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Question

Which one of the following statements is correct regarding physiology of breastfeeding?

The correct answer is
Night feeding is important for maintaining prolactin reflex.

Breastfeeding Physiology Correct Statement

Physiology: Milk Production vs. Ejection

This question requires identifying the accurate statement concerning the physiological mechanisms of breastfeeding.

Prolactin's Function in Lactation

Option 1 Analysis: Prolactin stimulates milk secretion (production) in alveolar cells, not milk ejection. Oxytocin causes milk ejection. Thus, this statement is incorrect.

Night Feeding and Prolactin Reflex

Option 2 Analysis: This statement is correct. Prolactin levels are highest during sleep. Suckling, especially at night, powerfully stimulates prolactin release, which is essential for maintaining milk supply and the prolactin reflex.

Oxytocin's Role in Lactation

Option 3 Analysis: Oxytocin mediates the milk ejection reflex (let-down). Milk secretion by alveolar cells is stimulated by prolactin. Therefore, this statement is incorrect.

Oxytocin Source Explained

Option 4 Analysis: Oxytocin is produced in the hypothalamus and released by the posterior pituitary gland, not the anterior pituitary. This statement is incorrect.

Summary: Correct Breastfeeding Reflex

The statement that night feeding is important for maintaining the prolactin reflex accurately describes breastfeeding physiology.

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Important Questions from Neonatal Care

  1. If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
  2. Consider the following conditions :
    Response to tactile stimulationHeart RateBlood PressureTone
    AYesNormalNormalNormal
    BYesFallingNormalDecreasing
    CNoFallingFallingDecreasing
    DNoRisingNormalNormal
    Primary apnea in a neonate is characterized by which one of the above conditions?
  3. Consider the following statements about human breast milk : 

    1. 75% of breast milk content is water. 

    2. Breast milk is poor in taurine and cysteine. 

    3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids. 

    4. High lactose content of breast milk helps in absorption of calcium. 

    Which of the statements given above are correct?

  4. Which of the following are signs of good attachment during breastfeeding? 

    1. The baby's nose is at the level of the nipple. 

    2. The baby's mouth is wide open. 

    3. The baby's chin touches the breast. 

    4. The baby's lower lip is everted. 

    Select the correct answer using the code given below:

  5. A full-term baby born with birth weight of 2000 g comes for well-baby visit at two months of age. Which of the following nutritional supplements would you advise?
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