CBC Milk Expression & Storage 2

Question 1

A mother reports that her stored breast milk smells soapy after refrigeration. This is most likely due to:

Accepted Answer

High lipase activity breaking down milk fats

Answer

Bacterial contamination from improper handling

Answer

Mixing warm milk with cold stored milk

Answer

Using a dirty pump kit

Question 2

To prevent the soapy smell caused by high lipase activity, a breastfeeding counselor would recommend the mother:

Accepted Answer

Scald the milk (heat to approximately 180°F/82°C) before refrigerating or freezing

Answer

Add a drop of vanilla extract to each storage bag

Answer

Refrigerate the milk immediately after expression without any treatment

Answer

Switch to a different pump brand

Question 3

In a standard household freezer (0°F/-18°C), breast milk can be stored safely for:

Accepted Answer

6 months

Answer

1 month

Answer

3 months

Answer

12 months

Question 4

When storing breast milk in the freezer, which practice is recommended to preserve quality?

Accepted Answer

Leaving 1 inch of space at the top of rigid containers to allow for expansion

Answer

Filling containers completely to maximize volume per bag

Answer

Storing in the freezer door for easy access

Answer

Laying bags flat after sealing to save space but standing rigid containers upright

Question 5

A mother returning to work asks about adding fresh expressed milk to already refrigerated stored milk. The most appropriate guidance is:

Accepted Answer

Cool the freshly expressed milk first before adding it to already-cold stored milk

Answer

Always combine milk from multiple sessions to reduce the number of containers

Answer

Never combine milk from different sessions

Answer

Warm the refrigerated milk to room temperature before adding fresh milk

Question 6

Which of the following is the safest method to thaw frozen breast milk?

Accepted Answer

Thaw overnight in the refrigerator or hold under warm running water

Answer

Microwave on low setting for 30 seconds

Answer

Place in boiling water for 2 minutes

Answer

Leave at room temperature for several hours until fully thawed

Question 7

A pumping mother asks about flange (breast shield) sizing. Which statement about flange fit is correct?

Accepted Answer

The correct flange allows only the nipple to move freely in the tunnel, with minimal areola drawn in

Answer

All women should use the standard 24mm flange that comes with most pumps

Answer

A larger flange is always better to prevent nipple trauma

Answer

Flange size does not significantly affect milk output or comfort