1|Page
PCE CERTIFIED BREASTFEEDING COUNSELLOR
EXAM LATEST 2024/2025 QUESTIONS AND
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
What is the normal weight loss for the infant during the
first few days ? - - .....ANSWER ...✔✔ 5-7% in the
first 24hrs and below 10% in the first week
How many calories does a lactating mom need -
.....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 ? - - .....ANSWER ...✔✔
supplement Vitamin B12
How much vitamin D does a baby need ? When do they
need to be supplemented ? - .....ANSWER ...✔✔
Babies need 400 IU of Vitamin D per day . They should
be supplemented if moms are deficient ; there is vitamin
,2|Page
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 ? - .....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 ? -
.....ANSWER ...✔✔ with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding
mothers ? - .....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 ? - .....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 .
,3|Page
What happens to estrogen and progesterone during
pregnancy and after birth ? - - .....ANSWER ...✔✔
They increase during pregnancy and then decrease
after birth .
How many stages of the " Magic Hour " are there ?
What are they ? - .....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 ? - -
.....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 - - .....ANSWER
...✔✔ Help families define and achieve goals
-Problem solving : Assessment , plan , implementation ,
evaluation
-Education and counseling
-Professionalism
-Legal considerations
, 4|Page
Where is the milk produced ? - .....ANSWER ...✔✔
ANSWER- In the alveoli
How long after cessation of breast feeding does milk
production ( involution ) stop ? - - .....ANSWER ...✔✔
Approximately 40 days
What are the common signs of milk " let down " ? -
.....ANSWER ...✔✔ Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - -
.....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 ? -
.....ANSWER ...✔✔ Lipids
What component of human milk is destroyed by
freezing ? - .....ANSWER ...✔✔ Macrophages
PCE CERTIFIED BREASTFEEDING COUNSELLOR
EXAM LATEST 2024/2025 QUESTIONS AND
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
What is the normal weight loss for the infant during the
first few days ? - - .....ANSWER ...✔✔ 5-7% in the
first 24hrs and below 10% in the first week
How many calories does a lactating mom need -
.....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 ? - - .....ANSWER ...✔✔
supplement Vitamin B12
How much vitamin D does a baby need ? When do they
need to be supplemented ? - .....ANSWER ...✔✔
Babies need 400 IU of Vitamin D per day . They should
be supplemented if moms are deficient ; there is vitamin
,2|Page
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 ? - .....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 ? -
.....ANSWER ...✔✔ with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding
mothers ? - .....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 ? - .....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 .
,3|Page
What happens to estrogen and progesterone during
pregnancy and after birth ? - - .....ANSWER ...✔✔
They increase during pregnancy and then decrease
after birth .
How many stages of the " Magic Hour " are there ?
What are they ? - .....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 ? - -
.....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 - - .....ANSWER
...✔✔ Help families define and achieve goals
-Problem solving : Assessment , plan , implementation ,
evaluation
-Education and counseling
-Professionalism
-Legal considerations
, 4|Page
Where is the milk produced ? - .....ANSWER ...✔✔
ANSWER- In the alveoli
How long after cessation of breast feeding does milk
production ( involution ) stop ? - - .....ANSWER ...✔✔
Approximately 40 days
What are the common signs of milk " let down " ? -
.....ANSWER ...✔✔ Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - -
.....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 ? -
.....ANSWER ...✔✔ Lipids
What component of human milk is destroyed by
freezing ? - .....ANSWER ...✔✔ Macrophages
