part of breast milk.
Transitional Milk
Fore Milk
Hind Milk
None of the above
If baby has vomiting or diarrhea, you should stop breastfeeding for a while.
True
False
The energy provided by 100 ml of human breast milk is:
65- 70 Kcal
70-80 Kcal
75-85 Kcal
90-100 Kcal
What is the WHO goal for exclusive breastfeeding by 2025?
To increase exclusive breastfeeding to 50%
To increase early initiation to 60%
To increase early initiation to 90%
To increase exclusive breastfeeding to 80%
If performed correctly, what is the efficacy of Lactational amenorrhea method as a method of preventing pregnancy?
67-68%
97-98%
77-78%
87-88%
What is the Major cellular component of breastmilk?
Epithelial cells
Progenitor cells
Lactocytes
Macrophages
How long can expressed milk be safely kept at room temperature, without refrigeration?
9 hours
12 hours
6 hours
3 hours
Which hormone is secreted during night feeds?
Progesterone
Oxytocin
Prolactin
Oestrogen
Of all the following breastfeeding positions, the best position after caesarean section is?
Cross-cradle hold
Cradle hold
Side-lying hold
Football hold
What is the predominant carbohydrate in human milk that also functions as a prebiotic?
Galactose
Sucrose
Lactose
Maltose
Which of the following is a sign of poor latch during breastfeeding?
Audible swallowing
widely opened mouth
Clicking sounds during sucking
areola fully covered
Which maternal condition is an absolute contraindication to breastfeeding in most settings?
Tuberculosis on treatment
HIV with undetectable viral load (in high-resource settings)
Hepatitis B on treatment
Untreated brucellosis
Which method best simulates infant sucking for effective milk expression?
Manual expression
Hand massage only
Single electric pump
Double electric pump
A NICU nurse expresses concern that a mother’s breast milk looks blueish and thin. What is the appropriate explanation?
The milk is spoiled
Milk must be fortified
It's foremilk, which is normal
Indicates dehydration
What is the primary mechanism of lactational amenorrhea?
Decreased estrogen during sucking
Suppression of LH and FSH by prolactin
Increased oxytocin
Milk blocking hypothalamic function
What is the breast crawl?
A baby’s instinctive movement to reach the breast after birth
A position for maternal breastfeeding
A technique to express milk
A method to stimulate oxytocin in the mother
Which of the following steps is most essential to support a successful breast crawl?
Giving pacifiers to calm the baby
Placing the naked baby on the mother’s bare chest
Covering the baby’s hands to prevent scratching
Immediate weighing of the newborn
Early pacifier use may interfere with breastfeeding by causing nipple confusion.
False
True
Breast milk composition remains constant regardless of infant’s age or stage.
True
False
Colostrum has higher fat than mature milk.
False
True
A first-time mother says, “Breastfeeding is painful every time the baby latches.” On observation, the baby has a narrow latch and shallow suck. What should the nurse do first?
Apply a warm compress to the breast
Help mother re-position for deeper latch
Recommend a nipple shield
Suggest switching to formula
A baby latches and feeds for long periods but remains fussy and is not gaining weight. Observation shows only the nipple in the mouth, lips tucked inward. What is the most likely cause?
Normal behavior
Low maternal milk supply
Shallow attachment leading to ineffective feeding
Formula dependence
Image shows: Baby’s head, neck, and body aligned; baby facing the breast; mother supporting baby’s neck. What does this image best illustrate?
Bottle-feeding positioning
Correct alignment for good attachment
Incorrect position with risk of choking
Poor head support
Image description: A baby is suckling with wide mouth open, chin touching breast, and lower lip turned outward. More areola is visible above the top lip than below. Which statement best describes the attachment seen here?
The baby has a shallow latch and may cause nipple pain.
This is an example of good attachment.
Only the nipple is inside the baby’s mouth.
The baby’s lips are pursed inward.
Which of the following is most effective in stimulating let-down during breast milk expression?
Viewing photos of the baby
Drinking sugary fluids
Sitting in a noisy room
Cold compresses
Which of the following is not a contraindication to breastfeeding?
Mother on chemotherapy
Untreated HIV
Galactosemia in infant
Mastitis
Which maternal complaint most strongly indicates improper positioning or attachment?
Fullness of breasts
Nipple trauma and persistent pain
Delayed milk let-down
Mild tingling during let-down
