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IBCLC Exam Sample Questions with 100% Verified Answers - Latest Update 2023/2024 Graded

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Feeding with only breastmilk, no supplements of water, glucose water, artificial breastmilk, or foods. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 296-297. Exercise and breastfeeding - Answer- Moderate exercise is fine. Exercise to exhaustion can increase lactic acid levels in milk and baby may refuse to breastfeed. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 501. Exocytosis - Answer- A cell releases secretory vesicles as in production of protein and lactose in the alveoli. Merriam-Webster Medical Dictionary. Exogenous - Answer- Derived from outside the body - such as iron supplements. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 866. Expected daily weight gain in the first 3 months - Answer- 15-30 grams or 1/2 to 1 ounce a day. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 284. Expected daily weight gain in the first 3 months - Answer- 15-30 grams or 1/2 to 1 ounce a day. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 284. Extension - Answer- Unbending movement around a joint in a limb that increases the angle between the bones. Opposite of Flexion. Merriam-Webster Medical Dictionary. External validity - Answer- Extent to which study findings can be generalized to samples and settings different from those studied. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Extraneous variable - Answer- Variables that can affect the relationship of the independent and dependent variables (i.e., interfere with the effect of treatment. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Fat soluble vitamins - Answer- Vitamins including A, D, E, K. These vitamins are not affected by recent maternal diet, as they can be stored in the body. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 128. Fentanyl/Sublimaze - Answer- Opiate analgesic, L2. A narcotic analgesic used during labor and delivery. Controversy about effect on breastfeeding. Hale, 2010. Medications and Mother's Milk (14th ed.), page 405. Fenugreek - Answer- Most commonly used herb to stimulate milk production. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 175. Fibroadenoma - Answer- Glandular structure (such as breast) with a large amount of fibrous tissue (benign tissue). Merriam-Webster Medical Dictionary. and Finger feeding - Answer- An alternative feeding method that involves a feeding tube running along side the finger during a feed. It is believed to help coordinate suck, swallow, and breath and allows baby to pace themselves. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 232- 233. Flange - Answer- Hard plastic shields used to collect milk while pumping. Sometimes a soft plastic or silicone. The nipple opening is often available in a variety of diameter sizes to accommodate differing nipple sizes. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 396 & 398. Flash heating - Answer- Quick, high temperature pasteurization. You Tube. Flat nipple - Answer- A nipple that does not protrude out or retract in (it is neither everted or inverted). It may or may not have slight movement inward or outward when stimulated or compressed. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 205. Flexion - Answer- Bending movement around a joint in a limb that decreases the angle between the bones of the limb at the joint. Opposite of extension. Merriam-Webster Medical Dictionary. Flow rate - Answer- Refers to the milk flow during milk ejection. Can also refer to the flow of a bottle nipple. When the milk flow is high the baby sucks slower and when the milk flow is low the baby sucks faster. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 445 & 450. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 523. Fluconazole/Diflucan - Answer- Antibiotic, L2. Safe; no untoward effects have been reported. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 179. Foods containing B6 - Answer- Meat, fish, poultry, beans, and many fruits and vegetables, such as bananas and spinach. National Institutes of Health. Office of Dietary Supplement. // Foods containing calcium - Answer- Milk, milk products, broccoli, kale, and most grains. National Institutes of Health. Office of Dietary Supplement. // Foods containing folic acid - Answer- Leafy green vegetables, citrus fruits, dried beans and peas. National Institutes of Health. Office of Dietary Supplement. // Foods containing iron - Answer- Meat, fish, poultry, lentils, and beans. National Institutes of Health. Office of Dietary Supplement. // Foods containing Vit B12 - Answer- Animal products, such as fish, meat, poultry, eggs, milk and milk products. For vegetarians, fortified cereals or nutritional yeast. National Institutes of Health. Office of Dietary Supplement. // Foods containing Vit C - Answer- Citrus fruits, peppers, broccoli, and strawberries. National Institutes of Health. Office of Dietary Supplement. // Foods containing Vit E - Answer- Nuts, seeds, vegetable oils, and green leafy vegetables. National Institutes of Health. Office of Dietary Supplement. // Foremilk - Answer- The milk at the beginning of a breastfeeding. This milk has low fat content. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Fortification of breastmilk - Answer- The process of adding extra nutrients to breastmilk for premature infants. These nutrients can be derived from human milk or cow's milk base. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 46-47. Fourth intercostal nerve - Answer- Essential for inervation of the nipple. Enters the areola at 5 o'clock position on the left breast and the 7 o'clock position on the right breast. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 56. Frenotomy - Answer- Release of tongue tie by clipping the lingual frenulum. Often preformed without anesthesia with few complications. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 389. Frenulectomy/frenuloplasty - Answer- Surgical procedure to release a tongue tie. Used for more extensive tongue tie. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 389. Frenulum - Answer- Membrane on the underside of the tongue that anchors it to the floor of the mouth. If short or tight it may restrict tongue extension and cause breastfeeding problems. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Gag reflex - Answer- Reflex that protects the airway by causing a contraction in the back of the throat. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 229 & 585. Galactocele - Answer- A milk filled lacteal cyst. Most frequent lump found in a lactating breast. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page311. Galactogogue - Answer- A food, herb or drug that is thought to increase milk supply in lactating women. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Galactopoiesis - Answer- Maintaining lactation once lactogenesis has been established. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Galactorrhea - Answer- Secretion of breastmilk in non-lactation women. Common among women who have previously been pregnant or breastfed. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 93. Galactose - Answer- A monosaccharide derived from lactose. Helps with central nervous system development. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Galactosemia - Answer- Disorder of the metabolism of galactose, a milk sugar. Baby must be on galactose-free formula. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 650 & 652. Gastroenteritis - Answer- Inflammation of the stomach and intestines resulting from bacterial or viral invasion. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Gastroschisis - Answer- Congenital malformation characterized by herniation of abdominal contents through a fusion defect. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Gentian violet - Answer- Purple dye with antifungal properties used to treat candida. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 303- 304. Gestational age - Answer- Infant's age since conception, usually specified in weeks and partial weeks. Counted from the first day of the last normal menstrual period. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Gigantomastia - Answer- Massive enlargement of breasts during pregnancy can result in tissue necrosis, ulceration, and infection. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 307. Goat's Rue - Answer- An herbal galactagogue. Chemically similar to metformin. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 592. Golgi apparatus - Answer- Cytoplasmic organelle that is active in production and transport of breastmilk proteins—called also Golgi complex. Merriam-Webster Medical Dictionary. Group B Strep - Answer- Common streptococcus bacteria in lower intestines. Harmless in adults, serious infection in neonates. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 526. H1N1 - Answer- Commonly called the Swine Flu. Mother baby separation needed during communicable stage. May feed pumped breastmilk. Half-life - Answer- Length of time for half of a drug dosage to be eliminated. Five halflives from time of original dosage usually clears the drug. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Hand expression - Answer- The manual removal of milk. Mothers push hands back towards chest wall and then roll fingers towards the nipple. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 241. Harlequin sign - Answer- Harmless color change in a newborn in which the dependent side of the body is a deep color while the other side is pale. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. HBIG - Answer- Hepatitis B specific immunoglobulin. Infants who are born to mothers with hepatitis B should receive this immunization at birth. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 698. HBV - Answer- Hepatitis B Virus. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 205. HELLP syndrome - Answer- H (intravascular hemolysis), EL (elevated liver enzymes; LP (low platelets). Develops as a result of pre-eclampsia in about 0.1% of women. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 610-611. Hematemesis - Answer- Vomiting of blood. The bleeding may be from the infant's upper gastrointestinal (GI) tract or a crack in the mother's nipple. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 867. Hepatitis A - Answer- Acute viral infection of the liver usually transmitted through food and water-borne routes. The newborn can be infected by vertical transmission from the mother. Baby and mother should be given gamma globulin. Breastfeeding can proceed as normal. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 697. Hepatitis B - Answer- Acute viral infection of the liver. It is safe for baby to breastfeed from infected mother, if baby receives a hepatitis vaccine with 12 hours after birth. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 205. Hepatitis C - Answer- Chronic viral infection of the liver. Breastfeeding is allowed if mother's titers are not high. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 205- 206. Hepatitis D - Answer- Viral infection of the liver, usually a co-infection with Hepatitis B. Once immunization has begun breastfeeding can begin. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 698. Hepatitis E - Answer- Viral infection of the liver that is self-limited and is not chronic. It is typically association with water contamination. Breastfeeding is considered safe. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 698.


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