IBCLC 2011 updated to pass

IBCLC 2011Influenza - correct answer Tiredness, muscle aches, runny or stuffy nose, high fever, diarrhea, headache. Mother should cough into elbow, get bed rest, use antipyretics and drink fluids. Antiviral medications include Tamiflu and Relenza. Continue Breastfeeding. Cytomegalovirus (CMV) - correct answer CMV is a member of the herpes group. 50-80% of adults are infected by age 40. Mostly asymptomatic. Complications include enlargement of liver and spleen, hearing loss, vision impairment and mental retardation. Treat symptoms in mom. OK to breastfeed full-term, healthy infant. Delay breastfeeding premature infant until full gestational age. Possibly freeze milk (freezing milk 48-72 hrs inactivates bacteria). Lactoferin in human milk inhibits CMV. Swine Flu - correct answer Symtoms similar to influenza Vaccine recommended. Transmission through breastmilk unknown. Antiviral meds not a contraindication. Mastitis (bacterial/Staphylococcus aureus) - correct answer Inflammation of the breast, hot to touch, red splotch, flu-like symptoms, tiredness, possible streaking on breast. One breast. Anti-inflammatory medications, antibiotics, probiotics. If no respone to abx, consider MRSA. Continue breastfeeding. Check for proper latch, or other nipple trauma. Mastitis (Strep) - correct answer Inflammation of the breast, hot to touch, red splotch, flu-like symptoms, tiredness, possible streaking on breast. Both breasts. Anti-inflammatory medications, antibiotics, probiotics. Hospitalization possible. Continue breastfeeding. Check for proper latch, or other nipple trauma. MRSA - correct answer methicillin resistant staphylococcus aureus Continue breastfeeding full-term, health infant, or pump if too painful to breastfeed directly. Breastfeeding not contraindicated if both mother and infant are MRSA+ Pre-term and ill infants should not be fed MRSA-cultured breastmilk. Mother should pump & dump. Urinary Tract Infection - correct answer Most antibiotics not contraindicated for breastfeeding. Check most recent Hales. Uterine Infections - correct answer Endometritis/Metritis. High risk from prolonged ROM, multiple cervical exams and internal fetal monitoring. Most antibiotics not contraindicated or breastfeeding. Check most recent Hales. Tuberculosis - correct answer Inactive TB: OK to breastfeed. Active TB: Do not breastfeed until treatment has been established for 14 days. Infant should be seperated from mother during this time. Mother may pump. No seperation necessary if baby is already infected. Group A Streptococcal (Strep Throat) - correct answer Transmission through direct contact and respiratory droplets.