IBCLC 2025 LATEST UPDATE
What does LATCH stand for? - ANSWER Lips wide and uncurled, Assymetrical areola,
Tongue forward, Chin forward, Head back
What routines should be delayed until after initial breastfeeding? - ANSWER
Measurements, eye prophylaxis, and vitamin K injection.
What is the recommended delay time for routines such as measurements, eye
prophylaxis, and vitamin K injection? - ANSWER 6 hours.
Failure to thrive - ANSWER Infant contines to lose weight beyond 10 days after/does
not regain birthweight by 3 weeks of age/infant gains at a rate below 10th percentile for
weight beyond 1 month of age/infant drops more than 2 standard deviations from
previously stable weight curve
Most COMMON, in normal healthy pregnancy, placental implantation site? - ANSWER
Posterior side; fundal region
Older babies, what goes down? - ANSWER Zinc
At what gestational age does the swallowing reflex first appear? - ANSWER 16 weeks
A mother in your prenatal class asks about the impact of labor pain-relieving
medications on the baby. What is your BEST response? - ANSWER All pain-relieving
drugs affect the baby's breastfeeding-related behavior
Local perineal injection of an anesthetic drug prior to performing an episiotomy is MOST
LIKELY to: - ANSWER alter the baby's BF related behaviors
A mother was given high doses of pain-relieving drugs during labor. When the baby's
cord blood is tested for the presence of drugs, none are found. The most likely
explanation is: - ANSWER Pain-relieving drugs are liquid soluable and sequester in the
infant's brain
Which drug property is MOST LIKELY to permit high passage into milk? - ANSWER
High lipid solubility
What is the MOST IMPORTANT reason that girls who consume formula by bottles are
more likely to become obese later in childhood? - ANSWER Leptin levels in formula-fed
children diminish rapidly.
BF mitigates the full in leptin levels in girls. Leptin is a protein hormone that affects
appetite, body weight and metabolism.
, 3 week old baby is resting on her back with her eyes open, with arms relaxed and
slightly moving. She is attentive and focused on the activity in the area. which
developemental mental state does this describe? - ANSWER quiet alert
When selecting a drug to be given to a BF woman, which of the following drug
properties is MOST IMPORTANT to consider? - ANSWER Protein binding
A mother with delayed lactogenesis II was evaluated from hormone irregularities. Her
levels of thyroid-stimulating (TH) and prolactin levels are normal, testosterone is 5x
higher than normal. Which of the following is the MOST LIKELY explanation for the
delay in copious milk production? - ANSWER Ovarian theca lutein cyst
Which of the following substances accumulates in BM? - ANSWER Cannabis
What average percentage of drug administered to lactating women actually reaches
baby? - ANSWER 1.oo%
When are fat levels in mother's milk highest? - ANSWER When the breast is relatively
empty
Major hormones in Lactogenesis I - ANSWER Progesteron- Lubo alveolar growth
Prolactin - nipple growth, lactocyte differentiation
Human placental lactogen - aveolar change, breast growth
Estrogen - ductal growth
Prolactin - lactose sythesis
Cortisol - Low levels cause more alpha-lactalbumin
Insulin-Lactose synthesis, maintenance/survival of lactocytes
White blood cells (leukocytes) in human milk: - ANSWER Have a subtype; phagocytes,
which destroy foreign pathogens in general and may protect breast tissue from infection
As concentration of drug peaks in maternal plasma, the drug's concentration in
breastmilk typically is: - ANSWER Near it's peak, because diffusion correlates the two
Peau d'orange - ANSWER orange skin/advanced cancer/mastitis does not cause
cancer
Galactocele - ANSWER similar to cyst/filled with milk/round and freely mobile/usually
after weaning/diagnosis and treatment: needle aspiration
Paget's disease - ANSWER Unilateral / red, scaly / itchy / affects nipple first / common
@ menopause / does not respond to topical steroids
A parent with systemic lupus has given birth to a 37 week old infant. what medication,
commonly used for lupus, should she be told to avoid while BF? - ANSWER
cyclophosphamide
What does LATCH stand for? - ANSWER Lips wide and uncurled, Assymetrical areola,
Tongue forward, Chin forward, Head back
What routines should be delayed until after initial breastfeeding? - ANSWER
Measurements, eye prophylaxis, and vitamin K injection.
What is the recommended delay time for routines such as measurements, eye
prophylaxis, and vitamin K injection? - ANSWER 6 hours.
Failure to thrive - ANSWER Infant contines to lose weight beyond 10 days after/does
not regain birthweight by 3 weeks of age/infant gains at a rate below 10th percentile for
weight beyond 1 month of age/infant drops more than 2 standard deviations from
previously stable weight curve
Most COMMON, in normal healthy pregnancy, placental implantation site? - ANSWER
Posterior side; fundal region
Older babies, what goes down? - ANSWER Zinc
At what gestational age does the swallowing reflex first appear? - ANSWER 16 weeks
A mother in your prenatal class asks about the impact of labor pain-relieving
medications on the baby. What is your BEST response? - ANSWER All pain-relieving
drugs affect the baby's breastfeeding-related behavior
Local perineal injection of an anesthetic drug prior to performing an episiotomy is MOST
LIKELY to: - ANSWER alter the baby's BF related behaviors
A mother was given high doses of pain-relieving drugs during labor. When the baby's
cord blood is tested for the presence of drugs, none are found. The most likely
explanation is: - ANSWER Pain-relieving drugs are liquid soluable and sequester in the
infant's brain
Which drug property is MOST LIKELY to permit high passage into milk? - ANSWER
High lipid solubility
What is the MOST IMPORTANT reason that girls who consume formula by bottles are
more likely to become obese later in childhood? - ANSWER Leptin levels in formula-fed
children diminish rapidly.
BF mitigates the full in leptin levels in girls. Leptin is a protein hormone that affects
appetite, body weight and metabolism.
, 3 week old baby is resting on her back with her eyes open, with arms relaxed and
slightly moving. She is attentive and focused on the activity in the area. which
developemental mental state does this describe? - ANSWER quiet alert
When selecting a drug to be given to a BF woman, which of the following drug
properties is MOST IMPORTANT to consider? - ANSWER Protein binding
A mother with delayed lactogenesis II was evaluated from hormone irregularities. Her
levels of thyroid-stimulating (TH) and prolactin levels are normal, testosterone is 5x
higher than normal. Which of the following is the MOST LIKELY explanation for the
delay in copious milk production? - ANSWER Ovarian theca lutein cyst
Which of the following substances accumulates in BM? - ANSWER Cannabis
What average percentage of drug administered to lactating women actually reaches
baby? - ANSWER 1.oo%
When are fat levels in mother's milk highest? - ANSWER When the breast is relatively
empty
Major hormones in Lactogenesis I - ANSWER Progesteron- Lubo alveolar growth
Prolactin - nipple growth, lactocyte differentiation
Human placental lactogen - aveolar change, breast growth
Estrogen - ductal growth
Prolactin - lactose sythesis
Cortisol - Low levels cause more alpha-lactalbumin
Insulin-Lactose synthesis, maintenance/survival of lactocytes
White blood cells (leukocytes) in human milk: - ANSWER Have a subtype; phagocytes,
which destroy foreign pathogens in general and may protect breast tissue from infection
As concentration of drug peaks in maternal plasma, the drug's concentration in
breastmilk typically is: - ANSWER Near it's peak, because diffusion correlates the two
Peau d'orange - ANSWER orange skin/advanced cancer/mastitis does not cause
cancer
Galactocele - ANSWER similar to cyst/filled with milk/round and freely mobile/usually
after weaning/diagnosis and treatment: needle aspiration
Paget's disease - ANSWER Unilateral / red, scaly / itchy / affects nipple first / common
@ menopause / does not respond to topical steroids
A parent with systemic lupus has given birth to a 37 week old infant. what medication,
commonly used for lupus, should she be told to avoid while BF? - ANSWER
cyclophosphamide
