1.1 List six functions of breastmilk proteins.

1.2 What is the principle carbohydrate in breastmilk?. What is the name of the enzyme that commences the digestion of it? Name the two simple sugars this enzyme breaks it down to.

1.3 What influences the amount of lipids (fats) in breastmilk at each breastfeed?

1.4 Under the headings of bacteria, viruses, fungus and cancer cells list the breastmilk components that are active in their destruction.

1.5 List five acute and five chronic diseases that have a signifcantly increased incidence when a baby is formula-fed.

2.1 List the effects that a good communicator has on the people they converse with.

2.2 Describe the important non-verbal communication actions you need to be aware of in your communications

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2.3 List 5 things to include, or exclude, from your conversation that will help a mother to gain self-confidence.

3.1 List the breastfeeding topics that will be covered during discussions with all pregnant women.

3.2 Under the headings of 'Health professionals', 'Societal pressures', and 'Postnatal perceptions' list the barriers a mother may need to overcome to successfully breastfeed.

3.3 Make a list of ideas to discuss with mothers to help them to continue breastfeeding after a return to the workforce.

3.4 What observations would you make during a prenatal breast examination? Describe how you would teach breast self-examination.

4.1 List the hormones, and the changes in these hormones that is necessary for successful initiation of lactation (ie lactogenesis II).

4.2 List five ways to facilitate early and successful breastfeeding after a mother has had an assisted delivery.

4.3 List ALL the effects of placing baby skin-to-skin on the mother's abdomen immediately following birth.

5.1 When discussing with a mother when to breastfeed her baby what are the early feeding cues you would tell her about?

5.2 Summarise the principles of positioning under the headings of 'Sensory Input' and 'Positional stability'.

5.3 Describe the baby's latching actions when the mother has baby positioned correctly.

5.4 List under headings all the observations to make when making a naturalistic observation of a breastfeed?

5.5 Outline the 5-step assessment/evaluation process when consulting with a breastfeeding mother.

5.6 Describe the anatomy of an individual alveolus, then label the diagram below.

5.7 Describe how breastmilk is transferred to the baby in terms of positive pressure transfer and negative pressure transfer.

6.1 Write down some ideas on how you could improve the effectiveness of the education you are providing for mothers using the knowledge of where and when people learn best.

6.2 List all the reasons a mother may need to hand express her breastmilk so that you could discuss these as appropriate when teaching her this skill.

6.3 Transcribe the data from the average intake table that is relevant to the age of the babies you care for.

6.4 What questions should you ask and observations made before you place a baby on the scales?

6.5 Compare the effect of rooming-in with separating mothers and babies during the first weeks after birth.

6.6 List the three critical warning signs that parents need to know to alert them to seek immediate evaluation of their infant.

7.1 List the strategies to try when a baby is not breastfeeding in the first few days postnatally.

7.2 List the strategies to try when an older baby is 'breast refusing'.

7.3 List all the signs and symptoms you will observe for that could indicate hypoglycaemia.

7.4 What is the MOST effective method to prevent the development of hypoglycaemia in newborn babies?

7.5 Briefly summarise the effects of supplements of artificial infant formula on breastfeeding and the baby.

7.6 Outline the breastfeeding management strategy when the signs and symptoms indicate a baby has lactose malabsorption.

7.7 If you are consulting with mothers in a community setting review your client information form to ensure you don't neglect to ask or observe important information.

7.8 Print out each of the methods of giving supplements to a baby. File them in your workbook.

8.1 Under the headings of 'Predisposing factors' and 'Prevention' list what you have learnt about engorgement.

8.2 Under the headings of 'Frequent, effective milk removal'; 'Cold therapy'; and 'Pain relief' list what you would suggest to a mother to treat engorgement.

8.3 What general tips could you give a mother who is having difficulty latching her baby comfortably?

8.4 List the signs and symptoms of mammary candidiasis.

8.5 List the strategies a mother can take that will support the antifungal treatment used to treat mammary candidiasis.

8.6 What are common predisposing factors for mastitis? What measures would you discuss with a mother to prevent mastitis?

8.7 Outline the treatment strategies you would discuss with a mother who has early onset of mastitis.

8.8 Write down how you would explain to a junior colleague how breastmilk production is maintained.

8.9 List under headings all of the topics you would discuss with a mother who needs to increase her breastmilk supply?

8.10 Write down the breastfeeding recommendations for women who have diabetes (all types), obesity, thyroid disease, HBV positive, and HCV positive.

8.11 Write down the criteria that must be met before you can recommend artificial infant feeding to a mother who is HIV-positive.

9.1 What is the aim of the International Code of Marketing of Breastmilk Substitutes, and how is this achieved?

9.2 What is covered under the scope of the Code?

9.3 What can you do to support the Code?

9.4 List five effects of implementation of Baby Friendly practices in the hospital and community health settings.