PCE Certified Breastfeeding Counselor Actual Exam Questions & Correct Verified Answers | Already Graded A+ | Certified Breastfeeding Counselor PCE Exam Review

PCE Certified Breastfeeding Counselor
Actual Exam Questions & Correct Verified
Answers | Already Graded A+ | Certified
Breastfeeding Counselor PCE Exam Review
Question 1
What component of human milk is destroyed by freezing
Correct Answer
Macrophages



Question 2
Flat / inverted nipples : possible issues and solutions ? What is short shank ?
Correct Answer
Difficulty w / latch . Nipple shield may help . Short shank- retraction w / stimulation



Question 3
What position is centered around the infant attaching themselves to the breast ? -
Correct Answer
The laid back position ( aka the biological position )



Question 4
How is milk ejected into ducts from alveoli ? aka let down
Correct Answer
Myoepitheal cells encase the aveoli , contract in response to oxytocin . In response
to sucking oxytocin increases




Page 1 of 133

,Question 5
Ankylogolossia
Correct Answer
tethered frenulum that restricts lips or tongue -- > can cause irritation or pinching
to nipple



Question 6
Baby friendly 10 steps
Correct Answer
-- Written policy -Proper training -Proper education -Initiation w in 1 hr -Maintain
lactation even if separated -Breastmilk only unless medically required -Rooming in -
Cue feeding , 8-12x -No artificial teats -Support groups



Question 7
What happens to estrogen and progesterone during pregnancy and after birth ? -
Correct Answer
They increase during pregnancy and then decrease after birth .



Question 8
Pseudo inverted nipple
Correct Answer
seems inverted but erect upon stimulation



Question 9
Retracted nipple
Correct Answer
retracts upon stimulation




Page 2 of 133

,Question 10
Prolactin
Correct Answer
frm ant pituitary gland ; lands on prolactin receptor start milk prod - from



Question 11
Which position for infant attachment
Correct Answer
Laid back aka biological



Question 12
What component of human milk is destroyed by freezing ?
Correct Answer
Macrophages



Question 13
10 steps for preterm -
Correct Answer
Informed , milk supply , milk management , oral care , skin to skin , non nutritive
suckling , transition to breast , measure milk transfer , prep for discharge



Question 14
Where is the milk produced ?
Correct Answer
ANSWER- In the alveoli



Question 15
How is preterm milk different ?
Correct Answer
Higher in protein and immune factors




Page 3 of 133

, Question 16
Cause for sore nipples , how to fix
Correct Answer
Improper latch , correct position . Open wide mouth , body in straight line , nipple in
between two palates . Feed on less tender side , warm compresses .



Question 17
Relactation
Correct Answer
induced lactation in mother who previously breastfeed or has never breasted
following invultion ( reverse weaning )



Question 18
What is considered failure to thrive ?
Correct Answer
-- < 1 month Loses wt after 10 days doesn't regain birth wt by 3 wks . below 10 % at
1 month >> 1 month : Below 30 % , drop in growth of length and head . Evidence
of malnutrition and dehydration . Bad feeds , no milestones .



Question 19
What is breast milk composed of ?
Correct Answer
Fats : higher in mature milk and evenings -Protein : Casein- allows for iron to be
absorbed , mature milk . Whey early milk , IGA kills bacteria Carbs : Lactose , makes
up alories / energy . Vitamins : A , D , E , K , C , thiamin , riboflavin , b's . Influenced
by mom . Minerals : Calcium phosphorus , magnesium , not affected by diet
-Mostly water



Question 20
When should infant stop losing wt ? When should infant be back at birth wt
Correct Answer
Lose weight first 4 days . Back to birthweight by 2-3 wks .




Page 4 of 133