CLE Milk Expression & Storage 2

Question 1

What is the primary purpose of breast massage and hand expression performed immediately before or during pumping?

Accepted Answer

To stimulate the let-down reflex and maximize milk output

Answer

To sterilize the breast surface before milk contact with the pump

Answer

To increase the fat content of the milk collected

Answer

To prevent mastitis by clearing blocked ducts

Question 2

A hospital-grade double electric breast pump is most appropriately recommended for which situation?

Accepted Answer

A mother of a premature or hospitalized infant who cannot feed at the breast

Answer

A mother who occasionally misses one feeding per day

Answer

A mother with severe oversupply wanting to reduce production

Answer

A mother who has been exclusively breastfeeding for more than 6 months

Question 3

The correct breast shield (flange) size for pumping is primarily determined by:

Accepted Answer

The diameter of the mother's nipple

Answer

The mother's bra cup size

Answer

The volume of milk produced per session

Answer

The age and weight of the infant

Question 4

According to CDC guidelines, how should breast pump parts that contact milk be cleaned after each use?

Accepted Answer

Wash with hot soapy water, rinse thoroughly, and allow to air dry or use a dishwasher

Answer

Wipe with a dry cloth and allow to air dry completely

Answer

Rinse with cold water only to preserve residual milk proteins

Answer

Soak in a 1:10 bleach-water solution for at least 30 minutes

Question 5

A mother reports that her refrigerated and frozen breast milk has a soapy or metallic taste and smell. The most likely cause is:

Accepted Answer

Elevated lipase activity breaking down milk fats during storage

Answer

Bacterial contamination, and the milk should be discarded immediately

Answer

Improper storage temperature causing chemical changes

Answer

The mother consuming strongly flavored foods such as onions or garlic

Question 6

When a clean water source is unavailable at a workplace, the CDC recommends storing unwashed pump parts between sessions on the same day by:

Accepted Answer

Placing them in a sealed bag or container in the refrigerator until the next session

Answer

Keeping them in a sealed paper bag at room temperature

Answer

Wiping them with alcohol wipes between each use

Answer

Replacing all parts with new disposable parts for each session

Question 7

What volume of breast milk per feeding is typically appropriate for a healthy 2-month-old infant?

Accepted Answer

3–4 oz (90–120 mL)

Answer

1–2 oz (30–60 mL)

Answer

5–6 oz (150–180 mL)

Answer

7–8 oz (210–240 mL)