Certified Breastfeeding Counselor (CBC) Exam 2026 | Questions &
Verified Answers | Latest Update | Graded A+
1. Describe the significance of the lobules and ducts in the anatomy of the
breast.
Lobules produce milk, while ducts transport it to the nipple.
Lobules are involved in hormone production, while ducts are for blood
circulation.
Lobules store fat, while ducts provide structural support.
Lobules and ducts both serve to protect the breast from infections.
2. If a new breast milk substitute is introduced to the market, how should its
marketing strategy align with the International Code of Marketing of Breast
Milk Substitutes?
The marketing strategy should emphasize the benefits of
breastfeeding and provide accurate information about the product
without undermining breastfeeding.
The marketing strategy should include misleading claims to attract
consumers.
The marketing strategy should focus solely on the advantages of the
substitute over breast milk.
The marketing strategy should prioritize discounts and promotions to
increase sales.
3. Why is it important for a breastfeeding mother to seek medical advice if she
finds a tender lump in her breast?
Because it indicates she should stop breastfeeding.
To learn about alternative feeding methods.
, To rule out any serious conditions and ensure proper care.
To receive a prescription for antibiotics.
4. If a breastfeeding mother is prescribed an antidepressant, what steps should
she take to ensure the safety of her infant?
She should switch to formula feeding without consulting a doctor.
She should stop breastfeeding immediately.
She should consult her healthcare provider about the specific
antidepressant and monitor her infant for any adverse effects.
She should take a higher dose of the antidepressant to counteract
effects.
5. Describe how the release of Oxytocin and Prolactin is related to the
breastfeeding process.
Oxytocin is released to stimulate appetite, while Prolactin regulates
sleep.
Oxytocin and Prolactin are released in response to stimuli such as
the baby's suckling, which promotes milk ejection and production.
Oxytocin is responsible for fat storage, while Prolactin aids in muscle
growth.
Both hormones are released only during pregnancy, not
breastfeeding.
6. The most important determinant for establishing and maintaining good milk
production is
Abundant fluids
Nursing on both breasts at each feeding
, Nutritionally adequate diet
Frequent nursing and complete emptying of the breasts
7. Martin is a healthy, thriving 10-day-old newborn who has a bilirubin level of 12.
The first suggestion for this baby's care should be:
continue 10-12 effective BF per day
institute phototherapy except during feedings
have the baby spend several sessions undressed in a sunny window
replace most of the feeds with formula
8. A woman has had a baby at 29 weeks of gestation. She tells the nurse that
she cannot breastfeed because the baby is so small and early. The nurse
should tell her that:
special formulas are actually better for preterm infants than her breast
milk.
she can use a breast pump to maintain lactation until nursing is
possible.
she will be able to establish lactation when the baby is strong enough
to nurse.
infections are more likely to occur if the infant takes stored breast milk.
9. One of the main reasons for the decline of breastfeeding in the 19th century
was:
The though that breast milk composition could only be controlled
through controlling women
Because only poor women breastfed
The belief that formula was scientific and was equated with progress
, Lack of support for nursing mothers by the medical community
10. What is a common modification recommended for breastfeeding infants with
a cleft lip or palate?
Feed the infant in a lying position.
Switch to formula feeding exclusively.
Use a specialized nipple or bottle.
Increase the frequency of feedings.
11. What is Cluster Feeding?
When infants "spit up" a small amount after eating or during burping
When your baby wants lots of short feeds over a few hours
When babies will nurse less often and may have a more predictable
schedule
The routine in which an infant chooses to eat
12. The transition to lactogenesis occurs abruptly after which event?
Puberty
Parturition (Birth)
Implantation
Millking/nursing
Ovulation
13. What is one reason a baby may prefer one breast over the other during
breastfeeding?
The baby has a preference for the mother's dominant hand.
Verified Answers | Latest Update | Graded A+
1. Describe the significance of the lobules and ducts in the anatomy of the
breast.
Lobules produce milk, while ducts transport it to the nipple.
Lobules are involved in hormone production, while ducts are for blood
circulation.
Lobules store fat, while ducts provide structural support.
Lobules and ducts both serve to protect the breast from infections.
2. If a new breast milk substitute is introduced to the market, how should its
marketing strategy align with the International Code of Marketing of Breast
Milk Substitutes?
The marketing strategy should emphasize the benefits of
breastfeeding and provide accurate information about the product
without undermining breastfeeding.
The marketing strategy should include misleading claims to attract
consumers.
The marketing strategy should focus solely on the advantages of the
substitute over breast milk.
The marketing strategy should prioritize discounts and promotions to
increase sales.
3. Why is it important for a breastfeeding mother to seek medical advice if she
finds a tender lump in her breast?
Because it indicates she should stop breastfeeding.
To learn about alternative feeding methods.
, To rule out any serious conditions and ensure proper care.
To receive a prescription for antibiotics.
4. If a breastfeeding mother is prescribed an antidepressant, what steps should
she take to ensure the safety of her infant?
She should switch to formula feeding without consulting a doctor.
She should stop breastfeeding immediately.
She should consult her healthcare provider about the specific
antidepressant and monitor her infant for any adverse effects.
She should take a higher dose of the antidepressant to counteract
effects.
5. Describe how the release of Oxytocin and Prolactin is related to the
breastfeeding process.
Oxytocin is released to stimulate appetite, while Prolactin regulates
sleep.
Oxytocin and Prolactin are released in response to stimuli such as
the baby's suckling, which promotes milk ejection and production.
Oxytocin is responsible for fat storage, while Prolactin aids in muscle
growth.
Both hormones are released only during pregnancy, not
breastfeeding.
6. The most important determinant for establishing and maintaining good milk
production is
Abundant fluids
Nursing on both breasts at each feeding
, Nutritionally adequate diet
Frequent nursing and complete emptying of the breasts
7. Martin is a healthy, thriving 10-day-old newborn who has a bilirubin level of 12.
The first suggestion for this baby's care should be:
continue 10-12 effective BF per day
institute phototherapy except during feedings
have the baby spend several sessions undressed in a sunny window
replace most of the feeds with formula
8. A woman has had a baby at 29 weeks of gestation. She tells the nurse that
she cannot breastfeed because the baby is so small and early. The nurse
should tell her that:
special formulas are actually better for preterm infants than her breast
milk.
she can use a breast pump to maintain lactation until nursing is
possible.
she will be able to establish lactation when the baby is strong enough
to nurse.
infections are more likely to occur if the infant takes stored breast milk.
9. One of the main reasons for the decline of breastfeeding in the 19th century
was:
The though that breast milk composition could only be controlled
through controlling women
Because only poor women breastfed
The belief that formula was scientific and was equated with progress
, Lack of support for nursing mothers by the medical community
10. What is a common modification recommended for breastfeeding infants with
a cleft lip or palate?
Feed the infant in a lying position.
Switch to formula feeding exclusively.
Use a specialized nipple or bottle.
Increase the frequency of feedings.
11. What is Cluster Feeding?
When infants "spit up" a small amount after eating or during burping
When your baby wants lots of short feeds over a few hours
When babies will nurse less often and may have a more predictable
schedule
The routine in which an infant chooses to eat
12. The transition to lactogenesis occurs abruptly after which event?
Puberty
Parturition (Birth)
Implantation
Millking/nursing
Ovulation
13. What is one reason a baby may prefer one breast over the other during
breastfeeding?
The baby has a preference for the mother's dominant hand.
