CERTIFIED BREASTFEEDING COUNSELOR PCE EXAM QUESTIONS WITH CORRECT ANSWERS AND DETAILED RATIONALES

CERTIFIED BREASTFEEDING
COUNSELOR PCE EXAM
QUESTIONS WITH CORRECT
ANSWERS AND DETAILED
RATIONALES
What is the normal weight loss for the infant during the first few days ? - -
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ANSWERS-5-7% in the first 24hrs and below 10% in the first week
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How many calories does a lactating mom need - ANSWERS-
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Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,8
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00-2,700 with most mons consuming around 2,200 vz vz vz vz vz vz




What type of supplement do most lactating vegans / bariatric patients take ? - -
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ANSWERS-supplement Vitamin B12
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How much vitamin D does a baby need ? When do they need to be supplemented
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? - ANSWERS-
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Babies need 400 IU of Vitamin D per day . They should be supplemented if moms
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are deficient ; there is vitamin D in formula , so if they are being formula -
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fed they do NOT require additional vitamin D supplementation .
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What types of foods ( or diet ) should lactating moms consume ? - ANSWERS-
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Moms should consume a diet of normal foods -
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they should eat when they're hungry and drink when they're thirsty . The MyPlate i
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s a good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
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When would a Habermen feeder be indicated ? - ANSWERS-
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with Down's Syndrome or a Cleft Lip / Palate
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What medications are contraindicated in breastfeeding mothers ? - ANSWERS-
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Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illi
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cit drugs vz




What is the Tail of Spence ? What are the symptoms ? How do you treat it ? -
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ANSWERS-
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The Tail of Spence refers to mammary gland tissue that extends to the axillary are
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a that is connected to the milk ducts . Symptoms include swollen armpits and even
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mastitis . Moms can apply cold compresses to the area and take Motrin / Tylenol a
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s needed for discomfort .
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What happens to estrogen and progesterone during pregnancy and after birth ? - -
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ANSWERS-They increase during pregnancy and then decrease after birth .
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, How many stages of the " Magic Hour " are there ? What are they ? - ANSWERS-
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There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth
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cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8.
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Suckling 9. Sleep vz vz




What is the stomach size of the baby at birth ? - - ANSWERS-
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The baby's stomach is only the size of a marble , button or grape at birth . It can o
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nly hold 1-7 mL or 1-2 teaspoons at this time .
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Standards of of practice for CBC - - ANSWERS- vz vz vz vz vz vz vz vz


Help families define and achieve goals
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-Problem solving : Assessment , plan , implementation , evaluation
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-Education and counseling
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-Professionalism
-Legal considerations
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Where is the milk produced ? - ANSWERS-ANSWER- In the alveoli
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How long after cessation of breast feeding does milk production ( involution ) stop
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? - - ANSWERS-Approximately 40 days
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What are the common signs of milk " let down " ? - ANSWERS-
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Tingling , warmth , fullness , dripping and contractions
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How is preterm milk different than term milk ? - - ANSWERS-
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It is higher in protein and immune factors ( because the body KNOWS this is what t
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he preemie needs ! )
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What component of breast milk is the most variable ? - ANSWERS-Lipids
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What component of human milk is destroyed by freezing ? - ANSWERS-
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Macrophages

When is the side - lying position helpful ? - ANSWERS-
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In moms that are sleepy or have lacerations / repairs that put pressure and cause
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discomfort on the perineal area vz vz vz vz




What position is centered around the infant attaching themselves to the breast ? - -
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ANSWERS-The laid back position ( aka the biological position )
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When is the Australian / Saddle position helpful ? - ANSWERS-
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When moms are experiencing active let - down
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What is the dancer hand ? - ANSWERS-
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Mom would have hand below the breast in a " U " shape ; this is good for infants w
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ho need good jaw support
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What are signs of milk transfer ? - ANSWERS-Swallowing -
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harsh " Ca " sound ; air from nose felt , neck movement visualized
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