Certified Breastfeeding Counselor PCE
Exam QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
What is the normal weight loss for the infant during the first few days ? - - CORRECT ANSWERS
5-7% in the first 24hrs and below 10% in the first week
How many calories does a lactating mom need - CORRECT ANSWERS Moms need
approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700 with most mons
consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - CORRECT ANSWERS
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - CORRECT
ANSWERS Babies need 400 IU of Vitamin D per day . They should be supplemented if moms
are deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require
additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - CORRECT ANSWERS
Moms should consume a diet of normal foods - they should eat when they're hungry and drink when
they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
When would a Habermen feeder be indicated ? - CORRECT ANSWERS with Down's
Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - CORRECT ANSWERS
Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - CORRECT ANSWERS
The Tail of Spence refers to mammary gland tissue that extends to the axillary area that is connected to
the milk ducts . Symptoms include swollen armpits and even mastitis . Moms can apply cold compresses
to the area and take Motrin / Tylenol as needed for discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? - - CORRECT ANSWERS
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - CORRECT ANSWERS
There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3.
Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - CORRECT ANSWERS The baby's stomach is
only the size of a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time
.
, Standards of of practice for CBC - - CORRECT ANSWERS Help families define and achieve
goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - CORRECT ANSWERS ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - - CORRECT
ANSWERS Approximately 40 days
What are the common signs of milk " let down " ? - CORRECT ANSWERS Tingling , warmth ,
fullness , dripping and contractions
How is preterm milk different than term milk ? - - CORRECT ANSWERS 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 ? - CORRECT ANSWERS Lipids
What component of human milk is destroyed by freezing ? - CORRECT ANSWERS
Macrophages
When is the side - lying position helpful ? - CORRECT ANSWERS 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 ? - - CORRECT ANSWERS
The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? - CORRECT ANSWERS When moms are
experiencing active let - down
What is the dancer hand ? - CORRECT ANSWERS 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 ? - CORRECT ANSWERS Swallowing - harsh " Ca " sound ; air
from nose felt , neck movement visualized
What are the stool transition colors ? - CORRECT ANSWERS Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? - CORRECT ANSWERS
Experience , philosophy , credentials
What are responsibilities of staff ? - CORRECT ANSWERS 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
Exam QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
What is the normal weight loss for the infant during the first few days ? - - CORRECT ANSWERS
5-7% in the first 24hrs and below 10% in the first week
How many calories does a lactating mom need - CORRECT ANSWERS Moms need
approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700 with most mons
consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - CORRECT ANSWERS
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - CORRECT
ANSWERS Babies need 400 IU of Vitamin D per day . They should be supplemented if moms
are deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require
additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - CORRECT ANSWERS
Moms should consume a diet of normal foods - they should eat when they're hungry and drink when
they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
When would a Habermen feeder be indicated ? - CORRECT ANSWERS with Down's
Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - CORRECT ANSWERS
Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - CORRECT ANSWERS
The Tail of Spence refers to mammary gland tissue that extends to the axillary area that is connected to
the milk ducts . Symptoms include swollen armpits and even mastitis . Moms can apply cold compresses
to the area and take Motrin / Tylenol as needed for discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? - - CORRECT ANSWERS
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - CORRECT ANSWERS
There are nine stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3.
Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - CORRECT ANSWERS The baby's stomach is
only the size of a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time
.
, Standards of of practice for CBC - - CORRECT ANSWERS Help families define and achieve
goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - CORRECT ANSWERS ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - - CORRECT
ANSWERS Approximately 40 days
What are the common signs of milk " let down " ? - CORRECT ANSWERS Tingling , warmth ,
fullness , dripping and contractions
How is preterm milk different than term milk ? - - CORRECT ANSWERS 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 ? - CORRECT ANSWERS Lipids
What component of human milk is destroyed by freezing ? - CORRECT ANSWERS
Macrophages
When is the side - lying position helpful ? - CORRECT ANSWERS 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 ? - - CORRECT ANSWERS
The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? - CORRECT ANSWERS When moms are
experiencing active let - down
What is the dancer hand ? - CORRECT ANSWERS 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 ? - CORRECT ANSWERS Swallowing - harsh " Ca " sound ; air
from nose felt , neck movement visualized
What are the stool transition colors ? - CORRECT ANSWERS Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? - CORRECT ANSWERS
Experience , philosophy , credentials
What are responsibilities of staff ? - CORRECT ANSWERS 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
