IBCLC 2023 Practice Questions & Answers Correct 100%

Which of the following maternal perinatal factors is MOST LIKELY to interfere with initiation of breastfeeding? - Answer Cesarean surgery A mother complains of incision pain following her cesarean birth and requests pain relief medication, but she is worried about the effect on her baby. Your FIRST response to her should be: - Answer We will monitor you and your baby closely after you have received pain medication Which components of human milk are MOST STABLE to pasteurization and freezing? - Answer Minerals Which of the following is the MOST APPROPRIATE complementary food for a 10-month-old breastfed baby? - Answer Strips of lightly cooked pork Nutrient-dense and iron-rich foods are the most important complementary foods for the breastfed child between 6 and 12 months. A mother asks about sources of vitamin D for her 16-month-old breastfeeding child. Your FIRST recommendation should be: - Answer Continue breastfeeding, and ask your doctors to test you both for vitamin D levels Which of the following foods is the BEST source of calcium for a partly breastfeeding 16-month-old who cannot tolerate dairy products? - Answer Sesame seed paste a hospital nurse told her "if he nurses longer than that, he's only using you as a pacifier and you'll get sore." Your FIRST statement to her should be: - Answer Let's see what he can do with nursing at breast at his own pace. You are working to implement the Baby-Friendly Hospital Initiative in your facility, where scheduled feeds are often recommended for outdated and incorrect reasons. Your FIRST strategy should be to: - Answer during Step 2 training, explore and correct all the reasons that are given for scheduling feeds. What is the MOST IMPORTANT reason for continuing to breastfeed into the second year of life and beyond? - Answer Immune protection tailored to the child's environment A mother with epilepsy wants to breastfeed her third baby, after formula-feeding her first two. Which aspect of breastfeeding should you spend MOST time discussing with her? - Answer Increased infant alertness Breastfed infants are more alert and responsive compared to formula-fed babies mother kept her 4-year-old daughter and 7-month-old baby alive while snowbound in their car 9 days. Which component of breastmilk at this stage was HIGHER than at previous stages of lactation? - Answer Lysozyme Lysozyme increases over the early months of lactation and is higher at 3 months than 1 month. A first-time mother and her 5-day-old infant called you for help. The baby is neither voiding nor stooling regularly and appears yellow. While the mother's breasts were engorged, all attempts at latching the baby onto the breast failed. She expressed 2 oz of milk total (60 ml). What is the NEXT action she should take? - Answer Place the baby skin-to-skin on her chest, and see if he will self-attach. You are helping a mother 3 days after a surgical procedure to drain a breast abscess. Her breast is firm and milk is leaking from the incision, which is on the lateral side of the breast near her chest wall. What is the FIRST action she should take? - Answer Put the baby to breast on the affected side to relieve milk stasis. How many stages are described in Tanner's phases of breast development? - Answer Five A pregnant woman with many allergies asks about infant feeding. Your BEST response is: - Answer A baby is never allergic to its mothers' milk, but he may be sensitive to foods in the mother's diet. A breastfeeding mother is also pregnant. She asks the lactation consultant if she needs special dietary considerations to "eat for three" while she's pregnant. Which suggestion is irrelevant? - Answer Double your protein intake. A cesarean birth is more likely to affect breastfeeding in all of the following ways EXCEPT: - Answer delayed lactogenesis II.? It WILL cause: increased maternal pain. b. a need for maternal medications, more separation of mother and infant Pooling or collection of fluid between the skin and cranial bones of the infant's head is called: - Answer caput succedaneum. Which statement regarding the timing of lactogenesis II is FALSE? - Answer Timing is dependent on breast stimulation by the baby. TRUE STATEMENTS: Begins 30-40 hours after delivery of the placenta b. May initially go unnoticed by mother c. May be delayed 10-20 hours if mother has diabetes Which of the following maternal perinatal factors is MOST LIKELY to interfere with initiation of breastfeeding? - Answer Cesarean surgery Which mineral is particularly difficult for the premature (preterm) infant to absorb? - Answer Iron At what gestational age does the swallowing reflex first appear? - Answer 16 weeks Which nutrient is most difficult for premature babies to digest? - Answer Fats All of the following developmental processes are interrupted by premature birth EXCEPT: - Answer hearing and taste. ARE INTERRUPTED: bone mineralization. b. gut maturation. c. deposition of fat. Which component of human milk is LEAST important in preventing neonatal septicemia? - Answer Lysozyme in colostrum ARE PREVENTATIVE: Secretory IgA antibodies c. Oligosaccaride receptor analogues d. Lactoferrin protein Which feeding device is MOST APPROPRIATE if a preterm baby cannot yet breastfeed but can tolerate oral feeds? - Answer Cup: most researched You are working with a late preterm infant (born at 34 to 36 weeks gestation) who had been in the hospital NICU since birth 10 days ago. The baby falls readily asleep at breast each time you assist mom to latch. Her milk supply is plentiful because of pumping. What is the MOST LIKELY cause for this infant to be unable to sustain his latch at breast? - Answer His suck has low intraoral pressure (vacuum) due to gestational age.