IBCLC Exam with Complete Solutions
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ANS-IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ANS-prevents/limits the infant's exposure to non human proteins [p759-
760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a lactose free formula instead of breastfeeding. You inquire what symptoms
led her to this conclusion. Amy relates that her mother said she was lactose intolerant
as an infant. Her baby is gassy and has loose stools. You best response to this mother
would be: - ANS-Babies under 3 y/o rarely have lactose intolerance. Tell me more about
your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that
_____ - ANS-primary lactose intolerance is rare in newborns & that she should continue
to breastfeed [p 658-659]
This mother notices something white on her nipple tip. This most probably is: - ANS-a
nipple bleb [p.295]
The structure represented in this image is a: - ANS-Alveoli, which is the milk producing
unit in the breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: - ANS-Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with mark asymmetry. This anatomical "red flag" is often associated with: -
ANS-Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ANS-
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ANS-she likely has Raynaud's syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She
reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US.
You explain to her that a galactocele is a benign cyst in the ducts of the breast and -
ANS-can be aspirated and refilled with milk [p301]
, which nerve supplies the greatest amount of sensation to the areola? - ANS-4th
intercostal nerve [p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant.
The mother complains of tenderness and swelling in the axillary region. You explain to
the mother that: - ANS-This mammary tissue swellin can be reduced with cool
compresses. This accessory mammary tissue will involute in a few days, w/o affecting
milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - ANS-widen
temporarily in response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to - ANS-
estrogen [pg 54]
A new mother tells you that she has implants as she is beginning to breastfeed her
infant. One of the most important factors in her health hx to predict successful
breastfeeding is - ANS-the location of the implant did not damage any nerves to the
breast [p 299-300]
A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a
bilirubin of 10 and weight loss of 7%. The mother reports that the baby will not wake up
and continues to sleep and will not latch onto the breast. Your immediate plan of care
would include: - ANS-teach the mother wake up techniques, spoon feed colostrum, and
attempt to breastfeed
In the infant described in the question above, if he does not awaken for the next
feeding, the next steps would be: - ANS-start the mother pumping, pre-feed the infant
pumped breastmilk, then attempt breastfeeding [358]
You are a LC working in a clinic that serves a primary population of new immigrant
mothers. Many of your patients are being treated during their pregnancy for inactive TB
with 1st line anti TB drugs. You counsel these mothers to: - ANS-start breastfeeding
immediately right after birth and continue taking the meds as prescribed [pg 513]
many pregnant women test positive for HSV. Your care plan for breastfeeding with HSV
would include all of the following EXCEPT - ANS-continue breastfeeding even if active
moist lesions are on the breast [163]
Of the following vaccines administered to the mother, which are not safe for the
breastfed baby? - ANS-smallpox (it is a live vaccine)
This mother complains of nipple soreness. Which of the following could be the cause of
this discomfort? - ANS-The mother has inverted nipples with a yeast infection, which
can cause pain [290-294]
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ANS-IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ANS-prevents/limits the infant's exposure to non human proteins [p759-
760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a lactose free formula instead of breastfeeding. You inquire what symptoms
led her to this conclusion. Amy relates that her mother said she was lactose intolerant
as an infant. Her baby is gassy and has loose stools. You best response to this mother
would be: - ANS-Babies under 3 y/o rarely have lactose intolerance. Tell me more about
your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that
_____ - ANS-primary lactose intolerance is rare in newborns & that she should continue
to breastfeed [p 658-659]
This mother notices something white on her nipple tip. This most probably is: - ANS-a
nipple bleb [p.295]
The structure represented in this image is a: - ANS-Alveoli, which is the milk producing
unit in the breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: - ANS-Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with mark asymmetry. This anatomical "red flag" is often associated with: -
ANS-Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ANS-
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ANS-she likely has Raynaud's syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She
reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US.
You explain to her that a galactocele is a benign cyst in the ducts of the breast and -
ANS-can be aspirated and refilled with milk [p301]
, which nerve supplies the greatest amount of sensation to the areola? - ANS-4th
intercostal nerve [p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant.
The mother complains of tenderness and swelling in the axillary region. You explain to
the mother that: - ANS-This mammary tissue swellin can be reduced with cool
compresses. This accessory mammary tissue will involute in a few days, w/o affecting
milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - ANS-widen
temporarily in response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to - ANS-
estrogen [pg 54]
A new mother tells you that she has implants as she is beginning to breastfeed her
infant. One of the most important factors in her health hx to predict successful
breastfeeding is - ANS-the location of the implant did not damage any nerves to the
breast [p 299-300]
A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a
bilirubin of 10 and weight loss of 7%. The mother reports that the baby will not wake up
and continues to sleep and will not latch onto the breast. Your immediate plan of care
would include: - ANS-teach the mother wake up techniques, spoon feed colostrum, and
attempt to breastfeed
In the infant described in the question above, if he does not awaken for the next
feeding, the next steps would be: - ANS-start the mother pumping, pre-feed the infant
pumped breastmilk, then attempt breastfeeding [358]
You are a LC working in a clinic that serves a primary population of new immigrant
mothers. Many of your patients are being treated during their pregnancy for inactive TB
with 1st line anti TB drugs. You counsel these mothers to: - ANS-start breastfeeding
immediately right after birth and continue taking the meds as prescribed [pg 513]
many pregnant women test positive for HSV. Your care plan for breastfeeding with HSV
would include all of the following EXCEPT - ANS-continue breastfeeding even if active
moist lesions are on the breast [163]
Of the following vaccines administered to the mother, which are not safe for the
breastfed baby? - ANS-smallpox (it is a live vaccine)
This mother complains of nipple soreness. Which of the following could be the cause of
this discomfort? - ANS-The mother has inverted nipples with a yeast infection, which
can cause pain [290-294]
