# Situation: A public health nurse at a Rural Health Unit (RHU) runs the postpartum and family planning clinic. She supervises the rural health midwives, who in turn work with the barangay health workers (BHWs). A mother who works in a private office plans to keep breastfeeding when her maternity leave ends. What does the Expanded Breastfeeding Promotion Act (RA 10028) guarantee her?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=629411  
> language: ko  
> subject: Nursing Practice II — Maternal and Child Health Nursing

## 문제

Situation: A public health nurse at a Rural Health Unit (RHU) runs the postpartum and family planning clinic. She supervises the rural health midwives, who in turn work with the barangay health workers (BHWs).

A mother who works in a private office plans to keep breastfeeding when her maternity leave ends. What does the Expanded Breastfeeding Promotion Act (RA 10028) guarantee her?

## 보기

1. At least 30 minutes of paid lactation breaks for every 8-hour working period
2. At least 40 minutes of paid lactation breaks for every 8-hour working period **✔ 정답**
3. At least 40 minutes of unpaid lactation breaks for every 8-hour working period
4. At least 40 minutes of paid lactation breaks for every 12-hour working period

**정답: 2**

## 해설

RA 10028 requires employers to give breastfeeding employees compensable lactation periods totaling not less than 40 minutes for every 8-hour working period, and to set up lactation stations. Both parts of the rule matter: the time is paid, and the minimum is counted per 8-hour period.

## 심화 해설

The correct answer is 2. At least 40 minutes of paid lactation breaks for every 8-hour working period.

The Expanded Breastfeeding Promotion Act, or RA 10028, protects a working mother’s right to continue breastfeeding after returning from maternity leave. The law specifically requires employers to provide compensable lactation periods totaling not less than 40 minutes for every 8-hour working period. This means the break time is counted as paid working time, and the minimum duration is calculated based on an 8-hour shift, not a 12-hour shift.

A common point of confusion is whether the break is paid or unpaid. Under RA 10028, the lactation break is compensable, meaning the employee must be paid for that time as if she were working. Option 3 is incorrect because it describes the break as unpaid. Option 1 is incorrect because 30 minutes is below the legal minimum of 40 minutes. Option 4 is incorrect because the standard reference period is an 8-hour working period, not a 12-hour period.

In addition to the time allowance, RA 10028 also mandates that employers establish lactation stations in the workplace. These are designated, private, clean areas where a mother can express breast milk or breastfeed. The law applies to both public and private sector employers, including a private office setting like the one described in the scenario.

From a clinical and public health nursing perspective, this policy is a structural intervention that supports exclusive and continued breastfeeding. The case study analysis by Hernández-Cordero and colleagues highlights that national policies protecting breastfeeding, such as workplace lactation support, are key components of successful breastfeeding promotion programmes [1]. In the Philippines, legislative measures like RA 10028 form part of the enabling environment that helps mothers sustain breastfeeding even when they return to paid employment [1]. For a nurse working in a Rural Health Unit, understanding this law is essential for providing accurate anticipatory guidance to postpartum mothers who are planning their return to work.

| Option | Duration | Pay status | Reference period | Verdict |
| --- | --- | --- | --- | --- |
| 1 | 30 minutes | Paid | 8 hours | Incorrect — below the 40-minute minimum |
| 2 | 40 minutes | Paid | 8 hours | Correct — meets both time and pay requirements |
| 3 | 40 minutes | Unpaid | 8 hours | Incorrect — lactation breaks must be compensable |
| 4 | 40 minutes | Paid | 12 hours | Incorrect — standard is per 8-hour period |

Key point! The two non-negotiable elements of the lactation break under RA 10028 are that it is paid and that it totals at least 40 minutes per 8-hour working period.

Watch out! Do not confuse the lactation break under RA 10028 with other workplace breaks. The 40-minute minimum is specific to breastfeeding employees and is separate from regular meal or rest periods.References (research sources)

- [1]Countries' experiences scaling up national breastfeeding, protection, promotion and support programmes: Comparative case studies analysis.Research articleHernández-Cordero S, Pérez-Escamilla R, Zambrano P, Michaud-Létourneau I, Lara-Mejía V, Franco-Lares B. (2022) · DOI: 10.1111/mcn.13358

## 임상 시나리오

Workplace Lactation SupportRA 10028 Compliance for Returning Mothers
Under RA 10028, employers must provide compensable lactation periods totaling at least 40 minutes for every 8-hour working period. This time is paid and may be split into shorter breaks.

Employers are also required to set up a lactation station—a private, clean area other than a restroom—where mothers can express milk or breastfeed.

CautionThe break must be paid, not unpaid, and the minimum is based on an 8-hour shift. Do not apply a 12-hour denominator or reduce the time below 40 minutes.

## 핵심 개념

- **RA 10028** — Expanded Breastfeeding Promotion Act requiring paid lactation breaks and workplace lactation stations.
- **Compensable lactation period** — Paid break time for expressing breast milk, counted as working time.
- **Lactation station** — A private, clean designated area in the workplace for breastfeeding or milk expression.

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