IBCLC Exam Prep ACTUAL QUESTIONS
AND CORRECT ANSWERS
- What is the first question to consider when helping a breastfeeding
mother with a medication question?
A) What is the relative infant dose of the medication?
B) What is the protein binding of the medication?
C) What is the molecular weight of the medication?
D) Is the medication really necessary to take now? - CORRECT
ANSWERS D
Which drug property results in more transfer of the drug into the
mother's milk?
A) Molecular weight >800 Daltons
B) High protein binding
C) High lipid solubility
D) Low maternal plasma concentration - CORRECT ANSWERS
C
When it comes to medications and breastfeeding, drugs with a shorter
half-life are preferred. How many half-lives until it is generally
considered that the drug is eliminated from the system?
A) 3
B) 5
C) 7
D) 9 - CORRECT ANSWERS B
,If a woman is given 80 mg of a drug to treat a urinary tract infection -
and the drug has a half-life of 3 hours - how much will be left in her
system after 3 half-lives?
A) 40 mg
B) 20 mg
C) 10 mg
D) 5 mg - CORRECT ANSWERS C
What is considered a high enough molecular weight that the
medication will be too big to easily get into the breast milk
compartment?
A) 200 Daltons
B) 300 Daltons
C) 400 Daltons
D) More than 800 Daltons - CORRECT ANSWERS D
Drugs can be highly bound to albumin, a large protein in the blood
circulation, and therefore too big to get into the breast milk space.
What percentage of protein binding is considered high and therefore
preferred?
A) 40%
B) 60%
C) 80%
D) >90% - CORRECT ANSWERS D
While most drugs are compatible with breastfeeding, a few are not.
Which type of drug is usually contraindicated for breastfeeding?
,A) Antibiotic
B) Antidepressant
C) Chemotherapy
D) Diabetic therapy - CORRECT ANSWERS C
A Relative Infant Dose (RID) of _____ indicates compatibility with
breastfeeding.
A) <10%
B) >10% - CORRECT ANSWERS A) <10%
A good resource to use to figure out if a medicine is compatible with
breastfeeding is:
A) The Physician Desk Reference (PDR)
B) The medicine package insert
C) Google
D) LactMed - CORRECT ANSWERS D) LactMed
In Hale's Medications and Mothers' Milk, which lactation risk
category is the safest?
A) L1
B) L2
C) L4
D) L5 - CORRECT ANSWERS A
, In Hale's Medications and Mothers' Milk, what lactation risk category
does a medication go into if there is absolutely no published data
about the medication, even if it is considered safe?
A) L2
B) L3
C) L4
D) L5 - CORRECT ANSWERS B
In which lactation risk category in Medications and Mothers' Milk is
this the recommendation: "The drug is contraindicated in women who
are breastfeeding an infant."
A) L2
B) L3
C) L4
D) L5 - CORRECT ANSWERS D) L5
Many antibiotics are safe for the breastfeeding mother to take.
However, caution needs to be taken with this antibiotic, ________,
about which Hale's Medications and Mothers' Milk says, "This
antibiotic can be extremely toxic, particularly in neonates, and should
not be used for trivial infections."
A) Ampicillin
B) Chloramphenicol
C) Gentamicin
D) Metronidazole - CORRECT ANSWERS B)
Chloramphenicol
AND CORRECT ANSWERS
- What is the first question to consider when helping a breastfeeding
mother with a medication question?
A) What is the relative infant dose of the medication?
B) What is the protein binding of the medication?
C) What is the molecular weight of the medication?
D) Is the medication really necessary to take now? - CORRECT
ANSWERS D
Which drug property results in more transfer of the drug into the
mother's milk?
A) Molecular weight >800 Daltons
B) High protein binding
C) High lipid solubility
D) Low maternal plasma concentration - CORRECT ANSWERS
C
When it comes to medications and breastfeeding, drugs with a shorter
half-life are preferred. How many half-lives until it is generally
considered that the drug is eliminated from the system?
A) 3
B) 5
C) 7
D) 9 - CORRECT ANSWERS B
,If a woman is given 80 mg of a drug to treat a urinary tract infection -
and the drug has a half-life of 3 hours - how much will be left in her
system after 3 half-lives?
A) 40 mg
B) 20 mg
C) 10 mg
D) 5 mg - CORRECT ANSWERS C
What is considered a high enough molecular weight that the
medication will be too big to easily get into the breast milk
compartment?
A) 200 Daltons
B) 300 Daltons
C) 400 Daltons
D) More than 800 Daltons - CORRECT ANSWERS D
Drugs can be highly bound to albumin, a large protein in the blood
circulation, and therefore too big to get into the breast milk space.
What percentage of protein binding is considered high and therefore
preferred?
A) 40%
B) 60%
C) 80%
D) >90% - CORRECT ANSWERS D
While most drugs are compatible with breastfeeding, a few are not.
Which type of drug is usually contraindicated for breastfeeding?
,A) Antibiotic
B) Antidepressant
C) Chemotherapy
D) Diabetic therapy - CORRECT ANSWERS C
A Relative Infant Dose (RID) of _____ indicates compatibility with
breastfeeding.
A) <10%
B) >10% - CORRECT ANSWERS A) <10%
A good resource to use to figure out if a medicine is compatible with
breastfeeding is:
A) The Physician Desk Reference (PDR)
B) The medicine package insert
C) Google
D) LactMed - CORRECT ANSWERS D) LactMed
In Hale's Medications and Mothers' Milk, which lactation risk
category is the safest?
A) L1
B) L2
C) L4
D) L5 - CORRECT ANSWERS A
, In Hale's Medications and Mothers' Milk, what lactation risk category
does a medication go into if there is absolutely no published data
about the medication, even if it is considered safe?
A) L2
B) L3
C) L4
D) L5 - CORRECT ANSWERS B
In which lactation risk category in Medications and Mothers' Milk is
this the recommendation: "The drug is contraindicated in women who
are breastfeeding an infant."
A) L2
B) L3
C) L4
D) L5 - CORRECT ANSWERS D) L5
Many antibiotics are safe for the breastfeeding mother to take.
However, caution needs to be taken with this antibiotic, ________,
about which Hale's Medications and Mothers' Milk says, "This
antibiotic can be extremely toxic, particularly in neonates, and should
not be used for trivial infections."
A) Ampicillin
B) Chloramphenicol
C) Gentamicin
D) Metronidazole - CORRECT ANSWERS B)
Chloramphenicol
