IBCLC EXAM PATHOLOGY COMPLETE
QUESTIONS & ANSWERS
signs of candida infection on breast - ANSWER cracks at base of nipple and shiny red
skin
persistent spitting up in an otherwise healthy exclusively breastfed baby is usually a
sign of... - ANSWER allergic or hypersensitivity response to a substance in the mothers
milk
A pregnant woman contracted chickenpox a short time ago. The lesions are now
completely crusted over, and she is in labor. The most appropriate action to take when
she gives birth is: - ANSWER help her breastfeed immediately with 24 hour rooming in
- once chicken pox are completely crusted over it its no longer contagious
what is the most likely cause of greenish nipple discharge during pregnancy? -
ANSWER mammary duct ecstasia
what is mammary duct ecstasia? - ANSWER benign condition causing the milk duct to
widen and thicken, producing green discharge
During a difficult birth, a baby suffered damage to one of the the hypoglossal nerves.
What is the most likely effect on breastfeeding? The baby would be: - ANSWER unable
to move the tongue to collect milk
the hypoglossal nerve controls what? - ANSWER movement of the tongue
in a baby who has a diaper rash candida infection, what is the mother of the baby likely
feeling in her nipples? - ANSWER stinging, burning, nipple pain
Signs of Fetal Alcohol Syndrome (FAS) - ANSWER 1. slow growth
2. feeding difficulties
3. small eyes, thin upper lip, flat philtrum
Clinical symptoms of nipple infections - ANSWER 1. itching, stinging, burning
2. redness in nipple
cows milk allergy is responsible for up to _____% of gastroephageal reflux in babies -
ANSWER 42%
(decreased/increased and why)
an exclusively breastfed baby's risk of food allergies is: - ANSWER decreased,
breastmilk makes passage of allergic proteins through baby's gut less likely
, The mother of a 16-month-old, partly breastfed child is concerned that he started
spitting up frequently and has had an itchy rash on his face ever since starting day care.
His lunch meal is provided by the day care center. Which is the MOST LIKELY cause of
his new spitting up and rash? - ANSWER allergic reaction to a food eaten at day care
(dermatologic + gastrointestinal symptoms = allergy)
A mother trying to rapidly dry up her milk develops mastitis when her baby is 10 days
old. Which is the MOST LIKELY predisposing factor? - ANSWER recurring milk stasis
causing overgrowth of bacteria
What effect does at least 7 months of breastfeeding have on urinary tract infections? -
ANSWER lower risk of infection up to 2 years due to SIgA and lactoferrin in milk
typical symptoms of newborn abstinence syndrome - ANSWER tremors
hyperactive reflexes
high pitched crying
seizures
ineffective feeding
what is the most likely reason for a nipple wound found on the tip of the nipple? -
ANSWER shallow latch, nursing on the nipple tip
what is the best way to maintain thermal stability and alertness in a late preterm infant?
- ANSWER skin to skin contact
late preterm infants may fall asleep due when cold due to __________ - ANSWER
thermal instability
is maternal rubella a contraindication to breastfeeding? - ANSWER no
what are two ways to reduce an infants risk of known allergies in the mother? -
ANSWER 1. EBF for 6 months
2. avoidance of known allergens during pregnancy
A mother required multiple units of blood by transfusion after a difficult birth. By
postpartum day 7, her milk has not yet "come in." What is the MOST LIKELY cause of
her delayed lactogenesis? - ANSWER Sheehans Syndrome
what is Sheehans syndrome? - ANSWER severe blood loss during labor that leads to
partial or total necrosis of the pituitary gland, causing a reduction in prolactin
What is the first action you should take if a baby is showing signs of illness or behavioral
changes? - ANSWER have infant be evaluated by a physician ASAP
what is the first and most important strategy to use when a mother is complaining of
tender and sore nipples? - ANSWER fix position and latch
QUESTIONS & ANSWERS
signs of candida infection on breast - ANSWER cracks at base of nipple and shiny red
skin
persistent spitting up in an otherwise healthy exclusively breastfed baby is usually a
sign of... - ANSWER allergic or hypersensitivity response to a substance in the mothers
milk
A pregnant woman contracted chickenpox a short time ago. The lesions are now
completely crusted over, and she is in labor. The most appropriate action to take when
she gives birth is: - ANSWER help her breastfeed immediately with 24 hour rooming in
- once chicken pox are completely crusted over it its no longer contagious
what is the most likely cause of greenish nipple discharge during pregnancy? -
ANSWER mammary duct ecstasia
what is mammary duct ecstasia? - ANSWER benign condition causing the milk duct to
widen and thicken, producing green discharge
During a difficult birth, a baby suffered damage to one of the the hypoglossal nerves.
What is the most likely effect on breastfeeding? The baby would be: - ANSWER unable
to move the tongue to collect milk
the hypoglossal nerve controls what? - ANSWER movement of the tongue
in a baby who has a diaper rash candida infection, what is the mother of the baby likely
feeling in her nipples? - ANSWER stinging, burning, nipple pain
Signs of Fetal Alcohol Syndrome (FAS) - ANSWER 1. slow growth
2. feeding difficulties
3. small eyes, thin upper lip, flat philtrum
Clinical symptoms of nipple infections - ANSWER 1. itching, stinging, burning
2. redness in nipple
cows milk allergy is responsible for up to _____% of gastroephageal reflux in babies -
ANSWER 42%
(decreased/increased and why)
an exclusively breastfed baby's risk of food allergies is: - ANSWER decreased,
breastmilk makes passage of allergic proteins through baby's gut less likely
, The mother of a 16-month-old, partly breastfed child is concerned that he started
spitting up frequently and has had an itchy rash on his face ever since starting day care.
His lunch meal is provided by the day care center. Which is the MOST LIKELY cause of
his new spitting up and rash? - ANSWER allergic reaction to a food eaten at day care
(dermatologic + gastrointestinal symptoms = allergy)
A mother trying to rapidly dry up her milk develops mastitis when her baby is 10 days
old. Which is the MOST LIKELY predisposing factor? - ANSWER recurring milk stasis
causing overgrowth of bacteria
What effect does at least 7 months of breastfeeding have on urinary tract infections? -
ANSWER lower risk of infection up to 2 years due to SIgA and lactoferrin in milk
typical symptoms of newborn abstinence syndrome - ANSWER tremors
hyperactive reflexes
high pitched crying
seizures
ineffective feeding
what is the most likely reason for a nipple wound found on the tip of the nipple? -
ANSWER shallow latch, nursing on the nipple tip
what is the best way to maintain thermal stability and alertness in a late preterm infant?
- ANSWER skin to skin contact
late preterm infants may fall asleep due when cold due to __________ - ANSWER
thermal instability
is maternal rubella a contraindication to breastfeeding? - ANSWER no
what are two ways to reduce an infants risk of known allergies in the mother? -
ANSWER 1. EBF for 6 months
2. avoidance of known allergens during pregnancy
A mother required multiple units of blood by transfusion after a difficult birth. By
postpartum day 7, her milk has not yet "come in." What is the MOST LIKELY cause of
her delayed lactogenesis? - ANSWER Sheehans Syndrome
what is Sheehans syndrome? - ANSWER severe blood loss during labor that leads to
partial or total necrosis of the pituitary gland, causing a reduction in prolactin
What is the first action you should take if a baby is showing signs of illness or behavioral
changes? - ANSWER have infant be evaluated by a physician ASAP
what is the first and most important strategy to use when a mother is complaining of
tender and sore nipples? - ANSWER fix position and latch
