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Breastfeeding and infant & young-child feeding practices MCQ - Practice Questions with Answers

Solve 15 Breastfeeding and infant & young-child feeding practices questions for RAS/RPSC preparation.

Practice questions

Q1During a summer home visit, the family of a healthy 4-month-old infant says they give the child water between breastfeeds. What should the Mahila Supervisor advise?

A Continue giving water, but only after boiling it
B Replace one breastfeed each day with animal milk
C Give only breast milk; extra water is not needed even in hot weather
D Start thin rice water because the infant is older than 3 months
Explanation

A healthy infant should receive only breast milk during the first 6 months, and breast milk supplies enough fluid even in hot weather. Boiled water still breaks exclusive breastfeeding, while animal milk and rice water are also inappropriate at 4 months.

Q2Match List I with List II and select the correct code. List I: (1) Early initiation of breastfeeding (2) Exclusive breastfeeding (3) Complementary feeding. List II: (a) Only breast milk for the first 6 months (b) Begins at 6 completed months (c) Breastfeeding within 1 hour of birth.

A 1-a, 2-b, 3-c
B 1-c, 2-a, 3-b
C 1-b, 2-c, 3-a
D 1-c, 2-b, 3-a
Explanation

Early initiation means breastfeeding within 1 hour of birth, so 1-c is correct. Exclusive breastfeeding means only breast milk for the first 6 months, so 2-a is correct; complementary feeding begins at 6 completed months, so 3-b is correct. Therefore, code B is the only complete match.

Q3Which of the following is incorrect advice for feeding a 10-month-old child during and after a short illness?

A Stop breastfeeding and all other feeds until the child's appetite fully returns
B Continue breastfeeding during the illness
C Offer small, frequent feeds during the illness
D Give an extra feed after recovery to support catch-up growth
Explanation

Stopping breastfeeding and all food is incorrect because breastfeeding should continue and small, frequent feeds should be offered during illness. After recovery, an extra feed supports catch-up growth, so options B, C and D describe appropriate practices.

Q4Which set of signs best indicates that a baby is well attached to the breast?

A The mouth is only slightly open, the chin stays away from the breast, and sucking remains quick
B The baby takes a large mouthful of breast, the chin touches the breast, and the lower lip turns outward
C The baby grips only the nipple, the chin stays away from the breast, and sucking is shallow
D The lower lip turns inward, the baby releases the breast repeatedly, and sucking stays rapid
Explanation

Good attachment is indicated by a large mouthful of breast, the chin touching the breast, and the lower lip turned outward. After the initial quick sucks, sucking should become slow and deep; gripping only the nipple or keeping the chin away points to poor attachment.

Q5How many of the following statements describe appropriate infant and young-child feeding counselling or follow-up? 1. A faltering growth curve should lead to a review of feeding frequency, food thickness, illness, hygiene and care. 2. Visible wasting, oedema or persistent refusal to feed requires referral under health protocols. 3. Counselling should be restricted to the mother even when other family members influence feeding decisions. 4. During illness, breastfeeding and small frequent feeds should continue; after illness, an extra feed supports catch-up growth.

A Only one
B Only two
C Only three
D All four
Explanation

Statements 1, 2 and 4 are correct: faltering growth calls for a broad feeding and care review, danger signs require referral, and feeding should continue during illness with an extra feed after recovery. Statement 3 is incorrect because counselling should involve family decision-makers when they influence feeding rather than being restricted to the mother. Therefore, three statements are appropriate.

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More questions

6Which of the following correctly describes the purpose of India's MAA programme?

APromoting and supporting breastfeeding through the health system
BProviding a general food subsidy to all families
CScheduling routine immunisation for every child
DRegulating only the distribution of school meals

7Match each field situation in List I with the most appropriate counselling action in List II. List I 1. Healthy newborn after a normal delivery 2. Healthy 4-month-old during summer 3. Breastfed 7-month-old starting complementary food 4. Child recovering after an illness List II a. Offer thick mashed food while continuing breastfeeding b. Give one extra feed to support catch-up growth c. Start breastfeeding within 1 hour d. Continue only breast milk; do not add water Select the correct code:

A1-d, 2-c, 3-b, 4-a
B1-c, 2-d, 3-a, 4-b
C1-c, 2-a, 3-d, 4-b
D1-b, 2-d, 3-a, 4-c

8Which of the following is an incorrect practice in responsive complementary feeding?

AEncouraging the child patiently without forcing
BNoticing the child's hunger and satiety signals
CForcing the child to finish a fixed quantity despite refusal
DOffering small frequent feeds during illness and an extra feed after illness

9A supervisor reviews records of 200 children aged 6-8 months. If the group matches the 37% coverage reported for Rajasthan, how many children would be receiving complementary food along with breast milk?

A16
B80
C142
D74

10Consider the following statements about complementary feeding: 1. It begins at 6 completed months. 2. It replaces breastfeeding completely. 3. It should be timely, adequate, safe and responsive. Which statements are correct?

AOnly 1 and 3
BOnly 1 and 2
COnly 2 and 3
D1, 2 and 3

11Assertion (A): After illness, a child should be offered one extra feed. Reason (R): An extra feed after illness helps the child achieve catch-up growth. Select the correct answer.

ABoth A and R are true, and R correctly explains A
BBoth A and R are true, but R does not correctly explain A
CA is true, but R is false
DA is false, but R is true

12Consider the following statements about exclusive breastfeeding: 1. Medically indicated oral rehydration solution, vitamin or mineral drops do not by themselves end exclusive breastfeeding. 2. Giving plain water in hot weather still counts as exclusive breastfeeding. Which of the statements given above is/are correct?

AOnly statement 1
BOnly statement 2
CBoth statements 1 and 2
DNeither statement 1 nor statement 2

13A Mahila Supervisor is reviewing the response to a child whose growth curve is faltering. Consider the following proposed actions: 1. Ask about feeding frequency, food thickness, recent illness, hygiene and care. 2. Check whether records lead to counselling, follow-up and referral rather than remaining paperwork only. 3. Arrange referral if severe wasting, oedema, persistent refusal to feed or other danger signs are present. 4. Accept free infant-formula samples for distribution because this counts as nutrition education. 5. Blame the mother first so that the family recognises the seriousness of the problem. How many of the proposed actions are appropriate?

A1
B2
C3
D4

14Two statements are given: 1. Colostrum is the thick yellow first milk after delivery and should be fed. 2. Plain water is required before 6 months, especially in hot weather. Which option is correct?

ABoth statements are correct
BStatement 1 is incorrect, but statement 2 is correct
CStatement 1 is correct, but statement 2 is incorrect
DBoth statements are incorrect

15Match List I with List II and select the correct code. List I (feature of complementary feeding): (a) Timely (b) Adequate (c) Safe (d) Responsive List II (meaning): 1. Patient encouragement without force and attention to hunger and satiety signals 2. Started neither too early nor too late 3. Clean hands and utensils, safe water, fresh food and proper storage 4. Sufficient quantity, frequency, thickness and nutrient density for age

Aa-1, b-3, c-4, d-2
Ba-3, b-2, c-1, d-4
Ca-4, b-1, c-2, d-3
Da-2, b-4, c-3, d-1

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