Breastfeeding & Infant Feeding Practices Flashcards
7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Breastfeeding & Infant Feeding Practices flashcards as text
The hormone primarily responsible for milk ejection (let-down reflex) during breastfeeding is:
Answer: Oxytocin
Oxytocin, released from the posterior pituitary in response to nipple stimulation, causes myoepithelial cells to contract and eject milk from the alveoli.
Donor human milk used in NICUs for preterm infants is most commonly pasteurized using which method?
Answer: Holder pasteurization (62.5°C for 30 minutes)
Holder pasteurization (62.5°C for 30 minutes) is the standard method used by human milk banks to inactivate pathogens while preserving most bioactive components.
The Ten Steps to Successful Breastfeeding are a core component of which internationally recognized program?
Answer: Baby-Friendly Hospital Initiative (BFHI)
The Baby-Friendly Hospital Initiative (BFHI), launched by WHO and UNICEF, uses the Ten Steps to Successful Breastfeeding as evidence-based practices hospitals must implement to receive certification.
In a breastfed infant, which growth chart is recommended by the WHO and AAP for monitoring growth from birth to 24 months?
Answer: WHO 2006 Child Growth Standards
The WHO 2006 Child Growth Standards were developed using data from breastfed infants in 6 countries and represent the international standard for healthy growth in children 0–24 months.
Which sign most reliably indicates adequate milk transfer and intake in a breastfeeding newborn?
Answer: Infant has at least 6 wet diapers and 3–4 stools per day by day 4–5
By day 4–5, a well-fed newborn typically produces at least 6 wet diapers and 3–4 stools daily, reflecting adequate hydration and milk intake.
Galactagogues are substances used to increase milk supply. Which of the following is considered a pharmacologic galactagogue sometimes used in lactating women?
Answer: Domperidone
Domperidone is a dopamine antagonist that increases prolactin levels and is used as a pharmacologic galactagogue, though it is not FDA-approved in the US for this purpose.
Absolute or relative contraindications to breastfeeding for the INFANT include which of the following conditions?
Answer: Phenylketonuria (PKU)
Classic PKU is a contraindication to breastfeeding because breast milk contains phenylalanine, which infants with PKU cannot metabolize, leading to neurotoxic accumulation.