Certified Breastfeeding Counselor QUESTIONS AND ANSWERS 100% CORRECT
A staff member is fond of telling mothers how expensive it is to formula feed infants and how
inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic?
Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
breastfeeding - ANSWER-Promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in the United States?
The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control
(CDC) The US Department of Agriculture (WIC) - ANSWER-CDC
Which of the following statements about prolactin is TRUE?
Prolactin is a great laxative. Prolactin causes milk to be released.
Prolactin causes milk to be made. Prolactin is produced in the renal gland. - ANSWER-Prolactin
causes milk to be made.
Which of the following mechanisms cause oxytocin to be released? Complete delivery of the
placenta Elevated levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - ANSWER-
Nipple stretching with appropriate latch-on
Lactogenesis III requires which of the following to succeed?
Frequent milk removal and nipple stimulation.
Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates
for the mother. Adequate maternal hydration and lack of maternal stress. - ANSWER-Frequent
milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is determined is:
The number of feedings in 24 hours The speed/efficiency with which the baby removes milk
The amount of fat in the mother's diet
The amount of liquid in the mother's diet - ANSWER-The speed/efficiency with which the baby
removes milk
Which of the following is the MOST effective at increasing gastrin and CCK and decreasing
somatostatin in the baby?
,Increasing stress/anxiety
Crying before sleep
Focusing on objects 8-12 inches away
Feeding with species-specific milk - ANSWER-Feeding with species-specific milk
According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding problems.
Weight loss of less than 7% from birth weight is a sign of hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. - ANSWER-Weight
loss of more than 7% from birth weight indicates possible breastfeeding problems.
When undernourished mothers were supplemented with extra energy in their diet, they:
Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately - ANSWER-Responded to their infants more
appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition
of breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine - ANSWER-Fosters the growth of good bacteria
that crowd out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
False - ANSWER-F
Lactogenesis 2 occurs after the complete delivery of the placenta. True
False - ANSWER-T
,Lactogenesis 3 is also called Galactocemia.
True
False - ANSWER-F
It is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - ANSWER-It is driven by the nursing parent's
fluid intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk supply.
True
False - ANSWER-F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement.
True
False - ANSWER-T
For all breastfeeding individuals, bras are essential for comfort during lactation.
True
False - ANSWER-F
Breast surgery can potentially impact breastfeeding.
True
False - ANSWER-T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True
False - ANSWER-False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction surgery:
, The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is key.
It is important to assure nutrition of the infant.
All of the above - ANSWER-All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red
flag" for close assessment and follow up. True
False - ANSWER-T
Hypoplastic breasts always make ample milk.
True
False - ANSWER-F
There is no concern when a client reports a breast implant on only one side.
True
False - ANSWER-F
This could indicate history of discrepant breast size.
With flat and inverted nipples, there will be inadequate production of milk-making hormones
because prolactin involves nipple stretching while oxytocin involves nipple stroking.
True
False - ANSWER-F
Prolactin = nipple stroking
Oxytocin = nipple stretching
The nipple stretches to four times its resting length in the baby's mouth, according to Smith's
research.
True
False - ANSWER-F
Stretches to 2x its length
An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they
cannot form a teat.
A staff member is fond of telling mothers how expensive it is to formula feed infants and how
inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic?
Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
breastfeeding - ANSWER-Promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in the United States?
The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control
(CDC) The US Department of Agriculture (WIC) - ANSWER-CDC
Which of the following statements about prolactin is TRUE?
Prolactin is a great laxative. Prolactin causes milk to be released.
Prolactin causes milk to be made. Prolactin is produced in the renal gland. - ANSWER-Prolactin
causes milk to be made.
Which of the following mechanisms cause oxytocin to be released? Complete delivery of the
placenta Elevated levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - ANSWER-
Nipple stretching with appropriate latch-on
Lactogenesis III requires which of the following to succeed?
Frequent milk removal and nipple stimulation.
Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates
for the mother. Adequate maternal hydration and lack of maternal stress. - ANSWER-Frequent
milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is determined is:
The number of feedings in 24 hours The speed/efficiency with which the baby removes milk
The amount of fat in the mother's diet
The amount of liquid in the mother's diet - ANSWER-The speed/efficiency with which the baby
removes milk
Which of the following is the MOST effective at increasing gastrin and CCK and decreasing
somatostatin in the baby?
,Increasing stress/anxiety
Crying before sleep
Focusing on objects 8-12 inches away
Feeding with species-specific milk - ANSWER-Feeding with species-specific milk
According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding problems.
Weight loss of less than 7% from birth weight is a sign of hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. - ANSWER-Weight
loss of more than 7% from birth weight indicates possible breastfeeding problems.
When undernourished mothers were supplemented with extra energy in their diet, they:
Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately - ANSWER-Responded to their infants more
appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition
of breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine - ANSWER-Fosters the growth of good bacteria
that crowd out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
False - ANSWER-F
Lactogenesis 2 occurs after the complete delivery of the placenta. True
False - ANSWER-T
,Lactogenesis 3 is also called Galactocemia.
True
False - ANSWER-F
It is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - ANSWER-It is driven by the nursing parent's
fluid intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk supply.
True
False - ANSWER-F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement.
True
False - ANSWER-T
For all breastfeeding individuals, bras are essential for comfort during lactation.
True
False - ANSWER-F
Breast surgery can potentially impact breastfeeding.
True
False - ANSWER-T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True
False - ANSWER-False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction surgery:
, The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is key.
It is important to assure nutrition of the infant.
All of the above - ANSWER-All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red
flag" for close assessment and follow up. True
False - ANSWER-T
Hypoplastic breasts always make ample milk.
True
False - ANSWER-F
There is no concern when a client reports a breast implant on only one side.
True
False - ANSWER-F
This could indicate history of discrepant breast size.
With flat and inverted nipples, there will be inadequate production of milk-making hormones
because prolactin involves nipple stretching while oxytocin involves nipple stroking.
True
False - ANSWER-F
Prolactin = nipple stroking
Oxytocin = nipple stretching
The nipple stretches to four times its resting length in the baby's mouth, according to Smith's
research.
True
False - ANSWER-F
Stretches to 2x its length
An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they
cannot form a teat.
