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Breastfeeding Practices for African American Women


1. Even though breastfeeding offers numerous benefits to the baby and mother, African American women are much less likely to breastfeed than other women.

A. True

B. False

2. There are many reasons why African American women are often not likely to breastfeed, including:

A. A general lack of support

B. Poor amount of helpful breastfeeding information for African American women

C. From hospitals to drugstores, the message tends to be, "feed your baby formula"

D. All of the above

Why Breastfeeding is Important

3. The cells, hormones, and antibodies in breast milk protect babies from illness, as demonstrated by the fact that formula fed babies are at greater risk for each of the following EXCEPT:

A. Type 1 and type 2 diabetes

B. Childhood leukemia

C. Croup

D. Necrotizing enterocolitis, a disease that affects the gastrointestinal tract in pre-term infants

Mothers Benefit from Breastfeeding

4. In addition to helping babies feel more secure, warm, and comforted, breastfeeding benefits mothers by enhancing bonding and boosting the hormone oxytocin, which helps the milk flow and aids in calming the mother.

A. True

B. False

How Breast Milk is Made

5. The hormone prolactin causes the muscles of the uterus to contract during and after birth, which helps the uterus to get back to its original size and may also lessen any bleeding a woman may have after giving birth.

A. True

B. False

Learning to Breastfeed

6. Mothers should breastfeed at least 6-8 times in a 24 hour period, and make sure that the baby feeds for 15-20 minutes.

A. True

B. False

7. Which of the following is NOT one of the indications that the baby has successfully latched on to the breast?

A. The baby's chest is against the mother's body and he or she does not have to turn his or her head while drinking

B. You can see or hear the baby swallow

C. You see little or no areola, depending on the size of the mother's areola and the size of the baby's mouth

D. When you look at the baby, he or she looks to be in a comfortable position, and you can see his or her tongue cupped under the breast

Breastfeeding Hold

8. The clutch or "football" breastfeeding hold is useful for premature babies or babies with a weak suck because it gives extra head support and may help babies stay latched.

A. True

B. False

9. Many leading health organizations recommend that most infants breastfeed for at least 12 months, with exclusive breastfeeding for the first:

A. 9 months

B. 6 months

C. 3 months

D. 6 weeks

How to Know Your Baby is getting enough Milk?

10. Once breastfeeding is established, exclusively breastfed babies from 1 to 6 months of age take in between 19 and 30 ounces per day.

A. True

B. False

Common Challenges

11. When mothers have an oversupply of milk, each of the following is recommended EXCEPT:

A. Breastfeed on one side for each feeding, and continue to offer that same side for at least thirty minutes until the next full feeding, gradually increasing the length of time per feeding

B. If the other breast feels unbearably full before you are ready to breastfeed on it, hand express for a few moments to relieve some of the pressure

C. Feed your baby before he or she becomes overly hungry to prevent aggressive sucking

D. Try positions that don't allow the force of gravity to help as much with milk ejection

Challenge: Engorgement

12. When the mother's breasts become larger, heavier, and a little tender when they begin making more milk, the fullness may turn into engorgement and may result in breast swelling, tenderness, warmth, redness, throbbing, and flattening of the nipple.

A. True

B. False

Challenge: Breast Infection (Mastitis)

13. Mastitis is soreness or a lump in the breast that can be accompanied by a fever and/or flu-like symptoms, such as feeling run down or very achy, and it is likely to occur in both breasts.

A. True

B. False

Challenge: Nursing Strike

14. A nursing "strike" may occur when a baby has been breastfeeding well for months and then suddenly refuses the breast, which is generally an indication that the baby is ready to wean.

A. True

B. False

Common Questions

15. Some women believe that they should not breastfeed when they are sick with a cold, flu or diarrhea, but these illnesses cannot be passed on to the baby because of the antibodies in breast milk that protects the baby.

A. True

B. False

16. Although breastfeeding can delay the return of normal ovulation and menstrual cycles, it is not a sure way to prevent pregnancy, so safe forms of birth control should be discussed with the health care provider if desired.

A. True

B. False

Breastfeeding and Special Situations

17. Which of the following is NOT an accurate statement about breastfeeding twins or multiples?

A. Breastfeeding soon after birth and often is helpful for multiples in the same way that it is for one baby

B. If the babies are born early, double pumping often will help the mother make more milk

C. Keeping track of the weight of the babies as well as the number of wet diapers and bowel movements will help determine if the babies are getting enough to eat

D. *It helps to have each baby always feed from the same breast in order to determine how much is being eaten and to keep the baby more comfortable by keeping him or her in a familiar position

Adoption and Inducing Lactation

18. Many mothers who adopt want to breastfeed and can do so with some help and can use a supplemental nursing system (SNS) or a lactation aid to ensure that the baby gets enough nutrition and that the breasts are stimulated to produce milk.

A. True

B. False

Pumping and Milk Storage

19. Hospital-grade electric pumps can be rented from a lactation consultant at a local hospital or from a breastfeeding organization, and may work well for establishing milk supply when new babies can't feed at the breast.

A. True

B. False

Guide to Storing Fresh Breast Milk

20. Although it is best to use refrigerator-stored breast milk within 72 hours, very clean expressed milk can be stored for up to:

A. 3-6 days

B. 4-7 days

C. 5-8 days

D. 6-9 days

Going Back To Work

21. Although breastfeeding mothers may be tempted to feed their babies when they arrive to pick them up from daycare, this is not recommended as babies will feel more secure and will be more likely to feed normally if they are in their natural environment.

A. True

B. False

Nutrition and Fitness

22. There are many special foods and beverages that can help a mother produce a greater milk supply, so breastfeeding mothers should discuss their nutrition regularly with a health professional to make sure they are getting what they need.

A. True

B. False

23. Which of the following is an accurate statement about babies' allergies and sensitivities to breast milk?

A. Since a mother's milk is greatly impacted by what she eats, it is important to make very careful, specific food choices while breastfeeding

B. When a baby exhibits signs of a food allergy or sensitivity, it usually does not mean the baby is allergic to the milk itself, but only to something the mother has eaten

C. Babies who are highly sensitive usually react to the food the mother eats within 24-48 hours after feeding

D. If a baby is sleeping excessively, it may be an indication that he or she has a food allergy or sensitivity

24. While an active, fitness-filled lifestyle helps will generally help the breastfeeding mother feel more healthy and have more energy, it will not likely affect the quality or quantity of breast milk or the baby's growth.

A. True

B. False

Handling Stress

25. Having a new baby and learning to breastfeed can be very stressful events, so mothers need to learn ways to take care of themselves by seeking professional help, taking care of their bodies, helping others, or figuring out other healthy ways to relieve stress.

A. True

B. False

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