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IBCLC Exam #1 Actual Questions and Answers Verified by Expert |
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IBCLC Exam #1 Actual Questions and Answers Verified byExpert | 2024-2025
When breastfeeding multiples, it is easiest to feed both at the same time or one at a time? -
answer>>>Both at the same time
Why is it best to feed multiples at the same time? - answer>>>Saves time, helps establish a
routine, and if 1 baby can't transfer well, the other baby can help trigger MER
True or false: When feeding multiples alternate both breasts and babies each feeding (some
moms have 1 breast per kid) - answer>>>True
Older infants/toddlers who are BF will most likely need supplements of what? - answer>>>Vit D
Common reasons for nursing strikes for older infants/ toddlers? - answer>>>Otitis media, nasal
congestion, unusual separation of dyad, negative emotional encounter, frequent use of bottle,
low milk supply, or unknown
What does hypoglycemia mean? - answer>>>Low blood sugar
When is newborn hypoglycemia most likely to occur? - answer>>>First 2-3 hours
Why do babies born before 38 weeks need to be monitored more closely for hypoglycemia? -
answer>>>They have limited glycogen reserves
What is used for brain fuel? - answer>>>Glucose
What is induced lactation? - answer>>>Purposeful stimulation of lactation where it was
previously absent (normally seen when a mom isn't pregnant)
,What is relactation? - answer>>>Induced lactation in a mom who has previously breastfed
What medications can help increase lactation? - answer>>>Domperidone
Sulpiride
Metoclopramide
What is the milk composition like following the induction of lactation or relactation? -
answer>>>Usually mimics breast milk after delivery, no real colostrum phase- not a lot of
studies on it
If the baby has labial frenulum that is tight lips are usually __________ - answer>>>Retracted
What type of damage is done if lips are retracted during a feeding? - answer>>>Friction trauma
(blisters)
Why does the baby do a lip roll if there is a labial frenulum? - answer>>>To keep on the breast-
prevent slipping
What is a lingual frenulum? - answer>>>Lip tie-congenital midline anomaly in which the bottom
of the tongue is attached to the floor of the mouth by the lingual frenulum
Symptoms of a lingual frenulum - answer>>>Infants typically have a hard time emptying the
breast which could result in poor weight gain and impact milk production
What is galctosemia? - answer>>>Deficiency of enzyme galactose which makes it hard for infant
to metabolize galactose
Symptoms of galactosemia - answer>>>Severe jaundice, vomiting, diarrhea, electrolyte
imbalance, and weightloss
,What is Phenylktonuria? - answer>>>Amino acid metabolic disorder
What is pyloric stenosis? - answer>>>A condition in which the opening between the stomach
and small intestine thickens
Signs of pyloric stenosis - answer>>>Intermittent vomiting at first that progresses to every feed
is a sign, dehydration, and refusal to feed
What is GER? - answer>>>Gastroesophageal reflux (GER) happens when stomach contents
come back up into the esophagus
Two types of GER (baby) - answer>>>Happy spitter and angry spitter
What is Hyperbilirubinemia? - answer>>>Presence of elevated bilirubin
What is jaundice? - answer>>>yellow staining of the skin caused by abnormally high blood
levels of bilirubin
How do you determine if bilirubin levels are elevated ? - answer>>>Levels are determined by
age (hours) and what percentile the baby is in
*Severe jaundice* has bilirubin levels above ____ - answer>>>25mg
To help combat jaundice and high bilirubin levels the baby needs to ______ - answer>>>Poop
more
Why does bilirubin get into the bloodstream? - answer>>>*Red blood cells break down after
birth* with the transition to a higher oxygen environment. Bilirubin is one of the breakdown
products of these red blood cells and it is *released into the bloodstream*
, If poops are delayed what is reabsorbed into the bloodstream? - answer>>>Bilirubin
What is *Physiologic* jaundice? - answer>>>*Normal increase in bilirubin* associated with red
blood cells breakdown after birth and immaturity of bilirubin metabolism systems
Is it usual for physiologic jaundice to reach "high risk zones"? - answer>>>Nope
True or false: All newborns experience physiologic rises in bilirubin, but the level may not rise
enough for visible jaundice - answer>>>True
Physiologic jaundice has an onset of what day (s) - answer>>>48-72 hours (peak at 3-5 days)
What is the condition of the infant with physiologic jaundice? - answer>>>Baby is thriving,
normal weight loss, and normal output
What is breastfeeding associated jaundice? - answer>>>Jaundice associated with an infant who
is BF
What type of jaundice is one of the significant cause of hyperbilirubinemia? -
answer>>>Breastfeeding associated jaundice
How does breastfeeding associated jaundice work? - answer>>>Lack of intake leads to delayed
stooling and re circulation of bilirubin
When is the onset of breastfeeding associated jaundice? - answer>>>3-5 days
What is the condition of the infant who has breastfeeding associated jaundice? -
answer>>>Lethargic/fussy, excessive weight loss, ineffective feeding, scant urine/stool output,
signs of dehydration
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