IBCLC Exam Prep Exam 2025-2026 Test
Questions And Correct Verified Answers
PH of a drug when equally ionic or nonionic. Drugs with pKa
higher than 7.2 may be sequestered in breastmilk. - ANSWER -pKa
A rare congenital anomaly blocking posterior nostrils on one or
both sides
Complete bilateral atresia is potentially life threatening
Feeding intolerance due to inability to coordiante SSB, snorting
cry, congestion of one nostril - ANSWER -Choanal atresia
Lymphocyte found in breastmilk. Attacks antigens. Contributes to
production of sIgA. - ANSWER -B cell
,Viral infection of liver that is self limited and is not chronic. It is
typically associated with water contamination. BF is considered
safe. - ANSWER -Hepatitis E
Long-acting antihistamine L1. Observe for sedation. - ANSWER -
Loratadine
Herbal immunostimulant, L3. Known for stimulating immune
system and wound healing. - ANSWER -Echinacea
Monosaccharide derived from lactose. Helps with CNS
development. - ANSWER -Galactose
L2 - ANSWER -Nicotine
Less than 1500g - ANSWER -VLBW
Nevus flammeus. Reddish or flat pink lesion that does not blanch
with pressure, caused by dilated capillaries below the epidermal
skin. This lesion usually remains constant in size and does not
fade with time. - ANSWER -Port wine stain
Herbal galactagogue L3 - ANSWER -Blessed thistle
,Slate gray nevi, sometimes known as Mongolian spots. Bluish
black pigmented area on newborn butt or back. Seen in NB with
dark skin and typically fade over time. - ANSWER -Congenital
dermal melanocytosis
Acute viral infection of liver. Safe for BF if vaccine given to infant
within 12 hrs after birth. - ANSWER -Hepatitis B
Acute viral infection of liver. usually transmitted through
food/water. Little evidence of MTCT but babies should receive vax
and given gamma globulin if mother infected, then able to BF. -
ANSWER -Hepatitis A
Evaluates heart rate, color, reflex, respiration - ANSWER -APGAR
score
Viral infection of liver, usually with Hep B. Once vaxxed can BF. -
ANSWER -Hepatitis D
Abnormal calcification of bones and changes in growth plates that
lead to soft or weak bones due to lack of Vit D. - ANSWER -
Rickets
, Stimulates dopamine release and inhibits prolactin. Nipple stim
and milk removal suppresses PIF and dopamine causes prolactin
levels to rise and breast to produce milk. From hypothalamus. -
ANSWER -Prolactin Inhibiting Factor (PIF)
ridges on upper and lower jaw where infant's teeth will grow -
ANSWER -Alveolar ridge
IV feeding of premature infant with solution of amino acids,
glucose, electrolytes and nutrients. There may be resultant zinc
deficiencies. - ANSWER -Hyperalimentation
Cranial Nerve V, responsible for sensation in face and motor
functions like biting, chewing - ANSWER -Trigeminal nerve
Allergic reaction to food causing immediate systemic reaction, can
sometimes be severe - ANSWER -IgE mediated allergy
Non-cancerous collection of blood vessels on skin - ANSWER -
Hemangioma
Congenital anomaly obstruction of lymphatic system (or caused
by CHD repair) where chyle (lymphatic fluid) collects in chest
cavity and is drained via chest tubes. Managed by high protein,
low fat diet and meds. Infants will need to begin with total
Questions And Correct Verified Answers
PH of a drug when equally ionic or nonionic. Drugs with pKa
higher than 7.2 may be sequestered in breastmilk. - ANSWER -pKa
A rare congenital anomaly blocking posterior nostrils on one or
both sides
Complete bilateral atresia is potentially life threatening
Feeding intolerance due to inability to coordiante SSB, snorting
cry, congestion of one nostril - ANSWER -Choanal atresia
Lymphocyte found in breastmilk. Attacks antigens. Contributes to
production of sIgA. - ANSWER -B cell
,Viral infection of liver that is self limited and is not chronic. It is
typically associated with water contamination. BF is considered
safe. - ANSWER -Hepatitis E
Long-acting antihistamine L1. Observe for sedation. - ANSWER -
Loratadine
Herbal immunostimulant, L3. Known for stimulating immune
system and wound healing. - ANSWER -Echinacea
Monosaccharide derived from lactose. Helps with CNS
development. - ANSWER -Galactose
L2 - ANSWER -Nicotine
Less than 1500g - ANSWER -VLBW
Nevus flammeus. Reddish or flat pink lesion that does not blanch
with pressure, caused by dilated capillaries below the epidermal
skin. This lesion usually remains constant in size and does not
fade with time. - ANSWER -Port wine stain
Herbal galactagogue L3 - ANSWER -Blessed thistle
,Slate gray nevi, sometimes known as Mongolian spots. Bluish
black pigmented area on newborn butt or back. Seen in NB with
dark skin and typically fade over time. - ANSWER -Congenital
dermal melanocytosis
Acute viral infection of liver. Safe for BF if vaccine given to infant
within 12 hrs after birth. - ANSWER -Hepatitis B
Acute viral infection of liver. usually transmitted through
food/water. Little evidence of MTCT but babies should receive vax
and given gamma globulin if mother infected, then able to BF. -
ANSWER -Hepatitis A
Evaluates heart rate, color, reflex, respiration - ANSWER -APGAR
score
Viral infection of liver, usually with Hep B. Once vaxxed can BF. -
ANSWER -Hepatitis D
Abnormal calcification of bones and changes in growth plates that
lead to soft or weak bones due to lack of Vit D. - ANSWER -
Rickets
, Stimulates dopamine release and inhibits prolactin. Nipple stim
and milk removal suppresses PIF and dopamine causes prolactin
levels to rise and breast to produce milk. From hypothalamus. -
ANSWER -Prolactin Inhibiting Factor (PIF)
ridges on upper and lower jaw where infant's teeth will grow -
ANSWER -Alveolar ridge
IV feeding of premature infant with solution of amino acids,
glucose, electrolytes and nutrients. There may be resultant zinc
deficiencies. - ANSWER -Hyperalimentation
Cranial Nerve V, responsible for sensation in face and motor
functions like biting, chewing - ANSWER -Trigeminal nerve
Allergic reaction to food causing immediate systemic reaction, can
sometimes be severe - ANSWER -IgE mediated allergy
Non-cancerous collection of blood vessels on skin - ANSWER -
Hemangioma
Congenital anomaly obstruction of lymphatic system (or caused
by CHD repair) where chyle (lymphatic fluid) collects in chest
cavity and is drained via chest tubes. Managed by high protein,
low fat diet and meds. Infants will need to begin with total
