I just found this one among my files at home. it was written by APEC 1/00
(Arizona Perinatal.... I can't remember the rest of the acronym. It's an
education program for New Grad RNs) No, I don't have the answers, and I
notice a few misplaced modifiers. But these can spur you on to writing your
own that are pertinent to your needs. Here goes...
Breastfeeding Quiz for the OB Nurse
Part I: True or False?
1. Breastfeeding a baby provides that baby with health benefits that the
bottle fed baby can not get from formula.
2. The hormones that are responsible for lactogenesis are prolactin and
oxytocin.
3. After delivery, breastmilk production is under the control of the
endocrine system. After the milk comes in, breastmilk production is under
autocrine control. This means a supply and demand system.
4. Breastmilk is digested faster by the newborn than formula. This means
that they will eat more frequently than a formula fed baby.
5. It is normal for a breastfed baby to want to nurse every 1 1/2 to 2
hours.
6. When a breastfed baby nurses every 1 1/2 to 2 hours, this means that the
mother is not producing enough milk.
7. Supplementation never interferes with breastfeeding.
8. There are no problems for mother or baby if the baby is put on a rigid
every 4-hour schedule.
9. It is necessary for the mother to support her breast while breastfeeding
her baby during the first few weeks after birth.
10. A well hydrated baby will have at least 5-6 wet diapers every 24 hours.
11. After the first 30-60 seconds, breastfeeding should not be painful for
the mother.
12. Women who have had breast surgery are at risk for not being able to
produce enough milk and the baby needs to be observed for weight loss and
hydration status.
13. In general, sore nipples are caused from an incorrect latch or position
while breastfeeding.
14. A mother must stop breastfeeding if she has sore, cracked or blistered
nipples. She will have to supplement her baby with formula while her
nipples heal.
15. Engorgement is caused by infrequent and inadequate emptying of the
ducts of breast milk.
Part II: Fact or Myth?
1. Breasts will be empty after 10 minutes of nursing.
2. Babies can not breathe if their nose is touching the breast. You should
teach mothers to press on the breast to make sure the baby can breathe.
3. Babies need water, especially in hot weather.
4. Mothers have to watch their diet and give up many foods while nursing.
5. All mothers become engorged when their milk comes in.
6. If a mother's nipples are inverted or flat, they cannot breastfeed.
7. Breastfeeding women need to drink lots of extra fluids while
breastfeeding.
8. Soy formula is closest to mother's milk and should be used if
breastfeeding is supplemented.
9. Mothers need to sleep at night and get a full night rest before going
home from the hospital.
10. If a baby wants to nurse every 1-2 hours, the mother does not have
enough milk.
11. Breastfed babies should receive formula supplementation every day, so
that they grow used to the bottle.
12. To prevent sore breasts, mothers need to gradually become used to
breastfeeding by starting to breastfeed for 2 minutes on a side the first
day, then increase to 3 minutes a day the 2nd day, 4 the 3rd day, etc.
13. It is normal for breastfeeding to hurt.
14. If a mother has general anesthesia, she has to wait a day before
restarting nursing.
15. A woman who has had breast augmentation cannot breastfeed.
Note: I would suggest picking some of your own pet peeves about current
staff practices and create a Fact/Myth statement out of them.
Then there's the 101 Reasons to Breastfeed available online, with
citations. You can find it in the archives, or someone on L'net knows the
URL for this.
OK for starters?
Phyllis
--- Phyllis Adamson, IBCLC, RLC
--- Glendale, AZ, USA
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