So disappointed with this purchase. I purchased 150 question test... many questions repeated, some as often as 5 times. False advertising. Errors in questions, needs to be proofread before you can sell these as study guides. You should be ashamed of yourself
PCE CERTIFIED B REASTFEEDING COUNSELOR EXAM 2023 -
2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+ What is the normal weight loss for the infant during the first few days? - ANSWER - 5-7% in first 24 hours Below 10% after that How many calories does a lactating mom need? - ANS WER - Moms need approximately 500 extra calories/day when breastfeeding. Range is between 1,800 and 2,700 with most moms consuming around 2,200! What type of supplement do most lactating vegans/bariatric patients take? - ANSWER - Vitamin B12 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 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. When would a Habermen feeder be indicated? - ANSWER - In infants with Down's Syndrome or a Cleft Lip/Palate What medications are contraindicated in breastfeeding mothers? - ANSWER - Antimetabolite drugs or chemotherapy, ra dioisotopes (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 pre gnancy 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 o f practice for CBC - ANSWER - - Help families define and achieve goals -Problem solving: Assessment, plan, implementation, evaluation -Education and counseling -Professionalism -Legal considerations Where is the milk produced? - ANSWER - In the alveoli How long after cessation of breast feeding does milk production (involution) stop? - ANSWER - Approximately 40 days What are the common signs of milk "let down"? - ANSWER - Tingling, warmth, fullness, dripping and contractions How is preterm milk different than term milk? - ANSWER - It is h igher in protein and immune factors (because the body KNOWS this is what the preemie needs!) What component of breast milk is the most variable? - ANSWER - Lipids What component of human milk is destroyed by freezing? - ANSWER - Macrophages When is the si de-lying position helpful? - ANSWER - 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? - ANSWER - The laid back po sition (aka the biological position) When is the Australian/Saddle position helpful? - ANSWER - When moms are experiencing active let -down What is the dancer hand? - ANSWER - 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? - ANSWER - Swallowing - harsh "Ca" sound; air from nose felt, neck movement visualiz ed
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