Breastfeeding Competency Written Test
1 - 5. List 5 benefits of breastfeeding to mother and/or newborn.
6 - 7. Identify at least 2 community breastfeeding support sources.
8 - 9. Describe 2 signs and symptoms of mastitis.
10 - 11. Describe 2 signs and symptoms of yeast infection of the breast.
12 - 13. List 2 factors that contribute to sore nipples for the mother.
14 - 16. List 3 s/s letdown.
17 - 19. List 3 nursing interventions to treat engorgement.
20 - 22. List 3 nursing interventions to treat nipple pain.
23 - 25. List 3 nursing interventions to treat plugged ducts or mastitis.
26 - 28. List 3 signs of effective latch.
29 - 31. List 3 characteristics of effective suck/swallow pattern.
32 - 35. List 4 feeding readiness or early hunger cues.
36 - 38. List 3 signs and symptoms of newborn satiety.
39. Describe normal newborn feeding frequency during the first few weeks of breastfeeding.
40. Identify when the first growth spurt usually occurs.
Describe how a growth spurt affects the baby’s feeding pattern.
42 - 44. List 3 signs and symptoms of dehydration in newborn.
45. Identify adequate weight gain for a newborn.
46 - 47. Describes at least 2 possible effects of formula supplementation on newborn health and maternal milk supply.
48 - 49. List 2 signs and symptoms of newborn jaundice.
50. Describe the effect of breastfeeding on jaundice.
51. Describe safe storage for expressed milk at refrigeration 32-39 F.
52 - 54. List at least 3 alternative feeding methods for expressed milk.
Suggested use of the test:
Use as a pretest. Forty correct answers (of a possible 54) is a passing score (75%) and must include items 1-9; 26-28; 32-35; 42-45 (bolded numbers.) If the person does not pass the pretest, allow him/her to find the correct answers using sources such as texts, other nurses, literature review, etc. Then administer the test again, without the benefit of notes, texts, etc. A passing score is still 40.