IBCLC Test Questions With Correct Answers

Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ - Answer IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: - Answer prevents/limits the infant's exposure to non human proteins [p759-760] Amy is concerned that her 3 month old may have lactose intolerance and is wondering about trying a lactose free formula instead of breastfeeding. You inquire what symptoms led her to this conclusion. Amy relates that her mother said she was lactose intolerant as an infant. Her baby is gassy and has loose stools. You best response to this mother would be: - Answer Babies under 3 y/o rarely have lactose intolerance. Tell me more about your baby's behavior. [p 658-659] A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that _____ - Answer primary lactose intolerance is rare in newborns & that she should continue to breastfeed [p 658-659] This mother notices something white on her nipple tip. This most probably is: - Answer a nipple bleb [p.295] The structure represented in this image is a: - Answer Alveoli, which is the milk producing unit in the breast, lined with lactocytes which produce breastmilk [p 50] When, in the various stages of lactation, does the switch from endocrine to autocrine control occur: - Answer Lactogenesis II [p.55] During a prenatal breast exam, the expectant mother presents with widely spaced small breasts with mark asymmetry. This anatomical "red flag" is often associated with: - Answer Insufficient lactation [p. 338] During pregnancy, high circulating plasma levels of progesterone will: - Answer After breastfeeding this mother complains of extreme pain in both of her nipples. You may discuss with her the following causes: - Answer she likely has Raynaud's syndrome A breastfeeding mother comes into your office with a lump in her right breast. She reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US. You explain to her that a galactocele is a benign cyst in the ducts of the breast and - Answer can be aspirated and refilled with milk [p301] which nerve supplies the greatest amount of sensation to the areola? - Answer 4th intercostal nerve [p301] the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant. The mother complains of tenderness and swelling in the axillary region. You explain to the mother that: - Answer This mammary tissue swellin can be reduced with cool compresses. This accessory mammary tissue will involute in a few days, w/o affecting milk supply [p54] In the breast, the system of ductules converge behind the nipple which, - Answer widen temporarily in response to the milk ejection reflex [p 80-81] proliferation of the duct system in the breast during pregnancy is primarily due to - Answer estrogen [pg 54] A new mother tells you that she has implants as she is beginning to breastfeed her infant. One of the most important factors in her health hx to predict successful breastfeeding is - Answer the location of the implant did not damage any nerves to the breast [p 299-300] The possible side effects of breast augmentation on breastfeeding are - Answer compromise of the ductal structure [p 299-300] A new mother tells her nurse that she has had breast reduction surgery. In her care plan, you would advise the mother : - Answer to frequently feed her newborn and monitor the babys weight loss, urine, and stool output This new mother came into your office for a consultation. Surgical scars on her breasts indicate she - Answer has had breast reduction mammoplasty [p.296] Your pt just gave birth to an infant w/ a cleft lip and an intact palate. The mother tells you she wants to breastfeed. Your 1st response is: - Answer I will assist you with latch on, evaluate a feeding, show you techniques to help the infant transfer milk and support your milk supply. your hospital d/c care plan for a mother with an infant with a cleft of the soft palate may include the following tips EXCEPT: - Answer No intervention is necessary since a cleft of the soft palate foes not effect breastfeeding. [pg 642-643] infants with severe heart defects face fatigue and the following breastfeeding challenges: - Answer greater calorie needs a new mother asks you for suggestions about breastmilk storage recommendations for her full term infant. This new mother plans to collect as much extra breastmilk as possible as she must return to work in 2 weeks. Ideally, she'd like to use some of the collected pumped/expressed milk so that her relatives, who will be helping care for the child, can feed the baby too. You tell mom: - Answer breastmilk, cleanly collected, can be left for up to 6 hrs w/o refrigeration [p 559] before a new mother begins to pump, you would recommend that she wash her hands, use a clean pump kit have available an appropriate storage container and - Answer gently massage her breasts and begin pumping [pg 379] This mother is using this technique of expressing her milk for her preterm infant. This technique may: - Answer result in greater milk production [p342 & 380] The fit of this flange for this mother can - Answer cause pain and low supply [p379] Fat is the most variable component of breast milk. You can use this fact to increase fat content in the breastmilk of a slow to gain infant. Your recommendation would be: - Answer Feed the baby more often during the day since fat content is higher during the day [p93] the composition of "weaning" milk is - Answer higher in fat The proportion of proteins in mature breastmilk is approx - Answer Whey 60%, Casein 40% [p. 96] The major immunological factor in breastmilk is - Answer IgA [pg 97] Your consultation with a breastfeeding mother should include - Answer the reason why the mother is seeking help and advice often culture defines the breastfeeding norms and expectations of the mother and her baby. In planning for care, it is most important to take into consideration - Answer preserving the mothers cultural values while recommending a plan of care [pg 741-743] When you are delivering culturally competent care, introduction can often make a good or bad impression. All of these cues may help you except - Answer introducing yourself as the breastfeeding expert [741]