IBCLC EXAM PRACTICE QUESTIONS AND ANSWERS | LATEST UPDATE GRADED A+

This mother is using this technique of expressing her milk for her preterm infant. This technique may: Correct Answer: result in greater milk production [p342 & 380] The fit of this flange for this mother can Correct Answer: cause pain and low supply [p379] Fat is the most variable component of breast milk. You can use this fact to increase fat content in the breastmilk of a slow to gain infant. Your recommendation would be: Correct Answer: Feed the baby more often during the day since fat content is higher during the day [p93] the composition of "weaning" milk is Correct Answer: higher in fat The proportion of proteins in mature breastmilk is approx Correct Answer: Whey 60%, Casein 40% [p. 96] The major immunological factor in breastmilk is Correct Answer: IgA [pg 97] Your consultation with a breastfeeding mother should include Correct Answer: the reason why the mother is seeking help and advice often culture defines the breastfeeding norms and expectations of the mother and her baby. In planning for care, it is most important to take into consideration Correct Answer: preserving the mothers cultural values while recommending a plan of care [pg 741-743] When you are delivering culturally competent care, introduction can often make a good or bad impression. All of these cues may help you except Correct Answer: introducing yourself as the breastfeeding expert [741] A new mother tells you that she is returning to work full time at 6 wks and that she wants to continue to breastfeed her baby. She has a pump for work and is already pumping and giving bottles of milk to her baby. Your 1st question to her would be: Correct Answer: What are your goals for breastfeeding after you return to work? [552] Other helpful hints for the employed breastfeeding mother may include Correct Answer: obtaining a breast pump and practicing Physiologic Engorgement is characterized by Correct Answer: mild fullness and heaviness A mother who is 8 wk PP reports that she has had 2 episodes of mastitis. The following factors could contribute to this reoccurrence: Correct Answer: the mother stopped her antibiotics when she felt better This mother is 5 days pp and complains of breast pain. You notice redness and a lumpy area. The mother does not have a fever. Your suggestion would be to: Correct Answer: feed frequently while massaging the affected area [283-284] Mastitis this severe may have the following consequences: Correct Answer: decreased milk supply in the affected breast [287] This mother is 6 wk PP and reports a fever of 102. The mostly likely reason is: Correct Answer: she has signs of mastitis [284] in optimal support of breastfeeding for this newborn, you would encourage hospital practices to Correct Answer: delay hospital interventions and initiate breastfeeding within an hour of birth [178-181] This mother has placed her infant on her chest to Correct Answer: promote infant self attachment [180-181] Your next step with this newborn would be: Correct Answer: place skin to skin with the mother and offer the breast for the first feeding [180-181] encouraging breastfeeding o demand would include all of the following EXCEPT Correct Answer: pumping to establish a supply [183-185] a professional relationship is established when a LC discusses a breastfeeding issue with a mother: Correct Answer: whether or not the LC is being paid [p.8] A breastfeeding mother is going on vacation and is considering purchasing breastmilk from an internet website. Which statement is correct: Correct Answer: pasteurized breastmilk from a reputable milk bak is only available by physician prescription [443-444] You could recommend the use of banked donor milk to parents in all of these circumstances EXCEPT: Correct Answer: a mother is returning to work and would like to provide additional breastmilk [443-444] In treating jaundice, the most significant way phototherapy can impact successful breastfeeding is: Correct Answer: mother/baby separation [361] 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: Correct Answer: 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: Correct Answer: start the mother pumping, prefeed 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: Correct Answer: 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 Correct Answer: 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? Correct Answer: smallpox (it is a live vaccine) This mother complains of nipple soreness. Which of the following could be the cause of this discomfort? Correct Answer: The mother has inverted nipples with a yeast infection, which can cause pain [290-294] A mother comes to your new nothers support group and you observe her infant after a breastfeeding. You recommend that she: Correct Answer: make an appt with pedi for possible thrush [291] a mother with diabetes IDDM should be advised Correct Answer: to breastfeed early and often and supplement with expressed breastmilk if neeed [516] what is the recommendation for breastfeeding mother of a 3 month old who has recently traveled to an area where zika virus is endemic and has a suspected case of the virus? Correct Answer: breastfeed [] the mother who smokes should be counseled to quit or cut down on smoking. nicotine can Correct Answer: reduce milk supply [514-515] Some women experience an intense fear, helplessness, loss of control or horror w/ the birthing experience. This manifests itself in a woman's feelings of helplessness, anger, and severe depression or extreme anxiety. These symptoms are Correct Answer: associated with PTSD