Page | 1
CERTIFIED BREASTFEEDING COUNSELOR CBC
STUDY GUIDE 2025 QUESTIONS AND
ANSWERS.
1. Predisposing factors to abscess -correct answer - prior mastitis,
delay in treatment, non compliance with abx or resistance,
abrupt weaning or failure to drain/avoiding affected side
2. Breast engorgement -correct answer - vascular dilation,
congestion, accumulate milk, edema secondary to swelling
, Page | 2
3. Green cabbage for engorgement -correct answer - apply to
decrease swelling, do not use if allergic to sulfa
4. S/s of mastitis -correct answer - red patches on breast, low
fever, hard lump (hot/red/tender), achy and run down
5. Mammary candida -correct answer - painful condition (both
mob and baby use treatment)
Nipple ointment (mupropion, nystatin, betamethasone)
6. Infant with hyperbili -correct answer - latch on technique,
quality, frequency of feeds
- assess appearance, level of vigor, dehydration, percent
weight loss
7. Late preterm -correct answer - assess readiness, evaluate
sleep/wake, stability, transfer, supplement may be indicated
8. Hypotonic infant strategies to prevent choking -correct answer -
dancer hand, straddle, pillow, may need supplementer
, Page | 3
Assess latch/suck/transfer
9. Not ready/ready for feeds -correct answer - ready: hands to
moth, rooting, sucking
Not ready: stress (difficulty breathing, color changes,
choking/coughing, tachypnea, spitting up)
10. Preterm baby cannot feed, when should mom pump -correct
answer - ideally in first hour or two
11. Cleft lip/palate modifications -correct answer - position
deeply, cross cradle/modified football/dancers hand, semi
upright to prevent reflux
12. Adoption breastfeeding -correct answer - possible hormone
use, use pump to stimulate milk production, potential
supplement, risks/benefits of drugs
13. Mothers of multiples techinques -correct answer - encourage
skin to skin, rooming in, feed separately
CERTIFIED BREASTFEEDING COUNSELOR CBC
STUDY GUIDE 2025 QUESTIONS AND
ANSWERS.
1. Predisposing factors to abscess -correct answer - prior mastitis,
delay in treatment, non compliance with abx or resistance,
abrupt weaning or failure to drain/avoiding affected side
2. Breast engorgement -correct answer - vascular dilation,
congestion, accumulate milk, edema secondary to swelling
, Page | 2
3. Green cabbage for engorgement -correct answer - apply to
decrease swelling, do not use if allergic to sulfa
4. S/s of mastitis -correct answer - red patches on breast, low
fever, hard lump (hot/red/tender), achy and run down
5. Mammary candida -correct answer - painful condition (both
mob and baby use treatment)
Nipple ointment (mupropion, nystatin, betamethasone)
6. Infant with hyperbili -correct answer - latch on technique,
quality, frequency of feeds
- assess appearance, level of vigor, dehydration, percent
weight loss
7. Late preterm -correct answer - assess readiness, evaluate
sleep/wake, stability, transfer, supplement may be indicated
8. Hypotonic infant strategies to prevent choking -correct answer -
dancer hand, straddle, pillow, may need supplementer
, Page | 3
Assess latch/suck/transfer
9. Not ready/ready for feeds -correct answer - ready: hands to
moth, rooting, sucking
Not ready: stress (difficulty breathing, color changes,
choking/coughing, tachypnea, spitting up)
10. Preterm baby cannot feed, when should mom pump -correct
answer - ideally in first hour or two
11. Cleft lip/palate modifications -correct answer - position
deeply, cross cradle/modified football/dancers hand, semi
upright to prevent reflux
12. Adoption breastfeeding -correct answer - possible hormone
use, use pump to stimulate milk production, potential
supplement, risks/benefits of drugs
13. Mothers of multiples techinques -correct answer - encourage
skin to skin, rooming in, feed separately