CERTIFIED BREASTFEEDING COUNSELOR CBC EXAM
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS 2026/2026
What purpose do nerves serve in the breasts? - ANSWER-
>Intercostal nerves 3, 4 and 5 deal with breast tissue
- innervation to the nipple tells the brain to produce oxytocin when breast
feeding - emptying of the alveolus tells the breast to make more milk
What are Montgomery's Tubercles? - ANSWER->Glands that secrete an
antibacteriallike substance that protects the nipples and areola.
- found on the nipple and areola
- enlarge during pregnancy
Lactogenesis 3 - ANSWER->also known as galactopoiesis
- the resupply of mature milk that occurs when milk is removed from the
breast
When does Lactogenesis occur? - ANSWER->day 10-14 postpartum
- when mature milk is established
- lasts until mom is ready to wean from breastfeeding
Lactogenesis 4 - ANSWER->involution
- milk production is decreased by apoptosis of the milk making epithelial
cells
What are the 2 main hormonal influences of breastfeeding? - ANSWER-
>Prolactin and Oxytocin
, What is the job of Prolactin? - ANSWER->Milk production
Where is prolactin released? - ANSWER->the anterior pituitary gland into the
blood stream to the alveoli
What is the main inhibitor of prolactin? - ANSWER>progesterone
When is prolactin released? - ANSWER->When the placenta detaches,
progesterone levels decrease and prolactin levels increase
What are some other purposes of prolactin? - ANSWER->- keeps alveoli
glued together
- inhibits ovulation
Remaining fragments of placenta can cause what problem in breastfeeding?
- ANSWER->delay/decrease the release of prolactin
What is the job of oxytocin? - ANSWER->milk release (the letdown reflex) -
tells the myoepithelial cells (and the uterus) to contract and move milk to
the ducts and out the breast
Where is oxytocin released? - ANSWER->the posterior pituitary gland via
many stimuli
Name some of the stimuli used to release both Oxytocin and
Prolactin - ANSWER->- nipple stretching
- massaging the breasts
- Seeing/Touching/Smelling/Hearing the infant
QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS 2026/2026
What purpose do nerves serve in the breasts? - ANSWER-
>Intercostal nerves 3, 4 and 5 deal with breast tissue
- innervation to the nipple tells the brain to produce oxytocin when breast
feeding - emptying of the alveolus tells the breast to make more milk
What are Montgomery's Tubercles? - ANSWER->Glands that secrete an
antibacteriallike substance that protects the nipples and areola.
- found on the nipple and areola
- enlarge during pregnancy
Lactogenesis 3 - ANSWER->also known as galactopoiesis
- the resupply of mature milk that occurs when milk is removed from the
breast
When does Lactogenesis occur? - ANSWER->day 10-14 postpartum
- when mature milk is established
- lasts until mom is ready to wean from breastfeeding
Lactogenesis 4 - ANSWER->involution
- milk production is decreased by apoptosis of the milk making epithelial
cells
What are the 2 main hormonal influences of breastfeeding? - ANSWER-
>Prolactin and Oxytocin
, What is the job of Prolactin? - ANSWER->Milk production
Where is prolactin released? - ANSWER->the anterior pituitary gland into the
blood stream to the alveoli
What is the main inhibitor of prolactin? - ANSWER>progesterone
When is prolactin released? - ANSWER->When the placenta detaches,
progesterone levels decrease and prolactin levels increase
What are some other purposes of prolactin? - ANSWER->- keeps alveoli
glued together
- inhibits ovulation
Remaining fragments of placenta can cause what problem in breastfeeding?
- ANSWER->delay/decrease the release of prolactin
What is the job of oxytocin? - ANSWER->milk release (the letdown reflex) -
tells the myoepithelial cells (and the uterus) to contract and move milk to
the ducts and out the breast
Where is oxytocin released? - ANSWER->the posterior pituitary gland via
many stimuli
Name some of the stimuli used to release both Oxytocin and
Prolactin - ANSWER->- nipple stretching
- massaging the breasts
- Seeing/Touching/Smelling/Hearing the infant
