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IBLCE Exam Study Guide Solutions

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IBLCE Exam Study Guide Solutions Healthy People 2020 BF Targets: - ANSWER-Postpartum 82% Six months 61% Twelve mos 34% Exclusive to 3mo: 46% Exclusive to 6mo: 25.5% Goldsmith's sign - ANSWER---initial refusal to BF on 1 breast --may happen suddenly with older babies --R/O ear infection, t...

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  • November 11, 2024
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IBLCE Exam Study Guide Solutions


Healthy People 2020 BF Targets: - ANSWER✔✔-Postpartum 82%


Six months 61%


Twelve mos 34%




Exclusive to 3mo:


46%


Exclusive to 6mo:


25.5%


Goldsmith's sign - ANSWER✔✔---initial refusal to BF on 1 breast


--may happen suddenly with older babies


--R/O ear infection, teething, birth trauma, etc


--breast cancer may be dx as late as 5 yrs after sign


--breast cancer is possible & must be medically monitored


Domperidone - ANSWER✔✔---Galactagogue used in countries other than the US


--research is mixed


--may alter cardiac rhythms (QTc) especially in hypokalemic pts


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--don't consume grapefruit


--interacts with fluconazole, erythromycin, clarithromycin


3 Levels of Lactation Acuity


(Developed by Oklahoma University MC, 2010) - ANSWER✔✔-Acuity level 1: requires basic education &

routine management (example: by RNs & CLCs)




Acuity level 2: complicated mom & baby characteristics, i.e. C/S delivery, delayed BF, NB birth trauma or

suboptimal milk transfer leading to medical decision to PC. Refer to IBCLC with early F/U after discharge.




Acuity level 3: in depth & ongoing care needed. Includes pathological engorgement, mastitis, breast

abscess, induced lactation, maternal breast complications, i.e. Breast sx & anomalies, maternal illness or

other sx. Baby cases include NICU care, late premies, SGA, multiple births, jaundice, hypoglycemia,

congenital defects, oral/motor dysfunction (tongue-tied, hyper or hypotonia), excessive wt loss (>7%

before discharge)


High acuity problem: 3 key actions - ANSWER✔✔---feed the baby


--protect the milk supply


--preserve breast focus


Philtrum - ANSWER✔✔-Midline groove that extends from the top of the lip to the nose


Plagiocephaly - ANSWER✔✔-Abnormal head shape; often associated with torticollis




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Delayed Lactogenesis II can be delayed by what kind of labor? - ANSWER✔✔-Stressful labor with long

second stage, i.e. from when the cervix is fully dilated to when the baby is delivered


Anand (2001) describes 3 types of pain interventions for infants: - ANSWER✔✔-1. Environmental: reduce

noise, light, group procedures




2. Behavioral: breastfeed, EBM, glucose, pacifiers




3. Pharmacological


Anesthetics, analgesics per order


Orbicularis oris - ANSWER✔✔-Muscle around the lips


Dysphagia - ANSWER✔✔-Disruption in the swallowing process


Retrognathia - ANSWER✔✔-Receding chin


Some characteristics of abnormal tongues: - ANSWER✔✔-Ankyloglossia, short, bunched, retracted, flat

tongue.




Tongue protrusion may be from low tone or chromosomal disorders


Congenital dermal melanocytosis - ANSWER✔✔-Mongolian spots


Most drugs are absorbed by what process? - ANSWER✔✔-Passive diffusion


To aid milk production in PCOS - ANSWER✔✔-Metformin

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