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CERTIFIED BREASTFEEDING COUNSELOR (PCE) EXAM | COMPLETE QUESTIONS AND CORRECT ANSWERS| UPDATED 2026

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This document contains a full collection of Certified Breastfeeding Counsellor (PCE) exam questions along with their correct answers, updated for 2026. It covers essential breastfeeding counselling topics including lactation physiology, milk composition, maternal–infant nutrition, positioning and latch techniques, breastfeeding challenges, medications, and clinical management scenarios. Additional sections address preterm infants, special situations such as cleft palate or hypotonia, breast assessment, and the Baby-Friendly guidelines. This resource is suitable for exam preparation or as a comprehensive study reference.

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CERTIFIED BREASTFEEDING COUNSELOR
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CERTIFIED BREASTFEEDING COUNSELOR

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Subido en
9 de diciembre de 2025
Número de páginas
13
Escrito en
2025/2026
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CERTIFIED BREASTFEEDING COUNSELOR (PCE) EXAM
| COMPLETE QUESTIONS AND CORRECT ANSWERS|
UPDATED 2026


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 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 Haberman 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
.


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 practice for CBC - - ANSWER -Help families define and achieve
goals
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