International Board Certified Lactation Consultant (IBCLC) Tests Bundle Set

What week gestation does the breast begin to develop in utero? Correct Answer-*4th* week of gestation Where does the primitive milk streak develop Correct Answer-Bilaterally from the axilla to the groin By the 5th week gestation the milk streak becomes what? Correct Answer-Mammary Milk Ridge (...

high lipid solubility Correct Answer-drug property most likely to permit high passage into milk lymphocytes Correct Answer-protective components of milk is destroyed by freezing 62.5°C for 30 minutes Correct Answer-standard temperature and time for Holder pasteurization used in donor human mi...

Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ Correct Answer-IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: Correct Answer-prevents/limits the in...

How many ounces would you expect a 4 month old baby to gain each week? Correct Answer-5 to 7 ounces How much would you expect a 5 month old to weigh? Correct Answer-Twice their birth weight How many ounces would you expect an 8 month old to gain each week? Correct Answer-3 to 5 ounces How m...

What changes to the components in breastmilk occur over time? Correct Answer Increase: water, fat, energy, casein, serotonin, lysozyme Decrease: protein (casein increases), zinc, calcium, LC-PUFAs (specifically between 6-12 months) What is one of the major benefits of colostrum, other than nut...

When does the breast begin to develop in utero? Correct Answer-4th week of gestation Where does the primitive milk streak develop Correct Answer-Bilaterally from the axilla to the groin By the 5th week gestation the milk streak becomes what? Correct Answer-Mammary Milk Ridge (or milk line) ...

Swaddling Correct Answer-routine swaddling is associated with a delay in first BF, less effective suckling, dec intake, greater infant weight loss, respiratory illness, hip dysplasia, SIDS, overheating -limits babys movements -stress = more calories -skin to skin more effective at maintaining tem...

Hypoplasia/ Amastia Correct Answer-abnormally shaped breasts with insufficient glandular tissue -widely spaced -asymmetric -pt may have had breast augmentation to correct appearance -few breast changes during pregnancy -no engorgement postpartum -possible connection to thyroid disease -lo...

140 degrees Correct Answer-Minimum angle of mouth corners Piston Correct Answer-Up & down chewing motion Vacuum Correct Answer-Creates negative pressure A wide open mouth as the baby approaches the breast Correct Answer-gape a___________ latch allows room for the nipple to stretch. Corre...

What structures in the nipple and areola cause the nipple to become erect and help in the discharge of milk? Correct Answer-Rings of smooth muscle are located in the areola and nipple areas of the breast. When this muscle tissue constricts, the nipple becomes erect, and during lactation, this result...

Which of the following maternal perinatal factors is MOST LIKELY to interfere with initiation of breastfeeding? Correct Answer-Cesarean surgery A mother complains of incision pain following her cesarean birth and requests pain relief medication, but she is worried about the effect on her baby. ...

Key milestones 1 month Correct Answer-Watches face, follows objects, reacts to noise (MORO) Key milestones 2 months Correct Answer-Smiles at sound of voices, lifts head and chest while on stomach Key milestones 3 months Correct Answer-*Raises* head and chest while on stomach, holds head up for...

Oxytocin - released from *posterior pituitary* Correct Answer-*Stimulates Milk Ejection Reflex* - released in a pulsatile fashion, with maternal blood levels remaining elevated for about 1.5 to 2 minutes *Multiple milk ejections may occur during a breastfeed w/ first one experienced within the f...