PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM 250
QUESTIONS AND WELL ELABORATED ANSWERS
When would a Habermen feeder be indicated ? - with Down's Syndrome or a Cleft Lip /
Palate
What medications are contraindicated in breastfeeding mothers ? - Antimetabolite drugs
or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - The Tail
of Spence refers to mammary gland tissue that extends to the axillary area that is
connected to the milk ducts . Symptoms include swollen armpits and even mastitis .
Moms can apply cold compresses to the area and take Motrin / Tylenol as needed for
discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? - - They
increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - There are nine
stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3.
Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - The baby's stomach is only the size of
a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time
.
What is the normal weight loss for the infant during the first few days ? - - 5-7% in the
first 24hrs and below 10% in the first week
How many calories does a lactating mom need - Moms need approximately 500 extra
calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming
around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - -
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? -
Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are
deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT
require additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - Moms should
consume a diet of normal foods - they should eat when they're hungry and drink when
, they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-30 %
healthy fats
Standards of of practice for CBC - - Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
Approximately 40 days
What are the common signs of milk " let down " ? - Tingling , warmth , fullness , dripping
and contractions
How is preterm milk different than term milk ? - - It is higher in protein and immune
factors ( because the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - Lipids
What component of human milk is destroyed by freezing ? - Macrophages
When is the side - lying position helpful ? - In moms that are sleepy or have lacerations /
repairs that put pressure and cause discomfort on the perineal area
What position is centered around the infant attaching themselves to the breast ? - - The
laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? - When moms are experiencing active
let - down
What is the dancer hand ? - Mom would have hand below the breast in a " U " shape ;
this is good for infants who need good jaw support
What are signs of milk transfer ? - Swallowing - harsh " Ca " sound ; air from nose felt ,
neck movement visualized
What are the stool transition colors ? - Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? - Experience ,
philosophy , credentials
QUESTIONS AND WELL ELABORATED ANSWERS
When would a Habermen feeder be indicated ? - with Down's Syndrome or a Cleft Lip /
Palate
What medications are contraindicated in breastfeeding mothers ? - Antimetabolite drugs
or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - The Tail
of Spence refers to mammary gland tissue that extends to the axillary area that is
connected to the milk ducts . Symptoms include swollen armpits and even mastitis .
Moms can apply cold compresses to the area and take Motrin / Tylenol as needed for
discomfort .
What happens to estrogen and progesterone during pregnancy and after birth ? - - They
increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - There are nine
stages of the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3.
Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - The baby's stomach is only the size of
a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time
.
What is the normal weight loss for the infant during the first few days ? - - 5-7% in the
first 24hrs and below 10% in the first week
How many calories does a lactating mom need - Moms need approximately 500 extra
calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming
around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - -
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? -
Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are
deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT
require additional vitamin D supplementation .
What types of foods ( or diet ) should lactating moms consume ? - Moms should
consume a diet of normal foods - they should eat when they're hungry and drink when
, they're thirsty . The MyPlate is a good example - 50 % carbs , 15 % protein , 20-30 %
healthy fats
Standards of of practice for CBC - - Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
Approximately 40 days
What are the common signs of milk " let down " ? - Tingling , warmth , fullness , dripping
and contractions
How is preterm milk different than term milk ? - - It is higher in protein and immune
factors ( because the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - Lipids
What component of human milk is destroyed by freezing ? - Macrophages
When is the side - lying position helpful ? - In moms that are sleepy or have lacerations /
repairs that put pressure and cause discomfort on the perineal area
What position is centered around the infant attaching themselves to the breast ? - - The
laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? - When moms are experiencing active
let - down
What is the dancer hand ? - Mom would have hand below the breast in a " U " shape ;
this is good for infants who need good jaw support
What are signs of milk transfer ? - Swallowing - harsh " Ca " sound ; air from nose felt ,
neck movement visualized
What are the stool transition colors ? - Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? - Experience ,
philosophy , credentials
