IBCLC Exam review UPDATED ACTUAL Questions and CORRECT Answers
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Course
IBCLC
Institution
IBCLC
IBCLC Exam review UPDATED ACTUAL
Questions and CORRECT Answers
Enteromammary system - CORRECT ANSWER- Process by which antigens enter
maternal gut pass to the lymph system where IgA specific antibodies are produced then enter
breastmilk.
Metronidazole (Flagyl) - CORRECT ANSWER- Antibiotic, ...
IBCLC Exam review UPDATED ACTUAL
Questions and CORRECT Answers
Enteromammary system - CORRECT ANSWER✔✔- Process by which antigens enter
maternal gut pass to the lymph system where IgA specific antibodies are produced then enter
breastmilk.
Metronidazole (Flagyl) - CORRECT ANSWER✔✔- Antibiotic, L2. Milk levels moderately
high, but significantly less than pediatric therapeutic dose (15 mg/kg/d).
polycystic ovarian syndrome - CORRECT ANSWER✔✔- An endocrine-metabolic disorder
where multiple cysts interfere with ovarian function. Common symptoms are unusual breast
development, amenorrhea, male pattern hair growth, obesity. Can affect milk supply.
Medications: metformin - L1; Metaglip - L2
Gastroschisis - CORRECT ANSWER✔✔- Congenital malformation characterized by
herniation of abdominal contents through a fusion defect.
Hyperadenia - CORRECT ANSWER✔✔- Mammary tissue without a nipple present
(sometimes seen in axilla).
Dioxin - CORRECT ANSWER✔✔- Persistent chemical contaminant in the environment.
CMV Cytomegalovirus - CORRECT ANSWER✔✔- Type of herpes virus found in genital
tract, pharynx and human milk. Transmitted by close contact. Avoid pumping or
breastfeeding in premature infants is mother has acute infection.
Transmission: 20-40% in utero - can cause IUGR, jaundice, microcephaly; 50% at birth - ok
to bf a term infant, preterm infant: freeze milk for 48hrs to inactivate virus
Weaning milk - CORRECT ANSWER✔✔- Human milk during the end of lactation. This
milk is higher in lipids and proteins.
Ampicillin - CORRECT ANSWER✔✔- Antibiotic L1. Observe for change in intestinal
flora.
,Peristalsis - CORRECT ANSWER✔✔- Involuntary, rhythmic, wavelike action to strip milk
from the breast. Peristaltic tongue motion that begins at the tip and progresses toward the
back.
Molecular weight - CORRECT ANSWER✔✔- The chemical size of a molecule of a drug.
The smaller the molecular weight of medication, the greater the diffusion across cell
membranes.
Inframammary incision - CORRECT ANSWER✔✔- Technique used in breast augmentation
where the incision is made in the fold under the breast and the implant is placed under the
breast tissue.
Reverse pressure softening - CORRECT ANSWER✔✔- Reduce engorgement by applying
steady pressure with fingers around the areola pressing back towards chest wall. Moves
edema towards lymphatic drainage system.
Flash heating - CORRECT ANSWER✔✔- Quick high temperature pasteurizations. Can
inactivate HIV in milk
Exogenous - CORRECT ANSWER✔✔- Deprived from outside the body - such as iron
supplements
Switch nursing - CORRECT ANSWER✔✔- baby is switched back and forth between breasts
during a feeding to help stimulate multiple let-downs and increase milk intake. May interrupt
the release of fat and fat-rich hind milk.
High Temperature Short Term/Time Pasteurization (HTST) - CORRECT ANSWER✔✔-
Method of pasteurization of breastmilk to preserve nutrients
Whey - CORRECT ANSWER✔✔- Liquid portion of milk that is left after curds separate.
Consists of proteins alpha lactalbumin and lactoferrin
Galactose - CORRECT ANSWER✔✔- Monosaccharide derived from lactose. Helps with
CNS development
,galactopoiesis - CORRECT ANSWER✔✔- Maintaining lactation once lactogenesis has been
established.
Key milestones at 4 months - CORRECT ANSWER✔✔- Babbles, laughs, holds head steady,
imitates sounds
Normal newborn heart rate - CORRECT ANSWER✔✔- Newborn 90-160 beats per minutes.
Infants (1-11m) 80-120 beats per minutes
Congenital dermal melanocytosis - CORRECT ANSWER✔✔- bluish-black areas of
hyperpigmentation often found on the lower back or buttocks of darker-skinned neonates
Lactocyte - CORRECT ANSWER✔✔- epithelial cell that lines the alveoli; secretes
breastmilk
Periareolar incision - CORRECT ANSWER✔✔- A breast augmentation incision made
around the areola. It is associated with loss of nipple sensation.
Galactocele - CORRECT ANSWER✔✔- milk-filled tumor caused by the obstruction of a
milk duct
Intraductal papilloma - CORRECT ANSWER✔✔- small, benign tumor in a milk duct
Pierre Robin Syndrome - CORRECT ANSWER✔✔- Syndrome of oral facial abnormalities,
micrognathia (a small jaw) and glossoptosis (tongue often blocks airway). Cleft palates are
common. Difficulty maintaining the airway frequently causes feeding problems.
Central pedicle technique - CORRECT ANSWER✔✔- Breast reduction surgical technique.
Intended to keep ducts intact.
Choanal atresia - CORRECT ANSWER✔✔- a rare congenital anomaly blocking posterior
nostrils on one of both sides
, Large for Gestational Age - CORRECT ANSWER✔✔- Having a birth weight greater than
the 90th percentile; concern for hypoglycemia
Gastroenteritis - CORRECT ANSWER✔✔- inflammation of the stomach and intestines
resulting from bacterial or viral exposure
HTLV 1 - CORRECT ANSWER✔✔- Human Lymphotropic Virus. Causes T-cell leukemia
and lymphoma. Breastfeeding is not recommended.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 206.
Transcutaneous bilimeter - CORRECT ANSWER✔✔- Device that estimates bilirubin
concentrations in the blood by measuring the intensity of yellowish skin coloration
Group B Strep - CORRECT ANSWER✔✔- common streptococcus bacteria in lower
intestines; serious infection in neonates
H1N1 - CORRECT ANSWER✔✔- commonly called swine flu; mother may breastfeed
HBV - CORRECT ANSWER✔✔- Hep B virus
Bradycardia - CORRECT ANSWER✔✔- slow heart rate
tachycardia - CORRECT ANSWER✔✔- fast heart rate
chylothorax - CORRECT ANSWER✔✔- Congenital anomaly, obstruction of the lymphatic
system. Chyle (lymphatic fluid) collects in the chest cavity and is drained via chest tubes.
Managed by diet and medication. Fat free breastmilk has been used successfully.
gigantomastia - CORRECT ANSWER✔✔- massive enlargement of breasts during
pregnancy; can result in tissue necrosis and infection
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