1. According to the 2015 U.S. Department of Health and Human
Service guidelines, how long can breast milk be stored in the
refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days: c) 5 days
2. Crying is more frequent in infants who are:
a) Not held for at least 90 minutes immediately after birth
b) Picked up immediately when they start crying
c) Between birth and 6 weeks of age
d) Between 6 weeks and 3 months of age: c) Between birth and 6 weeks
of age
3. Which of the following would be perceived as a conflict of interest
for an IBCLC)
a) Working as a lactation consultant for a non-Baby Friendly
Hospital
b) Suggesting the use of formula to supplement a low weight
gaining baby
c) Including her name on a list of private practice IBCLCs given out
at the hospital
d) Speaking at a conference where her honoraria is paid by a
formula company-: d) Speaking at a conference where her honoraria is
paid by a formula company
,4. The most important reason to provide breast milk to infants
during a disaster is:
a) Unavailability of ready-to-feed formula
b) Prevention of GI diseases such as diarrhea
c) Breast milk will be at the correct temperature
d) Water for reconstitution of formula may not be available or safe:
b) Prevention of GI diseases such as diarrhea
5. Slade is able to stick his tongue out over his lower gum because
of which nerve?
a) Trigeminal
b) Hypoglossal
c) Facial
d) Glossopharyngeal: b) Hypoglossal
6. A pregnant woman who attended your breastfeeding class calls to
tell you that she has found out that she is HIV positive and she has
been told she can't breastfeed. What is the first thing you would say
to her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed
without any problems
c) If you determine that you will exclusively breastfeed without
giving any supplements, you can go ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how
much you were looking forward to breastfeeding your baby: d) I'm so
sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby
, 7. Christie comes in for a breastfeeding assessment, and it's evident
that her baby is getting too much milk at a feeding. Which of the
following would be the best advice to give her?
a) Feed on just one side per feeding and let the infant nurse for
several feedings on that side before switching sides
b) Pump off some of the breast milk before you put the baby to the
breast to lessen the let-down
c) Stop breastfeeding for a couple of days to let some of your supply
decrease naturally
d) Drink two cups of sage tea per day to decrease your milk supply:
a) Feed on just one side per feeding and let the infant nurse for several
feedings on that side before switching sides
8. The amount of weight a mother gains during her pregnancy may
have an impact on breastfeeding because:
a) A large weight gain during the pregnancy may encourage the
mother to try to diet while lactating
b) Fat stored during pregnancy is more easily mobilized for breast
milk content than the fat stored before the pregnancy
c) A low weight gain may indicate an eating disorder
d) A weight gain of over 38 lbs. may decrease the protein in her
breast milk: b) Fat stored during pregnancy is more easily mobilized for
breast milk content than the fat stored before the pregnancy
9. Of the following, which is the most important issue for the
lactation consultant to address with the mother in the first few days
postpartum?
a) Teach the mother how to prevent sore nipples
b) Teach the mother how to treat her engorgement once she goes
home
c) Teach the mother ways of coping with a crying baby
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