PCE CERTIFIED BREASTFEEDING COUNSELOR
EXAM ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
10 steps to successful breastfeeding - ANSwritten policy, train all staff, inform pregnant
woman about benefits, initiate breastfeeding (skin to skin early), show how to breast feed,
give newborns only breast milk unless otherwise indicated, practice rooming in, encourage
feeding on demand, no pacifiers, support groups
34 weeker struggling to latch - ANSdue to sleepiness of prematurity and delayed lactogensis
from premature delivery
accessory nipple or breast tissue is likely to be found - ANSaxilla, near umbillicus or inguinal
region
adoption breastfeeding - ANSpossible hormone use, use pump to stimulate milk production,
potential supplement, risks/benefits of drugs
ankyloglossis - ANStongue tie- labial/lingual frenulum that restricts movement of lip and
tongue
antiretroviral med for AIDS - ANSnot safe, use donor breast milk
assess infant's response to medication - ANSbehavioral changes/alertness, irritability,
change in GI/sleep patterns
assessment considerations with vegan breastfeeding mother - ANSb12 needed, can cause
muscle weakness/vomiting
at birth full term infant can digest - ANS`1-2 teaspoons
AWHONN responsibilities of staff women working with breastfeeding mothers - ANSprovide
education, foster enviornment
support and implement practice, current
EBP preterm and vulnerable patient
importance support groups
baby is properly latched on when - ANSjuncture of hard/soft palates
basic principle behind breast milk production - ANSsupply and demand, hand express, do
not supplement
birth control methods most compatible - ANSprogesterone, IUD, barriers
Breast Anatomy - ANS
Breast development during menstruation - ANS- Estrogen: Induces Ductal System
development
- Progesterone: Induces Lobular-Alveolar development
breast engorgement - ANSvascular dilation, congestion, accumulate milk, edema secondary
to swelling
breast feeding mother lump in her breast, tender, no fever - ANSplugged duct
Breast reduction - ANStry and see what happens
- no assumtions, follow closely b/c ducts could be disrupted
breast reduction considerations - ANSwhen: should be 1+ year
, PCE CERTIFIED BREASTFEEDING COUNSELOR
EXAM ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
why: asymmetrical or
cosmetic how: esp if
periareolar surgery
cleft lip/palate modifications - ANSposition deeply, cross cradle/modified football/dancers
hand, semi upright to prevent reflux
cluster feeding - ANS24-48 hrs
- baby is waking up, feeding frequently for short amount of time
component of human milk destroyed by freezing - ANSmacrophages (living cells)
contraindicated medications - ANSantimetabolites, radioisotopes, illicit substances
Cultural attitude that emphasizes sexual nature of breast due to - ANSharassment of breast
feeding in public
- cultures that sexualize breast are more often to be resistant
depo provera admin - ANSafter 6 weeks
diet of breastfeeding woman - ANS- do not need change, keep normal intake
- woman living under variety of circumstances can breast feed, most components are
not related to mother's intake
- should eat enough calories, gain weight within same parameters as if
you were not pregnant/breastfeeding
Does stress play a role in hormone release? - ANSstress can inhibit hormonal release
- high levels of cortisol/catacholamines reduce oxytocin and prolactin levels
drug that rapidly decreases in breastmilk after mother stops - ANSalcohol
easy nutrition for lactation - ANScheese, yogurt ,fresh fruit, raw veggies, nuts, hard boiled
eggs, whole grains, fluids (helps w/ dehydration), 400 Vit D, no specific diet- well balanced
effective way to increase milk supply - ANShand express after feeds
- milk synthesis works by supply/demand, most important regulatory mechanism is
frequent thorough removal
event triggers lactogenesis II - ANSplacenta expulsion
- decline in progesterone, onset of copious milk secretions
first organization to provide mother to mother support - ANSla leche league
green cabbage for engorgement - ANSapply to decrease swelling, do not use if allergic to
sulfa
growth spurt - ANSmother should not supplement, feed frequently on demand
hormones influencing changes in breast - ANSestrogen (decreases after birth), progesterone
(decreases after birth, prolactin inhibitor), prolactin (increases after placenta delivery),
oxytocin (helps with milk ejection), TSH (increases mammary cell response)
EXAM ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
10 steps to successful breastfeeding - ANSwritten policy, train all staff, inform pregnant
woman about benefits, initiate breastfeeding (skin to skin early), show how to breast feed,
give newborns only breast milk unless otherwise indicated, practice rooming in, encourage
feeding on demand, no pacifiers, support groups
34 weeker struggling to latch - ANSdue to sleepiness of prematurity and delayed lactogensis
from premature delivery
accessory nipple or breast tissue is likely to be found - ANSaxilla, near umbillicus or inguinal
region
adoption breastfeeding - ANSpossible hormone use, use pump to stimulate milk production,
potential supplement, risks/benefits of drugs
ankyloglossis - ANStongue tie- labial/lingual frenulum that restricts movement of lip and
tongue
antiretroviral med for AIDS - ANSnot safe, use donor breast milk
assess infant's response to medication - ANSbehavioral changes/alertness, irritability,
change in GI/sleep patterns
assessment considerations with vegan breastfeeding mother - ANSb12 needed, can cause
muscle weakness/vomiting
at birth full term infant can digest - ANS`1-2 teaspoons
AWHONN responsibilities of staff women working with breastfeeding mothers - ANSprovide
education, foster enviornment
support and implement practice, current
EBP preterm and vulnerable patient
importance support groups
baby is properly latched on when - ANSjuncture of hard/soft palates
basic principle behind breast milk production - ANSsupply and demand, hand express, do
not supplement
birth control methods most compatible - ANSprogesterone, IUD, barriers
Breast Anatomy - ANS
Breast development during menstruation - ANS- Estrogen: Induces Ductal System
development
- Progesterone: Induces Lobular-Alveolar development
breast engorgement - ANSvascular dilation, congestion, accumulate milk, edema secondary
to swelling
breast feeding mother lump in her breast, tender, no fever - ANSplugged duct
Breast reduction - ANStry and see what happens
- no assumtions, follow closely b/c ducts could be disrupted
breast reduction considerations - ANSwhen: should be 1+ year
, PCE CERTIFIED BREASTFEEDING COUNSELOR
EXAM ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY
GRADED A+
why: asymmetrical or
cosmetic how: esp if
periareolar surgery
cleft lip/palate modifications - ANSposition deeply, cross cradle/modified football/dancers
hand, semi upright to prevent reflux
cluster feeding - ANS24-48 hrs
- baby is waking up, feeding frequently for short amount of time
component of human milk destroyed by freezing - ANSmacrophages (living cells)
contraindicated medications - ANSantimetabolites, radioisotopes, illicit substances
Cultural attitude that emphasizes sexual nature of breast due to - ANSharassment of breast
feeding in public
- cultures that sexualize breast are more often to be resistant
depo provera admin - ANSafter 6 weeks
diet of breastfeeding woman - ANS- do not need change, keep normal intake
- woman living under variety of circumstances can breast feed, most components are
not related to mother's intake
- should eat enough calories, gain weight within same parameters as if
you were not pregnant/breastfeeding
Does stress play a role in hormone release? - ANSstress can inhibit hormonal release
- high levels of cortisol/catacholamines reduce oxytocin and prolactin levels
drug that rapidly decreases in breastmilk after mother stops - ANSalcohol
easy nutrition for lactation - ANScheese, yogurt ,fresh fruit, raw veggies, nuts, hard boiled
eggs, whole grains, fluids (helps w/ dehydration), 400 Vit D, no specific diet- well balanced
effective way to increase milk supply - ANShand express after feeds
- milk synthesis works by supply/demand, most important regulatory mechanism is
frequent thorough removal
event triggers lactogenesis II - ANSplacenta expulsion
- decline in progesterone, onset of copious milk secretions
first organization to provide mother to mother support - ANSla leche league
green cabbage for engorgement - ANSapply to decrease swelling, do not use if allergic to
sulfa
growth spurt - ANSmother should not supplement, feed frequently on demand
hormones influencing changes in breast - ANSestrogen (decreases after birth), progesterone
(decreases after birth, prolactin inhibitor), prolactin (increases after placenta delivery),
oxytocin (helps with milk ejection), TSH (increases mammary cell response)
