CBC CBC Special Circumstances & Medical Conditions

Question 1

A mother with a history of breast reduction surgery is concerned about her milk supply. What is the most important factor that affects her ability to breastfeed?

Accepted Answer

Whether the nipple-areola complex was relocated and the degree of ductal disruption during surgery

Answer

The total amount of breast tissue removed

Answer

The surgeon's technique for closing incisions

Answer

How long ago the surgery was performed

Question 2

Which supplementation method is preferred for a newborn who needs additional feeds while the mother is establishing supply?

Accepted Answer

Supplemental nursing system (SNS) at the breast to maintain infant suckling stimulation

Answer

Bottle feeding with standard artificial nipple only

Answer

Cup feeding followed by complete cessation of breastfeeding attempts

Answer

Immediate formula supplementation by bottle without any breastfeeding attempts

Question 3

A mother with polycystic ovary syndrome (PCOS) reports difficulty establishing milk supply. What is the most likely underlying cause?

Accepted Answer

PCOS-related hormonal imbalances, including elevated androgens and insulin resistance, can impair prolactin response and glandular tissue development

Answer

PCOS causes mastitis which prevents milk production

Answer

PCOS increases milk supply due to elevated estrogen levels

Answer

PCOS has no relationship to breastfeeding or milk supply

Question 4

When counseling a mother with HIV in the United States about infant feeding, what is the standard recommendation?

Accepted Answer

Breastfeeding is not recommended in the US because safe formula alternatives are available and HIV can be transmitted through breast milk

Answer

Breastfeeding is encouraged regardless of viral load in all settings

Answer

Breastfeeding is safe if the mother is on antiretroviral therapy with an undetectable viral load in the US

Answer

The decision is entirely the mother's preference with no clinical guidance needed

Question 5

A mother is diagnosed with mastitis. What is the single most important counseling message a CBC counselor should provide?

Accepted Answer

Continue breastfeeding or expressing milk frequently from the affected breast to facilitate drainage and recovery

Answer

Immediately wean to allow the breast to heal

Answer

Stop nursing from the affected side until antibiotics are completed

Answer

Pumping and discarding milk from the infected breast is required

Question 6

Which condition is characterized by vasospasm of the nipple causing intense pain and color changes (white, blue, red) associated with breastfeeding?

Accepted Answer

Raynaud's phenomenon of the nipple

Answer

Ductal yeast infection (nipple thrush)

Answer

Engorgement-related vasoconstriction

Answer

Intraductal papilloma