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IBCLC Exam 2026/2027 Study Guide – Breastfeeding, Lactation, Infant Health, Medications & Clinical Practice Questions and Answers

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This IBCLC Exam study guide covers key lactation and breastfeeding topics, including newborn cardiac conditions, breastfeeding support for hypotonic and hypertonic infants, infectious diseases, medications and breastfeeding, expressed milk handling, milk storage, pumping, radiology and chemotherapy considerations, and breast health conditions. It also reviews infant feeding development, maternal-infant bonding, sleep and breastfeeding, induced lactation, and clinical breastfeeding management. The material contains 51 flashcard-style questions and answers designed for IBCLC exam preparation and review. Topics include cyanotic and acyanotic heart disease, tuberculosis, methamphetamine exposure, PET/CT, iodinated contrast, corticosteroids, Paget's disease, milk composition and storage, and breastfeeding support techniques.

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IBCLC Exam 2026/2027 questions and answers with
complete solutions verified


Terms in this set (51)



What are the two types of cardiac Cyanotic and acyanotic
disease in a newborn?

Implications for breastfeeding a Small frequent feeds, milk expression,
newborn with acyanotic heart alternate feeding methods. Higher kcal needs
disease d/t energy expenditure. BF may be less
taxing than bottle feeding.

How can you support a hypotonic Upright positioning; flexion of limbs; swaddling;
infant with breastfeeding? dancer hold to support infant's mandible and
tongue.

, How can you support a Gentle rhythmic movement to relax limbs (eg.
hypertonic infant with swinging in a blanket, colic hold), massage.
breastfeeding?

Symptoms of cyanotic heart Tiring easily at the breast, turning blue, sweating.
disease in newborn

Sleep difference in BF versus FF BF mothers report more and deeper sleep, even
mothers compared to FF mothers whose partners took
over bottle feeding. Oxytocin release
increases sleepiness.

What were the findings of a 1990 1/2 of separated babies did not nurse
Swedish study about separating successfully when reunited with mother.
baby for 20 min after birth?

What did Klaus & Kennel find in Maternal-infant bonding begins right after birth,
1976? increases with close contact with baby.
Influenced hospital policy towards immediate
skin-to-skin and rooming in with baby.

What would you advise a Pump and dump until urine screen tests
breastfeeding parent who used negative for methamphetamine. They stay in
methamphetamine the night the parent's system for several days.
before?

What would you advise a Wear clothing and bandage if necessary. Infant
breastfeeding parent with should avoid direct contact with lesions.
infectious lesions?

When might an infant learn to Late infancy, into toddlerhood.
hold and guide a spoon?

Why is pumping both breasts Increased milk output, higher caloric density

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