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CERTIFIED BREASTFEEDING
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COUNSELOR PCE EXAM
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QUESTIONS WITH CORRECT
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ANSWERS ALL VERIFIED BY
AN EXPERT A+ GRADED
(LATEST UPDATE)
, 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
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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
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vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - ANS Moms should
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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 Haberman feeder be indicated ? - ANS with Down's Syndrome or a Cleft Lip /
Palate
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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
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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 .
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What happens to estrogen and progesterone during pregnancy and after birth ? - - ANS They
increase during pregnancy and then decrease after birth .
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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