PCE Certified Breastfeeding Counselor
Exam Questions and Answers
Where is the milk produced? [Correct Ans: - In the alveoli
How long after cessation of breast feeding does milk production (involution) stop?
[Correct Ans: - Approximately 40 days
What are the common signs of milk "let down"? [Correct Ans: - Tingling, warmth,
fullness, dripping and contractions
How is preterm milk different than term milk? [Correct Ans: - 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? [Correct Ans: - Lipids
What component of human milk is destroyed by freezing? [Correct Ans: -
Macrophages
When is the side-lying position helpful? [Correct Ans: - In moms that are sleepy or
have lacerations/repairs that put pressure and cause discomfort on the perineal
area
What position is centered around the infant attaching themselves to the breast?
[Correct Ans: - The laid back position (aka the biological position)
When is the Australian/Saddle position helpful? [Correct Ans: - When moms are
experiencing active let-down
What is the dancer hand? [Correct Ans: - Mom would have hand below the breast in
a "U" shape; this is good for infants who need good jaw support
What are signs of milk transfer? [Correct Ans: - Swallowing - harsh "Ca" sound; air
from nose felt, neck movement visualized
Exam Questions and Answers
Where is the milk produced? [Correct Ans: - In the alveoli
How long after cessation of breast feeding does milk production (involution) stop?
[Correct Ans: - Approximately 40 days
What are the common signs of milk "let down"? [Correct Ans: - Tingling, warmth,
fullness, dripping and contractions
How is preterm milk different than term milk? [Correct Ans: - 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? [Correct Ans: - Lipids
What component of human milk is destroyed by freezing? [Correct Ans: -
Macrophages
When is the side-lying position helpful? [Correct Ans: - In moms that are sleepy or
have lacerations/repairs that put pressure and cause discomfort on the perineal
area
What position is centered around the infant attaching themselves to the breast?
[Correct Ans: - The laid back position (aka the biological position)
When is the Australian/Saddle position helpful? [Correct Ans: - When moms are
experiencing active let-down
What is the dancer hand? [Correct Ans: - Mom would have hand below the breast in
a "U" shape; this is good for infants who need good jaw support
What are signs of milk transfer? [Correct Ans: - Swallowing - harsh "Ca" sound; air
from nose felt, neck movement visualized
