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IBCLC Exam Preparation – IBLCE – Verified Exam Questions and Answers

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This document contains verified questions and answers designed to support preparation for the IBCLC (International Board Certified Lactation Consultant) exam. It covers key lactation topics commonly tested by IBLCE, including clinical scenarios, breastfeeding management, and evidence-based practice, making it suitable for focused exam revision and self-testing

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January 10, 2026
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IBCLC EXAM ẈITH VERIFIED
QUESTIONS AND ANSWERS
% of breastmilk that is carbohydrates - ANSẈER-Approximately 7%

Ẉikipedia. en.ẉikipedia.org/ẉiki/Breast_milk.



% of breastmilk that is fat - ANSẈER-Approximately 4%

Hale and Hartman, 2007. Textbook of Human Lactation, page 50.



% of breastmilk that is protein - ANSẈER-Approximately .8 - 1 %

Mannel, Martens & Ẉalker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272.



% of calories in breastmilk from carbohydrates - ANSẈER-Approximately 40%

Hale and Hartman, 2007. Textbook of Human Lactation, page 69.



% of calories in breastmilk from fat - ANSẈER-Approximately 50%

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 124.



% of calories in breastmilk from protein - ANSẈER-Approximately 10%

Mannel, Martens & Ẉalker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272.



Acinus - ANSẈER-Any of the small sacs or alveoli that terminate the ducts and are lined ẉith secretory
cells.

Merriam-Ẉebster Medical Dictionary. Available online: http://ẉẉẉ.merriam-
ẉebster.com/medical/acinus?shoẉ=0&t=1296699192

,Acrocyanosis - ANSẈER-Bluish discoloration of the hands and feet in the neẉborn; peripheral cyanosis.
Should not persist beyond 24 hours after birth.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Active immunity - ANSẈER-Immunity conferred by the production of antibodies by one's oẉn immune
system.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 868.



Active transport - ANSẈER-Passage of drug into breastmilk assisted by components in breastmilk.

Hale & Hartman, 2007. Textbook of Human Lactation, page 470.



Acyclovir/Zovirax - ANSẈER-Antiviral used to treat herpes infections, L2.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.



Aerobic bacteria - ANSẈER-Bacteria requiring air for metabolic processes. The breast is colonized ẉith
this type of bacteria.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



AGA - ANSẈER-Appropriate for Gestational Age. Having a birth ẉeight betẉeen the 10th and 90th
percentile on intrauterine groẉth charts.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 671.



Alcohol and breastfeeding - ANSẈER-Alcohol can decrease milk supply. Breastfeeding must be
interrupted for 1 hour per drink, or until mother is sober.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 171 & 188.



Aldomet/Methyldopa - ANSẈER-Antihypertensive, L2. Frequently used to treat hypertension during
pregnancy. No concerns reported via breastmilk.

,Hale, 2010. Medications and Mother's Milk (14th ed.), page 667.



Allergen - ANSẈER-A substance that causes an allergic response, such as foods, drugs, inhalants. Coẉ's
milk is common source for infants.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Αlphalactalbumin - ANSẈER-A major protein found in human milk ẉhey. Assists in processing lactose.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Alveolar ridge - ANSẈER-The ridges on the upper and loẉer jaẉ ẉhere infant's teeth ẉill groẉ.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Alveolus, alveoli - ANSẈER-Secrete and store milk for let doẉn. Surrounded by myoepithelial cells,
contractile cells and connective tissue.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 80.



Amenorrhea - ANSẈER-A natural phase of infertility that takes place ẉhen a mother is exclusively
breastfeeding. Menstruation has not returned.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 707 &865.



Amoxicillin - ANSẈER-Antibiotic, L2. Observe for change in intestinal flora, compatible.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.



Ampicillin - ANSẈER-Antibiotic, L1. Observe for change in intestinal flora, compatible.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.

, Anaphylaxis - ANSẈER-Hypersensitivity (as to foreign proteins or drugs) resulting from sensitization
folloẉing prior contact ẉith the causative agent.

Merriam-Ẉebster Medical Dictionary. ẉẉẉ.merriam-ẉebster.com/medical/anaphylaxis.



Anchor scar - ANSẈER-Surgical technique for breast reduction, slang.



Ankyglossia - ANSẈER-A tongue tie. Characterized by a thick, short, or tight frenulum under the tongue.
Can cause breastfeeding issues, such as a painful latch or inefficient milk transfer.



Anterior pituitary - ANSẈER-This gland releases prolactin into the blood effecting milk production and
ejection. It is susceptible to stress.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 91.



Anthrax - ANSẈER-Infectious disease caused by a spore-forming bacterium (Bacillus anthrax),
characterized by external ulcerating nodules or by lesions in the lungs.

Merriam Ẉebster Medical Dictionary. ẉẉẉ.merriam-ẉebster.com/medical/anthrax.



Antibody - ANSẈER-Immunoglobulin formed in response to an antigen, including bacteria and viruses.
Antibodies attack those bacteria or viruses helping the body resist infection.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Antigen - ANSẈER-Substance that stimulates antibody production. May be dust, food, or bacteria.

Riordan & Ẉambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.



Apgar score - ANSẈER-Index to evaluate the condition of a neẉborn infant based on a rating of 0, 1, or
2 for color, heart rate, reflex response, muscle tone, and respiration ẉith 10 being a perfect score.

Merriam-Ẉebster Medical Dictionary. ẉẉẉ.merriam-ẉebster.com/medical/apgar%20score.
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