PCE Breastfeeding Exam Prep 2026/2027 | Questions &
Correct Answers | Graded A+
1. A 24 year old primipara presents one month postpartum with a wish to start
using contraception. She is breastfeeding her baby. Which of the following
birth control methods is best for this patient:
Estrogen/Progesterone oral contraceptive
No contraceptive is required, because the patient is breastfeeding
Estrogen oral contraceptive
Cervical cap
Progestin only oral contraceptive
2. Describe how timing medication doses can help minimize drug exposure to
infants during breastfeeding.
Timing medication doses is only relevant for certain medications.
Timing medication doses has no effect on drug levels in breast milk.
Timing medication doses can increase the amount of drug in breast
milk.
Timing medication doses to coincide with breastfeeding can help
ensure that the peak drug levels occur when the infant is not
nursing.
3. Describe how an effective latch can influence the breastfeeding experience
for both mother and baby.
An effective latch can lead to more frequent feedings.
An effective latch allows the baby to extract milk efficiently and
minimizes discomfort for the mother.
, An effective latch is not important for breastfeeding success.
An effective latch only benefits the baby by providing milk.
4. Describe the significance of monitoring weight gain in late preterm infants
during breastfeeding.
Monitoring weight gain is only necessary after weaning.
Monitoring weight gain is crucial as it indicates whether the infant is
receiving adequate nutrition from breastfeeding.
Monitoring weight gain is not important for late preterm infants.
Monitoring weight gain helps determine the mother's milk supply only.
5. If a breastfeeding mother is having difficulty with the let down reflex, which
of the following strategies could she use to improve it?
Avoid breastfeeding in a quiet environment.
Practice relaxation techniques before breastfeeding.
Increase the frequency of formula feeding.
Ignore the baby's cues for feeding.
6. Describe how cup feeding can benefit breastfeeding infants compared to
bottle feeding.
Cup feeding is less hygienic than bottle feeding.
Cup feeding is only beneficial for infants with feeding difficulties.
Cup feeding encourages infants to consume more milk than they
need.
Cup feeding can help maintain breastfeeding by preventing nipple
confusion and allowing infants to control the flow of milk.
,7. What are the three stages of early breast development?
The three stages of early breast development are the prepubertal
stage, the adult stage, and the postmenopausal stage.
The three stages of early breast development are the embryonic
stage, the lactation stage, and the weaning stage.
The three stages of early breast development are the fetal stage, the
neonatal stage, and the infant stage.
The three stages of early breast development are the embryonic
stage, the prepubertal stage, and the pubertal stage.
8. Protection Against Infection & Severe Adult-Acquired Diseases, Decreased
Incidence of OM, Higher IQ & Cognitive Development, Less Reflux &
Constipation Are All Infant Advantages of:
Newborn Prophylaxis
Delayed Cord Clamping
Frequent Apgar Scoring
Breastfeeding
9. What is the recommended action for a mother if her newborn is unable to
nurse?
Start formula feeding
Wait for the newborn to latch
Consult a pediatrician
Begin pumping
10. What does lactogenesis mean?
, release of milk by the mammary glands
increase in breast size during pregnancy
production of milk
increase in the amount of adipose tissue in the breast
11. If a mother is facing challenges with breastfeeding due to medication, what
strategies could she consider to overcome these challenges?
Switching to formula without considering the baby's needs.
Consulting with healthcare professionals for alternative medications
or breastfeeding support.
Stopping breastfeeding immediately without consulting anyone.
Ignoring the medication's effects on breastfeeding.
12. The nurse caring for the after birth woman understands that breast
engorgement is caused by:
overproduction of colostrum.
accumulation of milk in the lactiferous ducts.
hyperplasia of mammary tissue.
congestion of veins and lymphatics.
13. Describe the significance of Lactogenesis 3 in the breastfeeding process.
Lactogenesis 3 refers to the hormonal changes that prepare the
breast for milk production.
Lactogenesis 3 is the stage where colostrum is produced.
Lactogenesis 3 signifies the transition to mature milk production,
which is crucial for meeting the nutritional needs of the infant.
Correct Answers | Graded A+
1. A 24 year old primipara presents one month postpartum with a wish to start
using contraception. She is breastfeeding her baby. Which of the following
birth control methods is best for this patient:
Estrogen/Progesterone oral contraceptive
No contraceptive is required, because the patient is breastfeeding
Estrogen oral contraceptive
Cervical cap
Progestin only oral contraceptive
2. Describe how timing medication doses can help minimize drug exposure to
infants during breastfeeding.
Timing medication doses is only relevant for certain medications.
Timing medication doses has no effect on drug levels in breast milk.
Timing medication doses can increase the amount of drug in breast
milk.
Timing medication doses to coincide with breastfeeding can help
ensure that the peak drug levels occur when the infant is not
nursing.
3. Describe how an effective latch can influence the breastfeeding experience
for both mother and baby.
An effective latch can lead to more frequent feedings.
An effective latch allows the baby to extract milk efficiently and
minimizes discomfort for the mother.
, An effective latch is not important for breastfeeding success.
An effective latch only benefits the baby by providing milk.
4. Describe the significance of monitoring weight gain in late preterm infants
during breastfeeding.
Monitoring weight gain is only necessary after weaning.
Monitoring weight gain is crucial as it indicates whether the infant is
receiving adequate nutrition from breastfeeding.
Monitoring weight gain is not important for late preterm infants.
Monitoring weight gain helps determine the mother's milk supply only.
5. If a breastfeeding mother is having difficulty with the let down reflex, which
of the following strategies could she use to improve it?
Avoid breastfeeding in a quiet environment.
Practice relaxation techniques before breastfeeding.
Increase the frequency of formula feeding.
Ignore the baby's cues for feeding.
6. Describe how cup feeding can benefit breastfeeding infants compared to
bottle feeding.
Cup feeding is less hygienic than bottle feeding.
Cup feeding is only beneficial for infants with feeding difficulties.
Cup feeding encourages infants to consume more milk than they
need.
Cup feeding can help maintain breastfeeding by preventing nipple
confusion and allowing infants to control the flow of milk.
,7. What are the three stages of early breast development?
The three stages of early breast development are the prepubertal
stage, the adult stage, and the postmenopausal stage.
The three stages of early breast development are the embryonic
stage, the lactation stage, and the weaning stage.
The three stages of early breast development are the fetal stage, the
neonatal stage, and the infant stage.
The three stages of early breast development are the embryonic
stage, the prepubertal stage, and the pubertal stage.
8. Protection Against Infection & Severe Adult-Acquired Diseases, Decreased
Incidence of OM, Higher IQ & Cognitive Development, Less Reflux &
Constipation Are All Infant Advantages of:
Newborn Prophylaxis
Delayed Cord Clamping
Frequent Apgar Scoring
Breastfeeding
9. What is the recommended action for a mother if her newborn is unable to
nurse?
Start formula feeding
Wait for the newborn to latch
Consult a pediatrician
Begin pumping
10. What does lactogenesis mean?
, release of milk by the mammary glands
increase in breast size during pregnancy
production of milk
increase in the amount of adipose tissue in the breast
11. If a mother is facing challenges with breastfeeding due to medication, what
strategies could she consider to overcome these challenges?
Switching to formula without considering the baby's needs.
Consulting with healthcare professionals for alternative medications
or breastfeeding support.
Stopping breastfeeding immediately without consulting anyone.
Ignoring the medication's effects on breastfeeding.
12. The nurse caring for the after birth woman understands that breast
engorgement is caused by:
overproduction of colostrum.
accumulation of milk in the lactiferous ducts.
hyperplasia of mammary tissue.
congestion of veins and lymphatics.
13. Describe the significance of Lactogenesis 3 in the breastfeeding process.
Lactogenesis 3 refers to the hormonal changes that prepare the
breast for milk production.
Lactogenesis 3 is the stage where colostrum is produced.
Lactogenesis 3 signifies the transition to mature milk production,
which is crucial for meeting the nutritional needs of the infant.
