Certified Breastfeeding Counselor PCE Exam Practice Questions and Answers

Certified Breastfeeding Counselor PCE Exam Practice Questions and Answers What is the normal weight loss for the infant during the first few days ? - - Ans:-5-7% in the first 24hrs and below 10% in the first week How many calories does a lactating mom need - Ans:-Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming around 2,200 What type of supplement do most lactating vegans / bariatric patients take ? - - Ans:-supplement Vitamin B12 How much vitamin D does a baby need ? When do they need to be supplemented ? - Ans:-Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require additional vitamin D supplementation . What types of foods ( or diet ) should lactating moms consume ? - Ans:-Moms should consume a diet of normal foods - they should eat when they're hungry and drink when they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-30 % healthy fats When would a Habermen feeder be indicated ? - Ans:-with Down's Syndrome or a Cleft Lip / Palate ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/11 What medications are contraindicated in breastfeeding mothers ? - Ans:-Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - Ans:-The Tail of Spence refers to mammary gland tissue that extends to the axillary area that is connected to the milk ducts . Symptoms include swollen armpits and even mastitis . Moms can apply cold compresses to the area and take Motrin / Tylenol as needed for discomfort . What happens to estrogen and progesterone during pregnancy and after birth ? - - Ans:-They increase during pregnancy and then decrease after birth . How many stages of the " Magic Hour " are there ? What are they ? - Ans:-There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep What is the stomach size of the baby at birth ? - - Ans:-The baby's stomach is only the size of a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time . Standards of of practice for CBC - - Ans:-Help families define and achieve goals -Problem solving : Assessment , plan , implementation , evaluation -Education and counseling -Professionalism ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/11 -Legal considerations Where is the milk produced ? - Ans:-ANSWER- In the alveoli How long after cessation of breast feeding does milk production ( involution ) stop ? - - Ans:- Approximately 40 days What are the common signs of milk " let down " ? - Ans:-Tingling , warmth , fullness , dripping and contractions How is preterm milk different than term milk ? - - Ans:-It is higher in protein and immune factors ( because the body KNOWS this is what the preemie needs ! ) What component of breast milk is the most variable ? - Ans:-Lipids What component of human milk is destroyed by freezing ? - Ans:-Macrophages When is the side - lying position helpful ? - Ans:-In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the perineal area