IBCLC Exam Flashcards UPDATED 2023

IBCLC Exam Flashcards UPDATED 2023 Micrognathia Condition where jaw is undersized; common but can interfere with feeding and breathing PKU (phenylketonuria) Body does not produce enzyme to break-down amino acid phenylalanine and this builds-ups in blood; need low phe formula and CAN breastfeed Maple Syrup Disease Body is unable to break-down certain proteins/amino acids (leucine); sweet smelling urine. Need low protein diet/special formula i.e. Ketonex-1. BF CONTRAINDICATED Galactosemia Rare genetic (metabolic) disorder; cannot metabolize galactose. BM is Lactose (galactose/glucose) - need soy-based formula - BF CONTRAINDICATED Wessel's Rule of 3 (Colic) 3 hours per day 3 x per week for 3 weeks Down Syndrome Marked hypotonia; decreased suck-swallow-breathe coordination, large tongue with poor control, poor gape and mouth control - Dancer Hold for BFing Hypotonia Decreased muscle tone; "floppy" difficulty coordinating suck-swallow-breathe poor gape and mouth control poor search and tongue extension loss of suction long/slow feeds Dancer Hold for BFing w/ upright positioing; tube at breast prn - switch nursing & compressions Hypertonia High, rigid muscle tone; rigid tight jaw, clamping down on breast restricted tongue movement Finger feeding in prone position over the arm of an adult before BFing - use prone (tummy down) position; increased SSC, swing in blanket, colic hold Hypoglycemia DOES NOT occur in healthy full-term infants at 8 hrs after birth, whether fed or not, a normal full-term infant will have a normal blood sugar level Routine blood glucose testing IS NOT recommended S&S = jittery, lethary, high-pitch cry, exaggerated MORO, hypotonia, inadequate sucking reflex S&S + 45mg/dL - clinical intervention needed Risks but no S&S + 36 mg/dL - close surveillance +++SSC, early, frequent BFing Hyperbilirubinemia (Jaundice) Most common in first week (physiologic jaundice) accumulation of unconjugated bilirubin Caused by inadequate intake in first days of life; prolonged intestinal transit and delay in passing meconium - weight loss of 7% BFing management, SSC - increase feeding Kernicterus Untreated jandice - bilirubin moves from bloodstream into brain tissue - brain damage or death. Warning signs of poor intake: Scant/dark/concentrated urine No urine 4 stools/day after day 3 Stools not transitioned after day 6 Low Birth Weight (LBW) Infant with BW 2500g Very Low Birth Weight (VLBW) Infant with BW 1500g Extremely Low Birth Weight (ELBW) Infant with BW 1000g Normal Birth Weight Infant with BW g LGA (Large Gestational Age) Weight, length or head circumference 90th %tile at birth SGA (Small gestational age) Weight, length or head circumference 10th %tile at birth Acrocyanosis