CERTIFIED BREASTFEEDING COUNSELOR
EXAM | COMPLETE STUDY GUIDE 2026 |
VERIFIED ANSWERS | 100% CORRECT |
GRADED A+| PASS GUARANTEED
What are some maternal reasons for an adequate milk supply? -
ANSWER Inadequate breast stimulation, infrequent feedings, inadequate milk
removal, suboptimal hormone balance, smoking, breast injury, congenital breast
anomalies, discrepancy in breast size, breast surgery and/or augmentation, certain
prescription medication, new pregnancy, maternal depression.
What are some common myths that are not related to decreased milk production? -
ANSWER Maternal fluid intake, physical labor or resumption of a workout
regime, maternal stress, maternal fatigue without an underlying physical or
medical cause, maternal diet or malnutrition.
According to the Institute of Medicine, alcohol may be consumed in moderation
by nursing mothers. Advising the lactating woman to limit her intake to no more
than: - ANSWER 0.5 grams of alcohol per kg of body weight. This corresponds
to approximately* 2-2.5oz of liquor, 8oz of table wine, or 2 cans of beer.
When doing a weighted feed, the digital scale should be accurate to how many
grams? - ANSWER 2 grams
, In 2010 the US Healthcare Reform Bill Included an amendment to section 7 of the
Fair Labor Standards Act requiring employers of greater than 50 employees to: -
ANSWER Provide reasonable break time (aside from meal break) for an
employee to express milk for her nursing child for 1 year after the child's birth each
time such employee has the need to express the milk. Provide a private place other
than a bathroom.
Exclusively breastfed infants are expected to gain how many ounces per day in the
early months? - ANSWER 0.5oz to 1 oz or more a day
"I'm worried about my milk supply" - ANSWER Baby has not gained an
adequate amount of weight, baby falls asleep after just a few minutes of feeding,
baby seems unsatisfied after the feed, breasts feel empty, expressed milk volume is
less than expected.
What is Wessel's Rule of 3 regarding colic? - ANSWER A condition of infancy
described by the classic rule of three: bouts of high-pitched crying lasting for more
than 3 hours/day, for more than 3 days/week, and for more than 3 weeks. in a well-
nourished, otherwise healthy baby. Colic typically starts after 2 weeks of age and
resolves by 4 months.
Unique identifiers for hypoglycemia in an infant: - ANSWER Large for
gestational age, small for gestational age, intrauterine growth restriction. Infants of
diabetic mothers. Preterm or late term gestation at birth. Suspected neonatal sepsis
or maternal chorioamnionitis. Apgar score of less than 7 at 5 minutes. Newborns
who require resuscitation. Discordant twin. Hypothermia.
In the United States? Women with this disease should be advised not to breastfeed:
- ANSWER HIV-positive and HTLV-I or HTLV-II
, Protocol for tuberculosis in breastfeeding: - ANSWER Women with active
tuberculosis may breastfeed after 2 or more weeks of treatment. Once cleared by
the healthcare provider. Tuberculosis is communicated via droplets, not mother's
milk, so the mother will be separated from her baby, but may express milk to be
fed to the baby by someone else.
Protocol for breastfeeding with hepatitis A: - ANSWER Women with hepatitis
A may breastfeed as soon as they have received gamma globulin and have been
cleared by their healthcare provider.
Protocol for breastfeeding with hepatitis B: - ANSWER The infant should
receive hepatitis B immune globulin and the first dose of the hepatitis B vaccine
within 12 hours of birth. There is no reason to delay breastfeeding per the CDC.
Protocol for breastfeeding with hepatitis C: - ANSWER The CDC advises that
breastfeeding women who have been diagnosed with hepatitis C, with cracked,
bleeding nipples, abstain from nursing on the bleeding nipples until healing occurs.
Can a woman with venereal warts breastfeed? - ANSWER Yes.
Protocol for breastfeeding with the herpes simplex virus: -
ANSWER Breastfeeding is allowed, except if the lesion is on the breast, areola,
or nipple. Avoid the affected breast until lesions have cleared. Or until cleared by a
healthcare provider.
Protocol for breastfeeding with the varicella-zoster virus (a.k.a. chickenpox): -
ANSWER The mother may breastfeed when she is non-infectious and cleared
by a health care provider.
, Protocol for breastfeeding with Epstein-Barr: - ANSWER Breastfeeding is
allowed.
Protocol for breastfeeding with Lyme disease: - ANSWER Mothers with Lyme
disease may breastfeed as soon as treatment is initiated.
Protocol for breastfeeding with untreated Brucellosis: - ANSWER Mothers
should not provide breast milk for the babies.
Protocol for breastfeeding with Cytomegalovirus (CMV): -
ANSWER Breastfeeding a full-term infant is allowed. For premature infants,
the AAP Section on Breastfeeding (2012) States that freezing milk reduces but
does not eliminate CMV, and that fresh mother's own milk is the preferred food for
all premature infants.
What is the method used at the Center for Breastfeeding, based on the AAP's
(2011) calculations, to determine how many ounces of breastmilk per day for a
newborn under 11 pounds? - ANSWER Take the baby's weight in pounds and
multiply by 2.5 for standard gain and 2.7 to 3.0 if the baby needs to catch up on
weight gain.
We expect the baby to be back at birthweight by how many days post birth? -
ANSWER 12-14 days
In the early months, we expect a minimum weight gain of approximately how
many ounces per day in a breastfed infant? - ANSWER Approximately 1 ounce
a day.
EXAM | COMPLETE STUDY GUIDE 2026 |
VERIFIED ANSWERS | 100% CORRECT |
GRADED A+| PASS GUARANTEED
What are some maternal reasons for an adequate milk supply? -
ANSWER Inadequate breast stimulation, infrequent feedings, inadequate milk
removal, suboptimal hormone balance, smoking, breast injury, congenital breast
anomalies, discrepancy in breast size, breast surgery and/or augmentation, certain
prescription medication, new pregnancy, maternal depression.
What are some common myths that are not related to decreased milk production? -
ANSWER Maternal fluid intake, physical labor or resumption of a workout
regime, maternal stress, maternal fatigue without an underlying physical or
medical cause, maternal diet or malnutrition.
According to the Institute of Medicine, alcohol may be consumed in moderation
by nursing mothers. Advising the lactating woman to limit her intake to no more
than: - ANSWER 0.5 grams of alcohol per kg of body weight. This corresponds
to approximately* 2-2.5oz of liquor, 8oz of table wine, or 2 cans of beer.
When doing a weighted feed, the digital scale should be accurate to how many
grams? - ANSWER 2 grams
, In 2010 the US Healthcare Reform Bill Included an amendment to section 7 of the
Fair Labor Standards Act requiring employers of greater than 50 employees to: -
ANSWER Provide reasonable break time (aside from meal break) for an
employee to express milk for her nursing child for 1 year after the child's birth each
time such employee has the need to express the milk. Provide a private place other
than a bathroom.
Exclusively breastfed infants are expected to gain how many ounces per day in the
early months? - ANSWER 0.5oz to 1 oz or more a day
"I'm worried about my milk supply" - ANSWER Baby has not gained an
adequate amount of weight, baby falls asleep after just a few minutes of feeding,
baby seems unsatisfied after the feed, breasts feel empty, expressed milk volume is
less than expected.
What is Wessel's Rule of 3 regarding colic? - ANSWER A condition of infancy
described by the classic rule of three: bouts of high-pitched crying lasting for more
than 3 hours/day, for more than 3 days/week, and for more than 3 weeks. in a well-
nourished, otherwise healthy baby. Colic typically starts after 2 weeks of age and
resolves by 4 months.
Unique identifiers for hypoglycemia in an infant: - ANSWER Large for
gestational age, small for gestational age, intrauterine growth restriction. Infants of
diabetic mothers. Preterm or late term gestation at birth. Suspected neonatal sepsis
or maternal chorioamnionitis. Apgar score of less than 7 at 5 minutes. Newborns
who require resuscitation. Discordant twin. Hypothermia.
In the United States? Women with this disease should be advised not to breastfeed:
- ANSWER HIV-positive and HTLV-I or HTLV-II
, Protocol for tuberculosis in breastfeeding: - ANSWER Women with active
tuberculosis may breastfeed after 2 or more weeks of treatment. Once cleared by
the healthcare provider. Tuberculosis is communicated via droplets, not mother's
milk, so the mother will be separated from her baby, but may express milk to be
fed to the baby by someone else.
Protocol for breastfeeding with hepatitis A: - ANSWER Women with hepatitis
A may breastfeed as soon as they have received gamma globulin and have been
cleared by their healthcare provider.
Protocol for breastfeeding with hepatitis B: - ANSWER The infant should
receive hepatitis B immune globulin and the first dose of the hepatitis B vaccine
within 12 hours of birth. There is no reason to delay breastfeeding per the CDC.
Protocol for breastfeeding with hepatitis C: - ANSWER The CDC advises that
breastfeeding women who have been diagnosed with hepatitis C, with cracked,
bleeding nipples, abstain from nursing on the bleeding nipples until healing occurs.
Can a woman with venereal warts breastfeed? - ANSWER Yes.
Protocol for breastfeeding with the herpes simplex virus: -
ANSWER Breastfeeding is allowed, except if the lesion is on the breast, areola,
or nipple. Avoid the affected breast until lesions have cleared. Or until cleared by a
healthcare provider.
Protocol for breastfeeding with the varicella-zoster virus (a.k.a. chickenpox): -
ANSWER The mother may breastfeed when she is non-infectious and cleared
by a health care provider.
, Protocol for breastfeeding with Epstein-Barr: - ANSWER Breastfeeding is
allowed.
Protocol for breastfeeding with Lyme disease: - ANSWER Mothers with Lyme
disease may breastfeed as soon as treatment is initiated.
Protocol for breastfeeding with untreated Brucellosis: - ANSWER Mothers
should not provide breast milk for the babies.
Protocol for breastfeeding with Cytomegalovirus (CMV): -
ANSWER Breastfeeding a full-term infant is allowed. For premature infants,
the AAP Section on Breastfeeding (2012) States that freezing milk reduces but
does not eliminate CMV, and that fresh mother's own milk is the preferred food for
all premature infants.
What is the method used at the Center for Breastfeeding, based on the AAP's
(2011) calculations, to determine how many ounces of breastmilk per day for a
newborn under 11 pounds? - ANSWER Take the baby's weight in pounds and
multiply by 2.5 for standard gain and 2.7 to 3.0 if the baby needs to catch up on
weight gain.
We expect the baby to be back at birthweight by how many days post birth? -
ANSWER 12-14 days
In the early months, we expect a minimum weight gain of approximately how
many ounces per day in a breastfed infant? - ANSWER Approximately 1 ounce
a day.
