Practice Quiz

Lactation Consultant Exam Prep

Category - Newborn

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A nurse midwife is assessing a client and her infant one week after delivery. The infant’s birth weight was 7.5 pounds. Which of the following findings indicate that the infant is getting enough milk?

I.The mother reports that the infant is wetting 6 to 8 diapers a day.
II.The mother informs the nurse midwife that the infant appears content between feedings.
III.The infant’s weight is 6.8 pounds.
IV.The mother reports that the infant quietly swallows during breastfeeds.
  1. I and II
  2. I, II and III
  3. I, II and IV
  4. All of the findings indicate sufficient milk intake.
Explanation
Answer: B - The signs indicating that an infant is getting enough breast milk include wetting of 6 to 8 diapers a day, appearing content between feedings and losing no more than 10% of birth weight during the first week of life. The mother is effectively breastfeeding the infant if the mother hears a suck-suck-swallow pattern when feeding the infant.
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Additional Answers

Faith Clark says:

9.3% weight loss on day seven would be concerning, the weight is lowest before the milk comes in approximately day 3-5. The infant should begin gaining weight by day seven, unless the mothers milk has not come in or their is other problems. Two weeks is the general consensus for regaining birth weight but some when feeding appropriately gain by day 5-8. https://www.lllc.ca/growth-breastfed-baby Early excessive weight loss (> 9.3% around day 5) is its most obvious symptom (for hyponatremia). Boer, S., Unal, S., van Wouwe, J. P., & van Dommelen, P. (2016). Evidence Based Weighing Policy during the First Week to Prevent Neonatal Hypernatremic Dehydration while Breastfeeding. PloS one, 11(12), e0167313. https://doi.org/10.1371/journal.pone.0167313 "seven percent weight loss that continues after three days is an indicator for early assessment and support of breastfeeding" https://www.toronto.ca/community-people/health-wellness-care/information-for-healthcare-professionals/maternal-child-health-info-for-doctors/breastfeeding/management-of-poor-infant-weight-gain/

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