PCE Certified Breastfeeding Counselor Exam Questions
With Complete Solutions
10 steps for preterm Correct Answer 1) Informed decision
2) milk supply
3) milk management
4) oral care
5) skin to skin
6) non nutritive suckling
7) transition to breast
8) measure milk transfer (weigh before & after feeding)
9) prep for discharge
10) appropriate follow up
3 causes of engorgement Correct Answer Congestion/
vascularity, accumulation of milk, edema
Accessory tissue: Where are they found? Can they lactate?
Correct Answer Diagonal line from axilla to groin area
- can lactate & undergo malignant change
Active let down
- How is milk ejected into ducts from alveoli? aka let down
- signs of let down
- postions that are helpful for let down Correct Answer
Myoepitheal cells encase the aveoli, contract in response to
oxytocin. In response to sucking oxytocin increases
Tingling, warmth, fullness, dripping, contractions
helpful in australian/saddle
, Ankylogolossia Correct Answer tethered frenulum that restricts
lips or tongue --> can cause irritation or pinching to nipple
can do frenulotomy (cuts frenulum)
B R E A S T assessment Correct Answer Body position,
responses, emotional bonding, anatomy, suckling, time
swallowed
Baby friendly 10 steps Correct Answer -Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Breast abscess: what is it, treatment? Correct Answer
Collection of puss d/t mastitis. Surgically drained. Abx, frequent
feeds and warm compress.
Candidiasis/ thrush: what is it? symptoms? Correct Answer
Overgrowth of fungus in mouth.
Infant: No symptoms, red rash at anus, refusal to nurse
Mom: Burning, itching, nipple pain, dark color
With Complete Solutions
10 steps for preterm Correct Answer 1) Informed decision
2) milk supply
3) milk management
4) oral care
5) skin to skin
6) non nutritive suckling
7) transition to breast
8) measure milk transfer (weigh before & after feeding)
9) prep for discharge
10) appropriate follow up
3 causes of engorgement Correct Answer Congestion/
vascularity, accumulation of milk, edema
Accessory tissue: Where are they found? Can they lactate?
Correct Answer Diagonal line from axilla to groin area
- can lactate & undergo malignant change
Active let down
- How is milk ejected into ducts from alveoli? aka let down
- signs of let down
- postions that are helpful for let down Correct Answer
Myoepitheal cells encase the aveoli, contract in response to
oxytocin. In response to sucking oxytocin increases
Tingling, warmth, fullness, dripping, contractions
helpful in australian/saddle
, Ankylogolossia Correct Answer tethered frenulum that restricts
lips or tongue --> can cause irritation or pinching to nipple
can do frenulotomy (cuts frenulum)
B R E A S T assessment Correct Answer Body position,
responses, emotional bonding, anatomy, suckling, time
swallowed
Baby friendly 10 steps Correct Answer -Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Breast abscess: what is it, treatment? Correct Answer
Collection of puss d/t mastitis. Surgically drained. Abx, frequent
feeds and warm compress.
Candidiasis/ thrush: what is it? symptoms? Correct Answer
Overgrowth of fungus in mouth.
Infant: No symptoms, red rash at anus, refusal to nurse
Mom: Burning, itching, nipple pain, dark color
