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Question 1 of 77
Using Graduated Extinction or Bedtime Fading showed…
Increase in Salivary cortisol
Long term effects between the parent-child relationship
Small to moderate declines in Salivary Cortisol
Question 2 of 77
Graduated Extinction is...
Gentler then full blown CIO
Involves gradually increasing response time
Both.
Question 3 of 77
When does Sleep Conditioning Start?
Birth
11/12 weeks old
4 months
Question 4 of 77
In the Newborn Stage how often should mom breastfeed the baby during the day?
Every 1.5 Hours
Every 2 Hours
Every 2.5 Hours
Every 3 Hours
Question 5 of 77
Which of the following isn’t a Late Cue for Feeding a Baby?
Crying
Hand to mouth
Agitation
Turning Red
Question 6 of 77
How many ounces of milk should you offer a baby daily?
32 ounces
2.5 ounces per pound of the baby’s weight.
2 to 4 ounces 6 to 8 times per day
5 to 6 ounces 5 to 6 times per day
Question 7 of 77
A Sleep Plan should be discussed when you arrive on the First Night or Prior to your first night.
True
False
Question 8 of 77
When setting the foundation to the nightly routine you should makes sure there are no night lights and that the room is completely dark.
Question 9 of 77
You should never wake a baby to eat at night unless...
The doctor told you to
They are a Preemie
Weigh less than six pounds and eat less then 6 times per day
All of the Above
Question 10 of 77
What is usually the biggest issue during the first week of the babies life?
Learning the babies cries
Breastfeeding
Moms soreness
Baby Blues
Question 11 of 77
When the baby starts to cry, you should...
Go in as soon as the baby begins to fuss
Wait until the baby is crying
Wait 3 to 5 minutes after the baby has started to cry
Offer them a bottle
Question 12 of 77
A 2 to 3 week old can usually stay awake for this long including eating time...
1 hour
2 hours
30 minutes
1.5 hours
Question 13 of 77
Cluster Feeding should be encouraged in the...
Morning
Evening
Afternoon
Middle of the Night
Question 14 of 77
If a child is reacting to the mothers milk we can suggest she...
Start the Elimination Diet
Continue Eating the way she did before
Eat sugary high calorie food
Drink extra water to increase her supply
Question 15 of 77
What Explains the amount of crying an infant does and why it increases in the first 2 to 3 months?
Wonderweeks
Purple Crying Curve
The 4th Trimester
Question 16 of 77
By week 4 the baby should be eating every 3 hours.
Question 17 of 77
By Week 5 we should be putting babies down...
Swaddled and Sleeping
Completely awake
Drowsy but awake
Question 18 of 77
If a newborn was precviously sleeping 7pm to 10pm and then slept from 7pm to 11pm, 11pm would be considered a…
Stepping stone
Benchmark
Starting point
Basepoint
Question 19 of 77
The act of trying to moving the feeds later in later is known as...
Refusal
Abstaining
Stretching
Sleep Training
Question 20 of 77
Sleep Training typically begins at what age?
5-6 weeks
3-4 weeks
7-8 weeks
12-16 weeks
Question 21 of 77
At 9 to 10 weeks , a newborn should be eating how many times a night?
Once
Twice
Three Times
Every Four Hours
Question 22 of 77
Approximately how many ounces of formula should a baby be eating per day?
2 times baby’s weight
1 times baby’s weight
3 times baby’s weight
2.5 times baby’s weight
Question 23 of 77
What is the max amount of ounces a baby should eat per day if the baby is 10 pounds?
25 ounces
13 ounces
39 ounces
Question 24 of 77
Daytime sleep habits directly effect night time sleep habits.
Question 25 of 77
The best way to handle Day and Night Sleep Problems is to...
Get an accurate description of what is happening with each parent/caregiver
Ask about eating habits
Talk to everyone in the household to ensure everyone is on the same page
All of the above
Question 26 of 77
Clients are going to have bad days as Sleep Consultants we should always...
Try to be supportive and encouraging
Firm and Strict
Hold the client accountable
Give up
Question 27 of 77
When a baby wakes up at 5am to eat and then sleeps until 7am we should explain to the parents that...
This is considered a cluster feed and the baby may not take a full bottle but we should try to get in as much as possible at that time
That she can and should finish the full bottle prior to going down before the first nap
That we should wait to offer a feed until the next perscribed time
Force feed the baby
Question 28 of 77
A Baby Stay asleep system can be used to help with a refluxy baby who is sleeping in an inclined crib.
Question 29 of 77
Outside of health reasons Reflux can be caused by...
Constant Snacking
Tummy Sleeping
Incorrect Swaddling
Improperly cleaned bottles
Question 30 of 77
When families hire additional child care it is important to make sure that...
There is a good plan in place for when you leave
That all parties are onboard to keep the forward motion going
That while being flexible in certain situations the main goal and rules remain the same
Question 31 of 77
What is crucial for milk production?
Thyroid
Liver
Gallbladder
Brain
Question 32 of 77
What kind of light should be avoided if possible in nursery?
Green
Red
Blue
Black
Question 33 of 77
When feeding a baby overnight you should...
Lay the baby right down after they burp
Snuggle the baby after they’ve eaten
Ensure they’ve finished all of their bottle
Change their diaper after
Question 34 of 77
Please explain the Wake to Sleep Method.
Shush pat after baby wakes.
Instead of waiting for baby to wake, go into baby's room before baby would normally wake around the 30 min. mark.
Both
Question 35 of 77
If a baby wakes early from their nap the caregiver should…
Wait 15 minutes
Quickly go in and take the baby out
Go in as soon as the baby gets upset
Bottle feed the baby back to sleep
Question 36 of 77
At the end of each week you should leave the family with...
Reading Lists on parenting styles and techdniques
New Child Related products they may want to try
A List of Goals for the following week
Nothing
Question 37 of 77
Which of the following are signs and symptoms of Postpartum Depression & Anxiety?
Angry Thoughts and/or out of control rage
Brain Fog and or Numbness
Insomnia, Scary Thoughts, as well as a slew of physical Symptoms
Question 38 of 77
When doing your first consult with a new family one of the first questions should be…
Do you have black out shades?
What does your doctor think is going on?
Have you checked for reflux or colic?
What have you tried?
Question 39 of 77
A Secret Sleep Number is...
The Mattress comfort for each baby
The amount of time it usually takes the baby to fall asleep on their own
The Temprature of the bedroom
The time it takes to get the baby ready for bed
Question 40 of 77
Part of getting twins on the same schedule means that you need to...
Waking one up when the other wakes up
Feeding them at the same time
Removing the awake twin from the room while the other sleeps
Ensuring that both babies have separate rooms
Question 41 of 77
Which of the following is not essential when having a baby on an alternative schedule?
Black out Curtains
White Noise Machine
Night Light
A Bath at Bedtime
Question 42 of 77
The reason a late alternative schedule (baby sleeps 10-10) works is because of the routine.
Question 43 of 77
Science says baby’s sleep is regulated by...
Their Sleep Number
Their Circadian Rhythm
The Purple Curve
Cortisone Production
Question 44 of 77
We should suggest that all naps are taken in the crib when childrens naps seem to be all over the place.
Question 45 of 77
An expected behavior for a child whose schedule and routine is being changed is...
Total compliance
Fussier then usual
Sickness
Question 46 of 77
The more of this activity the more tired the baby will be…
Screentime
Active Play
Cuddles and Snuggles
Structured Learning
Question 47 of 77
Which of the following is not an example of Active play?
Using Push and Pull Toys
Playing at the playground
Holding the child and dancing
Hide and seek
Question 48 of 77
How is reflux diagnosed?
A full Gastrointestinal
Upper Endoscopy
Swallow Study
Question 49 of 77
The only rule for sleep training a failure to thrive baby is...
Don’t do it unless you have a release from the pediatrician
Follow the parents instructions
Feed every hour on the hour
Don’t do it unless the parents sign a release
Question 50 of 77
When able to you should check with daycares to see how they get the children to sleep.
Question 51 of 77
When teaching a child to sleep in their own room we shouldn’t do which of the following...
Keep the room cooled to at least 72 Degrees Fahrenheit
Have children sleep in Pants and a Shirt
Talk in a small voice and use bribes if necessary
Utilize a child proof door handle on the inside part of the door
Question 52 of 77
Sleep training older children needs to be done...
Consistently with the same language by each party involved in sleep training the child
Delicately, if they scream and cry we should stop and readdress our course of action
Inconsistently, we want to make sure if things come up we can teach the child to be flexible from the start
Negotiable, We need to acknowledge the childs feelings even if this is the 20th time they have gotten out of bed.
Question 53 of 77
Usually an older child is easier to sleep train versus an younger child.
Question 54 of 77
Which day is usually the worst when sleep training an infant?
The Third Day
The First Day
The Second Day
The Fifth Day
Question 55 of 77
What should a breastfeeding mother plan to do when sleep training?
Wean the child
Wake the child to breastfeed
Pump before they go to bed
Cluster feed the child before bed.
Question 56 of 77
We want babies to fall asleep at the breast prior to bedtime.
Question 57 of 77
A Sleep Regression is classified as a period…
Between 1 and 4 days
Between 1 and 4 weeks
Between 1 and 5 days
Question 58 of 77
Quiet Sleep Represents...
The start of a baby’s deep sleep
The start of active sleep
REM Sleep
The end of the baby’s sleep schedule
Question 59 of 77
What types of developmental milestones are a child going through when they have a sleep regression?
Physical
Neurological
Emotional
Question 60 of 77
When is a baby to old to be swaddled?
After the first few weeks of life
By 12 weeks of age
When a baby can roll over in the swaddle
When a baby can sleep with one arm out of the swaddle
Question 61 of 77
How many ounces should an overnight bottle be if trying to wean the feed?
1 ounce
2 ounces
3 ounces
4 ounces
Question 62 of 77
Asking questions that show you know your ____________________ without giving away your ___________________ is important for a successful phone consultation.
Desire, Rates
Flexibility, Schedule
Knowledge, Information
Industry, Contract
Question 63 of 77
If a 2 year old is drinking thirty to forty ounces of milk a day could that be a contributing factor to lack of sleep (day and or night).
Yes
No
Question 64 of 77
When working with clients who don’t want to pay for your services you should be careful to do this and ask for a...
Not offend the parent by asking for payment, ask for a small fee
Lead the parent towards the “right” choices without giving your information away if you decide to take the client on, letter of reference
Teach the parents all you know, referral to make up for the lost wages
Inform them that you don’t work for free, beginner sleep trainer to help them.
Question 65 of 77
An older child can still benefit from using what to sleep?
Sleep Sack
Red Light Green Light Clock
Question 66 of 77
Paying attention to an older childs diet is important for sleep because...
Not eating the right foods and eating too much sugar can cause the child to not sleep well
Not eating enough sugar can cause the child not to sleep
Diet isn’t related to sleep at all
None of the above
Question 67 of 77
Cribs for babies under a year should have the following in them...
Crib Sheet Only
Crib Sheet, Bumpers, Mobile
Crib Sheet Dock- a- tot
Crib Sheet, Loose Blankets and a Small Pillow
Question 68 of 77
Ideally Cribs for multiples will be placed...
Next to each other in an L Shape
Next to each other in an I Shape
One Crib on each wall
Babies will share a crib
Question 69 of 77
Sleep Training can take up to...
6 weeks
2 weeks
4 weeks
3 weeks
Question 70 of 77
When doing a room review which of the following should you be looking for...
Black Out Curtains and Sound Machine
No light other than red light
Cribs that need to be adjusted
Question 71 of 77
Mirrors in babies room could be a problem because they reflect light at different angles with or with blackout shades.
Question 72 of 77
When a parent has OCD and child has a strong reaction to change we should…
Implement changes quickly and all at once
Gradually over a predetermined length of time
Do Nothing at all
Put things back to the way they were if child gets upset
Question 73 of 77
Which of the following is not a classic symptom of reflux?
Arching Back
Coughing
Spitting Up
Fever
Question 74 of 77
If a mother is complaining that it feels like the baby is “bending the nipple in it’s mouth” we should ask the parent if the child has been checked for a tongue or lip tie.
Question 75 of 77
When looking at a breastfeeding mothers diet which of the following foods are likely to cause issues?
Soy
Tomato
Cabbage
Question 76 of 77
A baby doesn’t have to spit up to have reflux.
Question 77 of 77
Comfort Nursing or Frequent Hunger in babies can often be characterized as a symptom of...
GERD
Anxiety
Silent Reflux
Constipation