2025 IBCLC Study Guide with
Accurate Solutions
Holder pasteurization - ANSWER-Rapidly heat and agitate the milk at 62.5C/144.5F for
30 mins
Qualitative studies focus on human experience; what is an example of a qualitative
study? - ANSWER-Phenomenology (also discourse analysis, ethnography, and
grounded theory are examples of qualitative studies)
What feeding regimen is appropriate for an infant with Phenylketonuria? - ANSWER-
Partial HM feedings and phenylalanine-free HM substitute supplements
Human milk is higher in whey proteins or casein? - ANSWER-Whey proteins (includes
albumin, a-lactalbumin, lysozyme, lactoferrin, IgA) are easily digestible by babies
Which method of breast surgery may interfere with the ability to breastfeed? -
ANSWER-Free-nipple breast reduction; blood supply of the nipple & areolas are
completely severed; this technique causes damage to nerves too, and severe milk ducts
Research shows a 20% increased propensity for severe physiologic jaundice in babies
of which ethnic group? - ANSWER-Southeast Asian (and Greek island extraction)
What is NOT true in comparing breastfeeding and bottle feeding? - ANSWER-
Breastfeeding suckling rate is slower than bottle feeding; (TRUE: breastfeeding
produces more frequent suckling, and mandibles jaw action)
At what age do infants start to become distracted during feeds? - ANSWER-3 months
What stage of lactation is controlled by the autocrine system and is the maintenance of
established secretion? - ANSWER-Lactogenesis 3/Galactoooiesis
Which are methods of quantitative research? - ANSWER-Randomized selection of
subjects (traditional scientific method, systematic process)
Normal intake of a one week old EBF baby is: - ANSWER-300-550 ml per day (30-59 ml
per feed)
What P-value makes the result NOT statistically significant? - ANSWER-P value > 0.05
, What is the autocrine mechanism that regulates milk production? - ANSWER-FIL
(Feedback Inhibitor of Lactation);
Lactoferrin - ANSWER-Iron-binding protein and prevents pathogens from obtaining the
iron they need to survive
Alpha-lactalbumin - ANSWER-Protein in HM, currently being researched for use in
cancer treatment
The average amount of colostrum produced in 24 hours after delivery: - ANSWER-37
mls (2-20ml per feed)
What condition is contraindicated for providing HM? - ANSWER-Infant galactosemia;
infant lacks enzymes required to metabolize lactose, the primary sugar in HM
Which of the following documents stated that bleeding in the first 56 days can be
ignored and form the basis of the lactational amenorrhea method? - ANSWER-Bellagio
consensus
What physical manifestations are consistent with 5 months of age? - ANSWER-
Corralling with both hands and consistent visual regard
From which type of research evidence would it be the most appropriate to make a
practice change? - ANSWER-Systematic reviews of randomized clinical trials
Which enzyme aids in the digestion of milk lactose? - ANSWER-Lactase (necessary to
convert lactose into simple sugars that can be easily assimilated by the infant)
Stimulates milk production or secretion - ANSWER-Lactogen
Enzyme that catalyzes the hydrolysis of fats - ANSWER-Lipase
Antimicrobial, modulator of immune function and facilitator of nutrient utilization -
ANSWER-Leftover rib
A meta-analysis is what type of statistical technique? - ANSWER-Statistically combining
results from several similar, randomized control studies as if they were all part of one
big study
A BF infant grows how much during newborn to 4 months old? - ANSWER-22-34g/day
A BF infants grows how much from 4-6 months? - ANSWER-13-18 g/day
BF infant grows how much during 6-12 months? - ANSWER-7-11g/day
Weight doubles by what age? - ANSWER-4-6 months
Accurate Solutions
Holder pasteurization - ANSWER-Rapidly heat and agitate the milk at 62.5C/144.5F for
30 mins
Qualitative studies focus on human experience; what is an example of a qualitative
study? - ANSWER-Phenomenology (also discourse analysis, ethnography, and
grounded theory are examples of qualitative studies)
What feeding regimen is appropriate for an infant with Phenylketonuria? - ANSWER-
Partial HM feedings and phenylalanine-free HM substitute supplements
Human milk is higher in whey proteins or casein? - ANSWER-Whey proteins (includes
albumin, a-lactalbumin, lysozyme, lactoferrin, IgA) are easily digestible by babies
Which method of breast surgery may interfere with the ability to breastfeed? -
ANSWER-Free-nipple breast reduction; blood supply of the nipple & areolas are
completely severed; this technique causes damage to nerves too, and severe milk ducts
Research shows a 20% increased propensity for severe physiologic jaundice in babies
of which ethnic group? - ANSWER-Southeast Asian (and Greek island extraction)
What is NOT true in comparing breastfeeding and bottle feeding? - ANSWER-
Breastfeeding suckling rate is slower than bottle feeding; (TRUE: breastfeeding
produces more frequent suckling, and mandibles jaw action)
At what age do infants start to become distracted during feeds? - ANSWER-3 months
What stage of lactation is controlled by the autocrine system and is the maintenance of
established secretion? - ANSWER-Lactogenesis 3/Galactoooiesis
Which are methods of quantitative research? - ANSWER-Randomized selection of
subjects (traditional scientific method, systematic process)
Normal intake of a one week old EBF baby is: - ANSWER-300-550 ml per day (30-59 ml
per feed)
What P-value makes the result NOT statistically significant? - ANSWER-P value > 0.05
, What is the autocrine mechanism that regulates milk production? - ANSWER-FIL
(Feedback Inhibitor of Lactation);
Lactoferrin - ANSWER-Iron-binding protein and prevents pathogens from obtaining the
iron they need to survive
Alpha-lactalbumin - ANSWER-Protein in HM, currently being researched for use in
cancer treatment
The average amount of colostrum produced in 24 hours after delivery: - ANSWER-37
mls (2-20ml per feed)
What condition is contraindicated for providing HM? - ANSWER-Infant galactosemia;
infant lacks enzymes required to metabolize lactose, the primary sugar in HM
Which of the following documents stated that bleeding in the first 56 days can be
ignored and form the basis of the lactational amenorrhea method? - ANSWER-Bellagio
consensus
What physical manifestations are consistent with 5 months of age? - ANSWER-
Corralling with both hands and consistent visual regard
From which type of research evidence would it be the most appropriate to make a
practice change? - ANSWER-Systematic reviews of randomized clinical trials
Which enzyme aids in the digestion of milk lactose? - ANSWER-Lactase (necessary to
convert lactose into simple sugars that can be easily assimilated by the infant)
Stimulates milk production or secretion - ANSWER-Lactogen
Enzyme that catalyzes the hydrolysis of fats - ANSWER-Lipase
Antimicrobial, modulator of immune function and facilitator of nutrient utilization -
ANSWER-Leftover rib
A meta-analysis is what type of statistical technique? - ANSWER-Statistically combining
results from several similar, randomized control studies as if they were all part of one
big study
A BF infant grows how much during newborn to 4 months old? - ANSWER-22-34g/day
A BF infants grows how much from 4-6 months? - ANSWER-13-18 g/day
BF infant grows how much during 6-12 months? - ANSWER-7-11g/day
Weight doubles by what age? - ANSWER-4-6 months
