IBCLC 2011(updated)questions n answers

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.