IBCLC PREP EXAM QUESTIONS AND ANSWERS
LATEST UPDATE
Question 1.
What is the MOST IMPORTANT function of viral fragments that appear in human milk?
a. Often cause infant illness
b. Act as a "vaccination" against disease
c. Digested by the infant as food
d. Can be killed by heat treatments
ANSWER
B (triggers baby's immune response and does not appear to transmit disease)
Question 2.
When does object permanence emerge?
ANSWER
4-8 month old period
Question 3.
Which factor is MOST LIKELY to put a premature infant at risk of evaporative water loss?
a. lower brown fat reserves
b. immature thyroid control of metabolic rate
c. relatively large skin surface area
d. poor insulin response leading to hyperglycemia
ANSWER
c (preterm and low birth-weight babies especially)
,Question 4.
A mother has recently been diagnosed with gestational diabetes. Following the birth of her infant,
which of the following is MOST LIKELY?
a. the infant is more at risk of hypoglycemia and hyperbilirubinemia
b. onset of copious milk secretion may be delayed about 24 hours
c. breastfeeding may help protect the infant against type 2 diabetes
d. lactation will increase the mother's chance of developing adult-onset diabetes
ANSWER
b
Question 5.
What effect does cholecystokinin have on the infant when released when they are suckling?
A. Arousal
B. Satiety
C. Agitation
D. Depression
ANSWER
B (and relaxation)
Question 6.
Bias is defined as any tendency which prevents unprejudiced consideration of a question.
A) True
B) False
ANSWER
A
Question 7.
Researchers in a hospital were trying to figure out how to improve their breastfeeding rates. They
conducted a study in the Labor and Delivery suite where one group of birthing women held their
babies skin-to-skin for 20 minutes immediately after birth and another group held their babies skin-
to-skin for 60 minutes after birth. All mothers had vaginal births, all were taught skin-to-skin holding
the same way, and all mothers and babies were stable. Length of time breastfeeding for the first two
hours of birth prior to the mother leaving the L/D suite was studied. In this study the independent
variable is:
A) Length of time breastfeeding in the labor and delivery suite
B) The number of vaginal versus cesarean births in the study
C) Length of time of skin-to-skin holding
D) Rates of hand expression
, ANSWER
C (independent is what is manipulated)
Question 8.
Drugs more readily pass into milk in the first few days postbirth because the junctures between
_______________________________________ are open at this point, permitting passage of medications and
other substances into the alveolar lumen.
ANSWER
mammary secretory cells (lactocytes)
Question 9.
What skin condition is locally contained and has a sudden onset?
ANSWER
Atopic dermatitis
Question 10.
What is Paget's disease of the breast?
ANSWER
Rash and ulcer around nipple, breast cancer
Question 11.
The International Board of Lactation Consultant Examiners (IBLCE):
a. Only provides a test for IBCLCs
b. Licenses IBCLCs to practice
c. Provides the IBCLC exam and establishes standards in breastfeeding care
ANSWER
C
Question 12.
Innate defensins on the infants _____________ and in the __________________ provide a measure of
protection to the newborn.
ANSWER
skin and vernix
, Question 13.
What is Intent to Treat (ITT) design study
ANSWER
analysis of randomized experiments in which everyone is kept in their original group -
treatment or control - irrespective of compliance or attrition
Question 14.
Which scientific journal is published by the International Lactation Consultant Association?
a. Breastfeeding Medicine
b. Birth
c. Midwifery Medicine
d. Journal of Human Lactation
ANSWER
D
Question 15.
When lactation consultants advise a breastfeeding mother about sleep and fatigue issues, they should
keep in mind that breastfeeding mothers are:
a. more fatigued than formula feeding mothers
b. less fatigued than formula feeding mothers
c. they experience fatigue at the same rate
d. neither group is more fatigued than other workers
ANSWER
b (breastfeeding parents get more and deeper sleep than formula feeding or mixed feeding)
Question 16.
Which statement about human milk is MOST ACCURATE after 1 year of lactation?
a. total fat is 14% lower than at 6 months of lactation b. the total energy is 34% lower than at 6 months
c. lactose is 8% higher in proportion to minerals
d. creamatocrit (fat) levels are up to 28% higher
ANSWER
d
LATEST UPDATE
Question 1.
What is the MOST IMPORTANT function of viral fragments that appear in human milk?
a. Often cause infant illness
b. Act as a "vaccination" against disease
c. Digested by the infant as food
d. Can be killed by heat treatments
ANSWER
B (triggers baby's immune response and does not appear to transmit disease)
Question 2.
When does object permanence emerge?
ANSWER
4-8 month old period
Question 3.
Which factor is MOST LIKELY to put a premature infant at risk of evaporative water loss?
a. lower brown fat reserves
b. immature thyroid control of metabolic rate
c. relatively large skin surface area
d. poor insulin response leading to hyperglycemia
ANSWER
c (preterm and low birth-weight babies especially)
,Question 4.
A mother has recently been diagnosed with gestational diabetes. Following the birth of her infant,
which of the following is MOST LIKELY?
a. the infant is more at risk of hypoglycemia and hyperbilirubinemia
b. onset of copious milk secretion may be delayed about 24 hours
c. breastfeeding may help protect the infant against type 2 diabetes
d. lactation will increase the mother's chance of developing adult-onset diabetes
ANSWER
b
Question 5.
What effect does cholecystokinin have on the infant when released when they are suckling?
A. Arousal
B. Satiety
C. Agitation
D. Depression
ANSWER
B (and relaxation)
Question 6.
Bias is defined as any tendency which prevents unprejudiced consideration of a question.
A) True
B) False
ANSWER
A
Question 7.
Researchers in a hospital were trying to figure out how to improve their breastfeeding rates. They
conducted a study in the Labor and Delivery suite where one group of birthing women held their
babies skin-to-skin for 20 minutes immediately after birth and another group held their babies skin-
to-skin for 60 minutes after birth. All mothers had vaginal births, all were taught skin-to-skin holding
the same way, and all mothers and babies were stable. Length of time breastfeeding for the first two
hours of birth prior to the mother leaving the L/D suite was studied. In this study the independent
variable is:
A) Length of time breastfeeding in the labor and delivery suite
B) The number of vaginal versus cesarean births in the study
C) Length of time of skin-to-skin holding
D) Rates of hand expression
, ANSWER
C (independent is what is manipulated)
Question 8.
Drugs more readily pass into milk in the first few days postbirth because the junctures between
_______________________________________ are open at this point, permitting passage of medications and
other substances into the alveolar lumen.
ANSWER
mammary secretory cells (lactocytes)
Question 9.
What skin condition is locally contained and has a sudden onset?
ANSWER
Atopic dermatitis
Question 10.
What is Paget's disease of the breast?
ANSWER
Rash and ulcer around nipple, breast cancer
Question 11.
The International Board of Lactation Consultant Examiners (IBLCE):
a. Only provides a test for IBCLCs
b. Licenses IBCLCs to practice
c. Provides the IBCLC exam and establishes standards in breastfeeding care
ANSWER
C
Question 12.
Innate defensins on the infants _____________ and in the __________________ provide a measure of
protection to the newborn.
ANSWER
skin and vernix
, Question 13.
What is Intent to Treat (ITT) design study
ANSWER
analysis of randomized experiments in which everyone is kept in their original group -
treatment or control - irrespective of compliance or attrition
Question 14.
Which scientific journal is published by the International Lactation Consultant Association?
a. Breastfeeding Medicine
b. Birth
c. Midwifery Medicine
d. Journal of Human Lactation
ANSWER
D
Question 15.
When lactation consultants advise a breastfeeding mother about sleep and fatigue issues, they should
keep in mind that breastfeeding mothers are:
a. more fatigued than formula feeding mothers
b. less fatigued than formula feeding mothers
c. they experience fatigue at the same rate
d. neither group is more fatigued than other workers
ANSWER
b (breastfeeding parents get more and deeper sleep than formula feeding or mixed feeding)
Question 16.
Which statement about human milk is MOST ACCURATE after 1 year of lactation?
a. total fat is 14% lower than at 6 months of lactation b. the total energy is 34% lower than at 6 months
c. lactose is 8% higher in proportion to minerals
d. creamatocrit (fat) levels are up to 28% higher
ANSWER
d
