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IBCLC Exam Prep Questions and answers
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IBCLC Exam Prep Questions and answers
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IBCLC Exam Prep___________________________________ in milk/colostrum is 10 times higher on the first
postpartum day than at any other time during lactation. - questions and answers-SIgA
1-3 Month-old babies may:
a. Breastfeed 6-8 times per 24 hours
b. Sleep for 2-3 hours once a day
c. Grasp their toes during nursing
d. Recognize other adults and smile - questions and answers-B
A _________________________________ is the most important visible feature of effective
positioning and latch. - questions and answers-wide gape
a 22-year-old woman has had bilateral breast reduction surgery in which the surgeon reported
success in not severing many, if any, lactiferous ducts. The surgical technique performed was
the "Round Block" pedicle procedure, wherein the only incision is around the perimeter of the
areola, with the areola and the nipple still attached to a pedicle of tissue that is moved to a
higher position. What effect on her future milk production can she expect?
a. it is impossible to estimate what her milk supply will be
b. it is unlikely that there will be a diminished milk supply
c. it is likely there will be a diminished milk supply
d. other factors have a greater bearing on her milk supply - questions and answers-c (an
incision around the areolar perimeter that is deep enough to remove underlying tissue is likely to
sever the 4th intercostal nerve, thereby diminishing oxytocin and prolactin response)
A 3-week-old exclusively breastfed baby with a strong family history of allergy has a severe
reaction the first time he is fed with a cow's milk-based formula. The MOST LIKELY explanation
for this is that the:
A)baby was sensitized by intact cow's milk proteins that passed into the mother's milk
B)baby was given a bottle of formula in the hospital nursery
C)mother consumed large amounts of dairy products during pregnancy
D)allergic reaction was more likely due to the latex in the bottle nipple than the cow's milk -
questions and answers-C
A 38-week neonate with a birth weight of 7 lb 12 oz is referred to you with a discharge weight of
6 lb 12 oz at 72 hours post delivery. The FIRST thing you should do is:
a. weigh the infant to see if the hospital's scale was correct
b. tell the mother that this weight loss is WNL
c. take a thorough history of the dyad's breastfeeding practices
d. suggest the mother discuss any interventions with her baby's doctor - questions and
answers-c. assess current feeding patterns
,A baby born at 34 weeks gestation is being sent home after several weeks in the NICU. Which
feeding behavior would you MOST emphasize to the mother?
a. express milk after each nursing as he probably can't get all your milk
b. expect his sucking bursts to be short and irregular
c. if he doesn't nurse well, give expressed milk with slow-flow nipple
d. restrict nursing sessions to 10 minutes so he does not tire - questions and answers-b. short
and irregular sucking bursts
A baby is now refusing to take a bottle from the daycare provider. Your best recommendation to
her mother is that the provider should:
a. give milk in a cup
b. wait until the child is really hungry
c. try an orthodontic-shaped teat
d. give the bottle in a dark room - questions and answers-a
A baby with a cephalohematoma may be at most risk for what clinical condition?
a. breastfeeding associated jaundice due to ineffective feeding and delayed stools
b. pathologic jaundice since a collection of blood beneath the scalp may increase the risk for
serum bilirubin elevation from breakdown of more RBCs
c. breast milk jaundice with the onset after the 5th day of life and bilirubin levels peaking at day
15
d. physiologic jaundice with very rapidly rising bilirubin levels - questions and answers-b
A baby with what condition is likely to display hypotonia? - questions and answers-Down
Syndrome
A baby, now 4 weeks old, was adopted when she was 3 days old and has been formula-fed
from birth. Her adoptive mother's goal is to have her baby nurse at the breast. The FIRST action
the adoptive mother should take toward this goal is:
a. feed the baby using an open cup instead of a bottle
b. get donor human milk from a milk bank to replace the formula
c. change to a slow-flow nipple to mimic breastfeeding
d. put the baby to breast for non-nutritive sucking - questions and answers-a
A baby's tongue is pressing a mother's nipple against the baby's hard palate. Which cranial
nerve is MOST responsible for this tongue movement?
a. Spinal accessory
b. Vagus
c. Hypoglossal
d. Trigeminal - questions and answers-C (CN XII) -the other nerves listed are more involved in
suck/swallow/breathe actions
,A backache in active labor is most likely due to the fetus being in
____________________________________ presentation. - questions and answers-occiput
posterior (OP may affect a baby's ability to breastfeed)
A breastfeeding infant has been diagnosed with oral thrush. What is your FIRST
recommendation?
a. begin simultaneous treatment of the baby and the mother's breasts
b. unless the mother has signs of infection, treat only the baby's mouth with an antifungal
medicine
c. check the mother's nipples for signs or symptoms of infection
d. assume the mother's nipples, all infant sucking objects, and possibly other infant areas are
infected until proven otherwise - questions and answers-d
A breastfeeding mother complains of a lump in her breast. Which characteristic is MOST
LIKELY to be dangerous and require medical evaluation?
a. the lump feels like a soft, fluid-filled sac
b. The skin over the lump is red and warm
c. mother began running a low-grade fever at the same time the lump appeared
d. the lump does not change size before and after the baby feeds - questions and answers-d
(lumps that do not change size related to milk flow are considered ominous)
A breastfeeding mother resumed menstruation for the first time when her child is 16 months old.
Which statement is MOST ACCURATE concerning her fertility at this time?
a. breastfeeding at this age offers no protection against pregnancy
b. she may experience several menstrual cycles before ovulation begins again
c. ovulation usually precedes the first menstrual cycle in breastfeeding women
d. taking a hormonal contraceptive will have no effect on lactation at this stage - questions and
answers-b
A breastfeeding mother with Type 1 DM is at risk for which of the following conditions?
a. insufficient milk supply
b. mastitis
c. oversupply
d. plugged milk ducts - questions and answers-b (a mother with Type I DM is at increased risk of
infections in general including those of the breast)
A client calls you because they smoked methamphetamine the night before. They would like to
know when it is safe to nurse again. You advise them to:
a. Wean. Methamphetamines are incompatible with lactation
b. Nurse the infant. The drug's molecules are too large to pass into human milk
c. Pump and dump until a urine drug screen tests negative for methamphetamines.
Methamphetamines stay in the parent's system for several days
d. Pump and dump for 12 hours. Methamphetamines have a short half-life. - questions and
answers-c
, A client wants to send you a cell phone photograph of her nipples from her cellphone directly to
yours, is this allowed? - questions and answers-Yes because she is taking the photo and not the
LC. Delete the photo from your phone after adding it to your password-protected secure
charting system
A disgruntled family files a malpractice suit after you provided lactation consultant services to
them. The FIRST thing you should do is:
a. call an attorney
b. contact your professional insurance agent
c. talk to the couple to find out why they are upset
d. speak to the couple's physician - questions and answers-b. contact insurance agent (they
have access to qualified attorneys)
A full-term baby at 36 hours old that is under bili lights is MOST likely experiencing what
condition?
a. exclusive, effective breastfeeding
b. ABO incompatibility
c. breast milk jaundice
d. hypoglycemia - questions and answers-b (this causes early onset jaundice, breast milk
jaundice usually becomes apparent after the 3rd day)
A good resource to use to figure out if a medicine is compatible with breastfeeding is:
A) The Physician Desk Reference (PDR)
B) The medicine package insert
C) Google
D) LactMed - questions and answers-D) LactMed
A high palate in an infant could indicate ___________________ or _____________________. -
questions and answers-ankyloglossia or hypotonia
A lactating parent needs a pancreas scan and she is concerned about the contrast medium
which will be used. Which of the following contrast agents would you be concerned about?
a. Barium
b. Gadolinium
c. Iodine
d. Mangafodipir - questions and answers-d
A lactating person is worried their child may have lead poisoning. She has brought her milk and
wants it tested for lead. Which of the following is the proper course of action to take for lead
poisoning diagnosis in this instance?
a. test the concentration of lead in the breast milk
b. test the concentration of lead in the mother's blood
c. test the concentration of lead in the baby's blood
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