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.

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