Nutrition and malnutrition: contraindications to breastfeeding: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Nutrition and malnutrition: contraindications to breastfeeding

Sample item

In which situation is breastfeeding contraindicated?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Infant with galactosaemia

Galactosaemia is an absolute contraindication since lactose is metabolised to galactose. Mothers on chemotherapy should also avoid breastfeeding, whereas HIV-positive mothers on effective ART can breastfeed under national guidelines.

Option by option

  • A. Mother with hepatitis B who has vaccinated the baby

    Hepatitis B vaccination and immunoglobulin permit breastfeeding.

  • B. Mother with HIV on antiretroviral therapy

    HIV-positive mothers on ART may breastfeed under national guidance.

  • C. Mother with mild fever

    Mild fever is not a contraindication.

  • D. Infant with galactosaemia (correct)

    Correct. Galactosaemia requires a lactose-free formula.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Infant with galactosaemia. Galactosaemia is an absolute contraindication since lactose is metabolised to galactose.

Why is "Mother with hepatitis B who has vaccinated the baby" not the answer?

Hepatitis B vaccination and immunoglobulin permit breastfeeding.

Why is "Mother with HIV on antiretroviral therapy" not the answer?

HIV-positive mothers on ART may breastfeed under national guidance.

Why is "Mother with mild fever" not the answer?

Mild fever is not a contraindication.

What concept does this question test?

It tests Nutrition and malnutrition: contraindications to breastfeeding in Pediatrics. Mothers on chemotherapy should also avoid breastfeeding, whereas HIV-positive mothers on effective ART can breastfeed under national guidelines.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nutrition and malnutrition: contraindications to breastfeeding?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.