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PCE CERTIFIED BREASTFEEDING COUNSELOR
EXAM NEWEST 2025 ACTUAL EXAM| COMPLETE 180
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| CERTIFIED
BREASTFEEDING COUNSELOR PCE EXAM REVIEW
2025 (BRAND NEW!!)
Where is the milk produced ? - ANSWER - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production
(involution) stop ? - - ANSWER - Approximately 40 days
What are the common signs of milk " let down " ? - ANSWER -
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? - - ANSWER - It is
higher in protein and immune factors ( because the body KNOWS this is
what the preemie needs ! )
What component of breast milk is the most variable ? - ANSWER -
Lipids
What component of human milk is destroyed by freezing ? - ANSWER -
Macrophages
pg. 1
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When is the side - lying position helpful ? - ANSWER - In moms that
are sleepy or have lacerations / repairs that put pressure and cause
discomfort on the perineal area
What position is centered around the infant attaching themselves to the
breast ? - - ANSWER - The laid back position (aka the biological
position)
When is the Australian / Saddle position helpful ? - ANSWER - When
moms are experiencing active let - down
What is the dancer hand ? - ANSWER - Mom would have hand below
the breast in a " U " shape ; this is good for infants who need good jaw
support
What are signs of milk transfer ? - ANSWER - Swallowing - harsh " Ca
" sound ; air from nose felt , neck movement visualized
What are the stool transition colors ? - ANSWER - Black to green to
yellow
What can affect a hc professionals presentation about breastfeeding ? -
ANSWER - Experience , philosophy , credentials
What is the normal wt loss in the first 3-4 days - ANSWER - 5-7%
pg. 2
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What are responsibilities of staff ? - ANSWER - Provide education and
foster environment -Baby friendly practices -Evidence based knowledge
- Help preterms w / moms milk or donor -Culturally and
developmentally sensitive -WHO growth charts -Legislation
How many calories should a lactating mom intake? - ANSWER - 1800-
2700. 500 for milk production.
What type of supplementation should vegans and bariatric patients use?
- ANSWER - b12
What kinda diet should moms be on? - ANSWER - Normal foods. Eat
when hungry, drink when thirsty. 50% carb, 15% protein, 20-30 fats
How much vitamin D does a baby need? When to supplement -
ANSWER - 400/day. Supplement if mom is deficient.
Cause for sore nipples, how to fix - ANSWER - Improper latch, correct
position. Open wide mouth, body in straight line, nipple in between two
palates. Feed on less tender side, warm compresses.
3 causes of engorgement - ANSWER - Congestion/ vascularity,
accumulation of milk, edema
pg. 3
PCE CERTIFIED BREASTFEEDING COUNSELOR
EXAM NEWEST 2025 ACTUAL EXAM| COMPLETE 180
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| CERTIFIED
BREASTFEEDING COUNSELOR PCE EXAM REVIEW
2025 (BRAND NEW!!)
Where is the milk produced ? - ANSWER - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production
(involution) stop ? - - ANSWER - Approximately 40 days
What are the common signs of milk " let down " ? - ANSWER -
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? - - ANSWER - It is
higher in protein and immune factors ( because the body KNOWS this is
what the preemie needs ! )
What component of breast milk is the most variable ? - ANSWER -
Lipids
What component of human milk is destroyed by freezing ? - ANSWER -
Macrophages
pg. 1
,2|Page
When is the side - lying position helpful ? - ANSWER - In moms that
are sleepy or have lacerations / repairs that put pressure and cause
discomfort on the perineal area
What position is centered around the infant attaching themselves to the
breast ? - - ANSWER - The laid back position (aka the biological
position)
When is the Australian / Saddle position helpful ? - ANSWER - When
moms are experiencing active let - down
What is the dancer hand ? - ANSWER - Mom would have hand below
the breast in a " U " shape ; this is good for infants who need good jaw
support
What are signs of milk transfer ? - ANSWER - Swallowing - harsh " Ca
" sound ; air from nose felt , neck movement visualized
What are the stool transition colors ? - ANSWER - Black to green to
yellow
What can affect a hc professionals presentation about breastfeeding ? -
ANSWER - Experience , philosophy , credentials
What is the normal wt loss in the first 3-4 days - ANSWER - 5-7%
pg. 2
, 3|Page
What are responsibilities of staff ? - ANSWER - Provide education and
foster environment -Baby friendly practices -Evidence based knowledge
- Help preterms w / moms milk or donor -Culturally and
developmentally sensitive -WHO growth charts -Legislation
How many calories should a lactating mom intake? - ANSWER - 1800-
2700. 500 for milk production.
What type of supplementation should vegans and bariatric patients use?
- ANSWER - b12
What kinda diet should moms be on? - ANSWER - Normal foods. Eat
when hungry, drink when thirsty. 50% carb, 15% protein, 20-30 fats
How much vitamin D does a baby need? When to supplement -
ANSWER - 400/day. Supplement if mom is deficient.
Cause for sore nipples, how to fix - ANSWER - Improper latch, correct
position. Open wide mouth, body in straight line, nipple in between two
palates. Feed on less tender side, warm compresses.
3 causes of engorgement - ANSWER - Congestion/ vascularity,
accumulation of milk, edema
pg. 3
