Certified Breastfeeding Counselor PCE Exam with all
Correct & 100% Verified Answers |Latest Update|
Already Graded A+
What is the normal weight loss for the infant during the first few days ? - ✔Correct Answer-5-7% in
the first 24hrs and below 10% in the first week
How many calories does a lactating mom need ✔Correct Answer-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 ? - ✔Correct Answer-
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? ✔Correct
Answer-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 ? ✔Correct Answer-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
When would a Habermen feeder be indicated ? ✔Correct Answer-with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding mothers ? ✔Correct Answer-
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 ? ✔Correct Answer-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 ? - ✔Correct
Answer-They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? ✔Correct Answer-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 ? - ✔Correct Answer-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 .
Standards of of practice for CBC - ✔Correct Answer-Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
, -Legal considerations
Where is the milk produced ? ✔Correct Answer-ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - ✔Correct
Answer-Approximately 40 days
What are the common signs of milk " let down " ? ✔Correct Answer-Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - ✔Correct Answer-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 ? ✔Correct Answer-Lipids
What component of human milk is destroyed by freezing ? ✔Correct Answer-Macrophages
When is the side - lying position helpful ? ✔Correct Answer-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 ? - ✔Correct
Answer-The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? ✔Correct Answer-When moms are experiencing
active let - down
What is the dancer hand ? ✔Correct Answer-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 ? ✔Correct Answer-Swallowing - harsh " Ca " sound ; air from nose
felt , neck movement visualized
What are the stool transition colors ? ✔Correct Answer-Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? ✔Correct Answer-
Experience , philosophy , credentials
What are responsibilities of staff ? ✔Correct Answer-Provide education and foster environment -
Baby friendly practices -Evidence based knowledge - Help preterms w / moms milk or donor -
Culturally and developmentally sensitive -WHO growth charts -Legislation
International code of marketing substitutes ✔Correct Answer--No advertising -No free sample -
Scientific info Not law but should be use
Baby friendly 10 steps ✔Correct Answer--- Written policy -Proper training -Proper education -
Initiation w in 1 hr -Maintain lactation even if separated -Breastmilk only unless medically required -
Rooming in -Cue feeding , 8-12x -No artificial teats -Support groups
Where is milk produced ? ✔Correct Answer-Alveoli
Correct & 100% Verified Answers |Latest Update|
Already Graded A+
What is the normal weight loss for the infant during the first few days ? - ✔Correct Answer-5-7% in
the first 24hrs and below 10% in the first week
How many calories does a lactating mom need ✔Correct Answer-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 ? - ✔Correct Answer-
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? ✔Correct
Answer-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 ? ✔Correct Answer-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
When would a Habermen feeder be indicated ? ✔Correct Answer-with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding mothers ? ✔Correct Answer-
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 ? ✔Correct Answer-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 ? - ✔Correct
Answer-They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? ✔Correct Answer-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 ? - ✔Correct Answer-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 .
Standards of of practice for CBC - ✔Correct Answer-Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
, -Legal considerations
Where is the milk produced ? ✔Correct Answer-ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - ✔Correct
Answer-Approximately 40 days
What are the common signs of milk " let down " ? ✔Correct Answer-Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - ✔Correct Answer-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 ? ✔Correct Answer-Lipids
What component of human milk is destroyed by freezing ? ✔Correct Answer-Macrophages
When is the side - lying position helpful ? ✔Correct Answer-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 ? - ✔Correct
Answer-The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? ✔Correct Answer-When moms are experiencing
active let - down
What is the dancer hand ? ✔Correct Answer-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 ? ✔Correct Answer-Swallowing - harsh " Ca " sound ; air from nose
felt , neck movement visualized
What are the stool transition colors ? ✔Correct Answer-Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? ✔Correct Answer-
Experience , philosophy , credentials
What are responsibilities of staff ? ✔Correct Answer-Provide education and foster environment -
Baby friendly practices -Evidence based knowledge - Help preterms w / moms milk or donor -
Culturally and developmentally sensitive -WHO growth charts -Legislation
International code of marketing substitutes ✔Correct Answer--No advertising -No free sample -
Scientific info Not law but should be use
Baby friendly 10 steps ✔Correct Answer--- Written policy -Proper training -Proper education -
Initiation w in 1 hr -Maintain lactation even if separated -Breastmilk only unless medically required -
Rooming in -Cue feeding , 8-12x -No artificial teats -Support groups
Where is milk produced ? ✔Correct Answer-Alveoli
