IBCLC QUESTIONS & ANSWERS(RATED
A+)
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ANSWER IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ANSWER prevents/limits the infant's exposure to non human proteins
[p759-760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a lactose free formula instead of breastfeeding. You inquire what symptoms
led her to this conclusion. Amy relates that her mother said she was lactose intolerant
as an infant. Her baby is gassy and has loose stools. You best response to this mother
would be: - ANSWER Babies under 3 y/o rarely have lactose intolerance. Tell me more
about your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that
_____ - ANSWER primary lactose intolerance is rare in newborns & that she should
continue to breastfeed [p 658-659]
This mother notices something white on her nipple tip. This most probably is: -
ANSWER a nipple bleb [p.295]
The structure represented in this image is a: - ANSWER Alveoli, which is the milk
producing unit in the breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: - ANSWER Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with mark asymmetry. This anatomical "red flag" is often associated with: -
ANSWER Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ANSWER
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ANSWER she likely has Raynaud's
syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She
reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US.
You explain to her that a galactocele is a benign cyst in the ducts of the breast and -
ANSWER can be aspirated and refilled with milk [p301]
, which nerve supplies the greatest amount of sensation to the areola? - ANSWER 4th
intercostal nerve [p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant.
The mother complains of tenderness and swelling in the axillary region. You explain to
the mother that: - ANSWER This mammary tissue swellin can be reduced with cool
compresses. This accessory mammary tissue will involute in a few days, w/o affecting
milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - ANSWER
widen temporarily in response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to -
ANSWER estrogen [pg 54]
When you are delivering culturally competent care, introduction can often make a good
or bad impression. All of these cues may help you except - 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: -
ANSWER What are your goals for breastfeeding after you return to work? [552]
Other helpful hints for the employed breastfeeding mother may include - ANSWER
obtaining a breast pump and practicing
Physiologic Engorgement is characterized by - 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: - 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: - ANSWER feed
frequently while massaging the affected area [283-284]
Mastitis this severe may have the following consequences: - 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: -
ANSWER she has signs of mastitis [284]
A+)
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ANSWER IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ANSWER prevents/limits the infant's exposure to non human proteins
[p759-760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a lactose free formula instead of breastfeeding. You inquire what symptoms
led her to this conclusion. Amy relates that her mother said she was lactose intolerant
as an infant. Her baby is gassy and has loose stools. You best response to this mother
would be: - ANSWER Babies under 3 y/o rarely have lactose intolerance. Tell me more
about your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that
_____ - ANSWER primary lactose intolerance is rare in newborns & that she should
continue to breastfeed [p 658-659]
This mother notices something white on her nipple tip. This most probably is: -
ANSWER a nipple bleb [p.295]
The structure represented in this image is a: - ANSWER Alveoli, which is the milk
producing unit in the breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: - ANSWER Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with mark asymmetry. This anatomical "red flag" is often associated with: -
ANSWER Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ANSWER
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ANSWER she likely has Raynaud's
syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She
reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US.
You explain to her that a galactocele is a benign cyst in the ducts of the breast and -
ANSWER can be aspirated and refilled with milk [p301]
, which nerve supplies the greatest amount of sensation to the areola? - ANSWER 4th
intercostal nerve [p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant.
The mother complains of tenderness and swelling in the axillary region. You explain to
the mother that: - ANSWER This mammary tissue swellin can be reduced with cool
compresses. This accessory mammary tissue will involute in a few days, w/o affecting
milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - ANSWER
widen temporarily in response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to -
ANSWER estrogen [pg 54]
When you are delivering culturally competent care, introduction can often make a good
or bad impression. All of these cues may help you except - 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: -
ANSWER What are your goals for breastfeeding after you return to work? [552]
Other helpful hints for the employed breastfeeding mother may include - ANSWER
obtaining a breast pump and practicing
Physiologic Engorgement is characterized by - 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: - 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: - ANSWER feed
frequently while massaging the affected area [283-284]
Mastitis this severe may have the following consequences: - 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: -
ANSWER she has signs of mastitis [284]
