Certified Breastfeeding Counselor (CBC) PCE Study Guide
2026 | Complete Review | Graded A+
1. What is the recommended daily caloric increase for a mother who is
breastfeeding?
700 calories
300 calories
500 calories
400 calories
2. Describe the changes in an infant's stool consistency and color during the
first week of life.
An infant's stool becomes hard and brown within the first week.
An infant's stool remains the same color throughout the first week.
An infant's stool changes from yellow to green during the first week.
An infant's stool changes from meconium, which is dark and tarry, to
a softer, yellow stool by the end of the first week.
3. If a mother diagnosed with hypoplasia is struggling to produce enough milk,
what strategies might a breastfeeding counselor recommend?
Using a breast pump only once a day.
Exclusively breastfeeding without any supplementation.
Avoiding breastfeeding altogether.
Supplementing with formula while encouraging frequent
breastfeeding.
,4. Lactating women need an additional ___ calories/day.
450
400
300
500
5. If a mother is experiencing back pain while breastfeeding, which position
could she try to alleviate discomfort while still effectively feeding her infant?
Cradle hold
Standing position
Upright sitting position
Side lying position
6. What does hypoplasia refer to in breastfeeding?
Underdevelopment of breast tissue
Inflammation of the nipple
Infection of breast tissue
Excessive milk production
7. Which stool transitions from black to greenish black to greenish brown to
greenish yellow and occurs in breastfed and formula-fed neonates?
Formula-fed stool
Transitional stool
Breastfed stool
Diarrheal stool
, Meconium
8. Which type of medications should breastfeeding mothers avoid?
Over-the-counter pain relievers
Vitamins and supplements
Contraindicated medications
Antibiotics
9. If a mother is experiencing difficulty with her baby's latch while
breastfeeding, how might the Australian or saddle position be beneficial in
this scenario?
It can provide better alignment for the baby to latch effectively.
It can reduce the need for supplemental feeding.
It can help the mother lose weight faster.
It can increase the mother's milk supply immediately.
10. Describe the benefits of using the Australian/Saddle position for
breastfeeding mothers.
It helps in increasing the infant's appetite significantly.
The Australian/Saddle position allows mothers to maintain comfort
and control while minimizing pressure on the abdomen, especially
after a cesarean section.
This position is only effective for older infants.
This position is beneficial for all mothers regardless of their delivery
method.
, 11. The most important consideration when managing a premature infant is:
Determining blood glucose
Preventing the loss of body heat
Administering 100% oxygen
Continuosly suctioning the airway
12. Describe how the nutritional composition of preterm milk supports the
needs of premature infants.
Preterm milk is identical to term milk in composition and serves the
same purpose.
Preterm milk lacks essential nutrients needed for infant growth.
Preterm milk is specifically designed to meet the higher nutritional
needs of premature infants, providing more proteins and certain
fats.
Preterm milk is primarily composed of carbohydrates.
13. What can flat or inverted nipples potentially affect?
The mother's hair growth
The baby's diaper changes
The mother's sleep patterns
Can make breastfeeding challenging for both mom and infant
14. Lactating vegans are likely to be deficient in ___________ and will likely require
supplementation.
B-12
Vitamin C
2026 | Complete Review | Graded A+
1. What is the recommended daily caloric increase for a mother who is
breastfeeding?
700 calories
300 calories
500 calories
400 calories
2. Describe the changes in an infant's stool consistency and color during the
first week of life.
An infant's stool becomes hard and brown within the first week.
An infant's stool remains the same color throughout the first week.
An infant's stool changes from yellow to green during the first week.
An infant's stool changes from meconium, which is dark and tarry, to
a softer, yellow stool by the end of the first week.
3. If a mother diagnosed with hypoplasia is struggling to produce enough milk,
what strategies might a breastfeeding counselor recommend?
Using a breast pump only once a day.
Exclusively breastfeeding without any supplementation.
Avoiding breastfeeding altogether.
Supplementing with formula while encouraging frequent
breastfeeding.
,4. Lactating women need an additional ___ calories/day.
450
400
300
500
5. If a mother is experiencing back pain while breastfeeding, which position
could she try to alleviate discomfort while still effectively feeding her infant?
Cradle hold
Standing position
Upright sitting position
Side lying position
6. What does hypoplasia refer to in breastfeeding?
Underdevelopment of breast tissue
Inflammation of the nipple
Infection of breast tissue
Excessive milk production
7. Which stool transitions from black to greenish black to greenish brown to
greenish yellow and occurs in breastfed and formula-fed neonates?
Formula-fed stool
Transitional stool
Breastfed stool
Diarrheal stool
, Meconium
8. Which type of medications should breastfeeding mothers avoid?
Over-the-counter pain relievers
Vitamins and supplements
Contraindicated medications
Antibiotics
9. If a mother is experiencing difficulty with her baby's latch while
breastfeeding, how might the Australian or saddle position be beneficial in
this scenario?
It can provide better alignment for the baby to latch effectively.
It can reduce the need for supplemental feeding.
It can help the mother lose weight faster.
It can increase the mother's milk supply immediately.
10. Describe the benefits of using the Australian/Saddle position for
breastfeeding mothers.
It helps in increasing the infant's appetite significantly.
The Australian/Saddle position allows mothers to maintain comfort
and control while minimizing pressure on the abdomen, especially
after a cesarean section.
This position is only effective for older infants.
This position is beneficial for all mothers regardless of their delivery
method.
, 11. The most important consideration when managing a premature infant is:
Determining blood glucose
Preventing the loss of body heat
Administering 100% oxygen
Continuosly suctioning the airway
12. Describe how the nutritional composition of preterm milk supports the
needs of premature infants.
Preterm milk is identical to term milk in composition and serves the
same purpose.
Preterm milk lacks essential nutrients needed for infant growth.
Preterm milk is specifically designed to meet the higher nutritional
needs of premature infants, providing more proteins and certain
fats.
Preterm milk is primarily composed of carbohydrates.
13. What can flat or inverted nipples potentially affect?
The mother's hair growth
The baby's diaper changes
The mother's sleep patterns
Can make breastfeeding challenging for both mom and infant
14. Lactating vegans are likely to be deficient in ___________ and will likely require
supplementation.
B-12
Vitamin C
