IBCLC Certified Lactation Consultant Exam Questions With Correct Answers

A staff member is fond of telling mothers how expensive it is to formula feed infants and how inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic? Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting breastfeeding - Answer Promoting breastfeeding Who currently collects the most comprehensive breastfeeding statistics in the United States? The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control (CDC) The US Department of Agriculture (WIC) - Answer CDC Which of the following statements about prolactin is TRUE? Prolactin is a great laxative. Prolactin causes milk to be released. Prolactin causes milk to be made. Prolactin is produced in the renal gland. - Answer Prolactin causes milk to be made. Which of the following mechanisms cause oxytocin to be released? Complete delivery of the placenta Elevated levels of gastrointestinal hormones Frequent feeding and milk removal Nipple stretching with appropriate latch-on - Answer Nipple stretching with appropriate latch-on Lactogenesis III requires which of the following to succeed? Frequent milk removal and nipple stimulation. Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates for the mother. Adequate maternal hydration and lack of maternal stress. - Answer Frequent milk removal and nipple stimulation. One way the fat content of milk suckled by the baby is determined is: The number of feedings in 24 hours The speed/efficiency with which the baby removes milk The amount of fat in the mother's diet The amount of liquid in the mother's diet - Answer The speed/efficiency with which the baby removes milk Which of the following is the MOST effective at increasing gastrin and CCK and decreasing somatostatin in the baby? Increasing stress/anxiety Crying before sleep Focusing on objects 8-12 inches away Feeding with species-specific milk - Answer Feeding with species-specific milk According to the AAP regarding weight loss in the breastfeeding newborn: Weight loss of more than 7% from birth weight requires formula supplementation. Weight loss of more than 7% from birth weight indicates possible breastfeeding problems. Weight loss of less than 7% from birth weight is a sign of hypernatremia. Weight loss of more than 7% from birth weight is not a concern after day 5. - Answer Weight loss of more than 7% from birth weight indicates possible breastfeeding problems. When undernourished mothers were supplemented with extra energy in their diet, they: Had babies that gained weight slightly better Produced more nutritious milk Had babies that gained weight significantly better Responded to their infants more appropriately - Answer Responded to their infants more appropriately Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition of breastmilk: Raises the pH of the gut to a basic level Provides too much iron for harmful bacteria to grow Fosters the growth of good bacteria that crowd out other organisms Fosters the growth of B12 in the large intestine - Answer Fosters the growth of good bacteria that crowd out other organisms Colostrum is made after there is a complete delivery of the placenta. True False - Answer F Lactogenesis 2 occurs after the complete delivery of the placenta. True False - Answer T Lactogenesis 3 is also called Galactocemia. True False - Answer F It is called galactopoiesis The following statement about Lactogenesis 3 is NOT true: It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation. Frequency of removal of milk decreases milk in the breast. It is driven by the nursing parent's fluid intake. - Answer It is driven by the nursing parent's fluid intake. Engorgement is physiologically normal and is a marker for an excellent future of milk supply. True False - Answer F The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement. True False - Answer T For all breastfeeding individuals, bras are essential for comfort during lactation. True False - Answer F Breast surgery can potentially impact breastfeeding. True False - Answer T Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency. True False - Answer False. Peri-areolar incisions are MOST likely associated w/ milk insufficiency When considering both chest masculinization surgery and breast reduction surgery: The likelihood of breastfeeding is unknown. Assessment and close nutritional follow up is key. It is important to assure nutrition of the infant. All of the above - Answer All of the above Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red flag" for close assessment and follow up. True False - Answer T Hypoplastic breasts always make ample milk. True False - Answer F There is no concern when a client reports a breast implant on only one side. True False - Answer F This could indicate history of discrepant breast size. With flat and inverted nipples, there will be inadequate production of milk-making hormones because prolactin involves nipple stretching while oxytocin involves nipple stroking. True False - Answer F Prolactin = nipple stroking Oxytocin = nipple stretching The nipple stretches to four times its resting length in the baby's mouth, according to Smith's research. True False - Answer F Stretches to 2x its length An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they cannot form a teat. True False - Answer F When counseling someone who has had a breast surgery, it is important to consider: If the milk ducts are patent If the nipple pores are patent The need to monitor the baby's weight gain very closely All of the above - Answer All of the above Grade 3 inverted nipples are difficult or impossible to pull out/evert. True False - Answer T You can tell looking at a nipple at rest how it will function. True False - Answer F One concern about Grade 3 inverted nipples involves: Prolactin levels Oversupply issues Engorgement All of the above - Answer Prolactin levels (decreased nipple stroking/stretching) Almost all mothers have grade 3 inverted nipples. True False - Answer F Prenatal nipple preparation should be recommended for all women. True False - Answer F No research supports, in fact research showed that the non-treatment group BF for longer duration Jo Alexander's research indicates that 1 out of 5 women have inverted nipples. True False - Answer F 3/5 mothers has inverted nipples. The best way to prepare and inverted nipple for breastfeeding is: Doing nothing to the nipple during pregnancy Stretching the nipple and areola during pregnancy Using a breast shell during pregnancy Stretching the nipple and using a breast shell during pregnancy - Answer Doing nothing to the nipple during pregnancy The women who used a breast shell had the best breastfeeding outcomes at 6 weeks in the Alexander study. True False - Answer F The Alexander study has implications for postpartum care. Sometimes true Always true Sometimes false False - Answer F Anemia is a marker for an ample milk supply. True False - Answer F Henley's research showed 1 in 10 mothers may be anemic. True False - Answer False. 1 in 5 mother's may be anemic. Even a well-managed hemorrhage can result in Sheehan's syndrome. True False - Answer T Some research suggests that women who are obese may have a delay in lactogenesis 2. True False - Answer T One concern about corticosteroids used to prepare the baby's lungs for breathing during threatened preterm labor is: An increase in engorgement Sheehan's syndrome A possible delay in lactogenesis 1 A possible delay in lactogenesis 2 - Answer A possible delay in lactogenesis 2 Smoking cigarettes is an absolute contraindication to breastfeeding. True False - Answer F Prolactin levels are high in mothers who use tobacco products. True False - Answer F Babies of smoking mothers may nap less, according to research. True False - Answer T Cadmium levels are higher in breastmilk than in infant formula. True False - Answer F Soy formula has less cadmium than cow milk based formulas. True False - Answer F The low fat solubility of cannabinoids make it difficult to analyze their presence in breastmilk. True False - Answer F. The HIGH fat solubility of cannabinoids make it difficult to analyze their presence in breastmilk.We know that THC is still measurable in milk ~6 days after maternal marijuana use. Retained placental fragments can impact the increase in milk volume or milk "coming in." True False - Answer T It is never safe to breastfeed an older baby when pregnant. True False - Answer F Twins are considered to be tandem nursers. True False - Answer F. Tandem nursing is nursing two babies from different pregnancies at the same time. The data on pacifiers has been contradictory. Even high-level evidence shows some differences in results. True False - Answer T Concerns about pacifiers include all of the following, except: increased diarrhea rates increased ear infections decreased ear infections possible impact on milk production - Answer decreased ear infections When counseling, a pacifier might be a sign of an as-yet undescribed breastfeeding problem. False True - Answer T May indicate: soreness, hunger cues, crying, sleep problems, etc. Consider: "why is the pacifier being used?"...parents need more BF training Pacifiers: Are easy to clean Never interfere with breastfeeding May have a role in the NICU for infants who are premature Increase the time to oral feeds for preterm infants - Answer May have a role in the NICU for infants who are premature *Pacifiers for preemies: -May have earlier hospital discharge-tube fed babies may gain faster with pacifiers and have improved physiologic and behavioral responses-REDUCED the time to full oral feeds Which of the following are true? There are possible concerns about adequate breast stimulation if a nipple shield is used. There are possible concerns about the nutrition of the baby if a nipple shield is used. Some studies showed there may be a role for the use of nipple shields in the NICU with pump dependent mothers but that does not mean they should universally be used. All of the above are true. - Answer All of the above are true. Those who had a negative experience with breastfeeding support had a higher risk of postpartum depression. True False - Answer T In order to improve confidence, lactation care providers should give any reassurance to parents, even if it's not true. True False - Answer F There is usually only one reason for milk supply issues. True False - Answer F Along with colleagues, Women's Ways of Knowing was written by: Barbara Dossey Mary Higgins Clark Mary Belenky Carol Gilligan - Answer Mary Belenky Prenatal breastfeeding groups should always involve using the most scientific words and plenty of PowerPoint® slides to meet the needs of all types of knowers. True False - Answer F ________________ benefit from the opportunity to see and then return demonstration when learning a new skill. Women in Silence Receivers of Knowledge Subjective Knowers Procedural Knowers - Answer Receivers of Knowledge In the hierarchy of infant feeding, mothers expressed milk is number 1. True False - Answer F Baby at Mother's breast is #1 1. Mother's milk at the breast2. Mother's own expressed milk3. Donated Breastmilk at a registered milk bank4. Commercial infant formulas The FDA has never had reports of injuries from breast pumps. True False - Answer F Breast pump flanges come in various sizes; finding the right size can improve the comfort and efficiency of milk removal. True False - Answer T Research has shown that milk expressed by a breast pump has higher fat milk than milk that is expressed by hand (manually). T/F - Answer F. Milk expressed by hand has a higher fat content than milk expressed by an electronic pump. Breastmilk is not considered a raw food, as it is warm when removed from the breast. T/F - Answer F Breastmilk from Human Milk Banking Association of North America has been screened by donor history, serology and bacteriology. T/F - Answer T Informal sharing of breastmilk is always safe. T/F - Answer F Research shows that the personalization of the microbiota of pasteurized donor milk with mother's own milk showed no difference with the microbiota within the combined milk. T/F - Answer F