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Table 2 Frequency Distribution of Correct Response on Residents’ Survey (N = 201)

From: Residents’ breastfeeding knowledge, comfort, practices, and perceptions: results of the Breastfeeding Resident Education Study (BRESt)

Question

Correct Answer

Respondents with Correct Answer (n %)

A mother complains that her otherwise healthy and thriving 6 week old infant has been breastfeeding almost every 1-2 h for a day or two. What do you explain to her?

The baby requires more milk because he/she is growing and frequent breastfeeding is his/her way to increase milk supply.

145 (72.9)a

A mother with a 3-day-old baby presents with sore nipples. The problem began with the first feeding and has persisted with every feeding. What is the most likely source of the problem? (AAP)b

Poor attachment to the breast

175 (87.1)

Which of the following is a correct statement about the latch during breastfeeding? (AAP)

The baby needs to be latched so that he compresses the milk sinuses when suckling at the breaste

52 (25.9)

The mother of a breastfed 3-month-old will be away from her baby overnight for a business trip. She has an electric pump, but will not have a refrigerator available to her during the trip. Of the following, which is the BEST advice to give her regarding pumping and storing of her breast milk during the time of separation? (AAP)

She should pump the milk and store it with ice in a cooler at approximately refrigerator temperature (< 4 °C)

102 (50.7)

What increases milk production? (AAP)

More frequent milk removal

175 (87.5)c

During the postpartum stay, a breastfeeding mother reports that she is having difficulty getting her infant to breastfeed. What is the best way to manage this situation? (AAP)

Request assistance for the mother at the infant’s next feeding to evaluate the breastfeeding technique

192 (96.0)d

What is severe engorgement most often due to? (AAP)

Infrequent feedings

140 (69.7)

An otherwise healthy, well-hydrated 5-day old breastfeeding infant is admitted to the hospital with jaundice. In addition to treating the child with phototherapy, which of the following would you first recommend?

Feed the infant more frequently and ensure the mother knows how and when to use a breast pump

153 (76.1)

In a baby who is breastfeeding effectively, what is the position of the baby’s tongue?

The tongue is easily visible

102 (50.7)

What is the first thing you would do if a breastfeeding mother complains that her nipples are cracked and sore?

Assess baby’s position and latch

192 (95.5)

  1. aMissing 2 responses
  2. bAAP: American Academy of Pediatrics
  3. cMissing 1 response
  4. dMissing 1 response
  5. eThis answer, taken verbatim from the American Academy of Pediatrics, is only partially correct as milk sinuses have been demonstrated to be absent from the breast as per Ramsay et al. study [29]