IBCLC exam milk volumes and infant weights Exam questions and answers 2024 already graded A+

volume of each feed in first 24 hrs 2-10 mL volume of each feed on day 2 5-15 mL volume of each feed on day 3 15-30 mL volume of each feed on day 4 30-60 mL volume of milk produced on days 1, 3 and 5 day 1: 37 mL/24 hrs day 3: 408 mL/24 hrs day 5: 705 mL/24hrs low birth weight (LBW) a birth weight of less than 5 1/2 pounds (2500 grams) Very low birth weight (VLBW) Birth weight below 3 lb 5 oz (1,500 g). Extremely low birth weight (ELBW) Birth weight below 2 lb 3 oz (1,000 g). macrosomia large birth weight for newborn over 4000 g (8lbs 13 oz) Micronate <750 g Normal newborn respiratory rate 30-60 breaths per minute normal newborn heart rate 70-190 b.p.m. Normal infant heart rate (1-11 months old) 80 - 120 b.p.m. volume of milk at full supply 750-800 mL/day anatomic stomach capacity at birth 22-38 mL anatomic stomach capacity by day 7 45 mL anatomic stomach capacity by day 14 75 mL how much to supplement first 24 hrs 2-10 mL/feed how much to supplement 24-48 hrs 5-15 mL/feed how much to supplement 48-72 hrs 15-30 mL/feed how much to supplement 72-96 hrs 30-60 mL/feed diaper output day 1 1 wet 1 black tarry stool diaper output day 2 2-3 wet 1-2 greenish black stool diaper output day 3 3-4 wet 3-4 greenish yellow soft stool diaper output day 4 >4-6 wet 4 large - 10 small yellow seedy stools stool concerns/red flags no stool first 30-48 hrs meconium after 3rd day of life lack of change to yellow stool by day 5 lack of stools for days urine output concerns/red flags no urine in any 24 hr period red urate crystals persisting beyond 2-3 days typical and concerning weight loss by day 3-4 <7% typical 8-10% possible concern >10% abnormal goal for regaining birth weight 14 days (95% of infants) Mean daily weight gain days 14-60 after return to birth weight girls: 39g/day (range 28-42g) boys: 46g/day (range 15-52g) (0-3months: average 30g/day) Weight gain red flags in first 28 days loss >12% weight loss beyond day 10 not back to birth weight by day 21 <10th percentile past 1 month drops >2 s.d. from previously stable growth curve gain <200g/week between 2 wks and 3 mo. Length gain red flag crossing percentiles significantly upwards or downwards head growth red flag significant crossing of percentiles up or down average weight gain 3-6 months 20g/day length growth rate 1 inch (2.5cm)/month head circumference growth rate 2.7" (6cm) in first 4 months average infant growth rate 6-12 months 10g /day 50-80g /week weight milestones in first year back to birth weight by 10-14 days double birth weight by 4-5 months triple birth weight by 12 months length growth rate 6-12 m 0.5" (1.25cm)/month about 10" (25cm) by 12 m length increases by 50% by 12 m