IBCLC EXAM AND PRACTICE QUESTIONS NEWEST 2024 ACTUAL EXAM COMPLETE 330 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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IBCLC
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IBCLC
IBCLC EXAM AND PRACTICE QUESTIONS NEWEST 2024 ACTUAL EXAM COMPLETE 330 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
IBCLC EXAM AND PRACTICE QUESTIONS NEWEST 2024 ACTUAL EXAM COMPLETE 330 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
IBCLC EXAM AND PRACTICE QUESTIONS NEWES...
IBCLC EXAM AND PRACTICE
QUESTIONS NEWEST 2024 ACTUAL
EXAM COMPLETE 330 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
When does the breast begin to develop in utero? - ANS 4th week of gestation
Where does the primitive milk streak develop - ANS Bilaterally from the axilla to the groin
By the 5th week gestation the milk streak becomes what? - ANS Mammary Milk Ridge (or milk line)
Thickening and inward growth into the chest wall continues during what weeks gestation? - ANS 7-8
weeks gestation
Between weeks 12 and 16 gestation specialized cells differentiate into what? - ANS Smooth muscles of
the nipple and areola
What forms the mammary pit? - ANS Lactiferous ducts and their branches open into a shallow epithelial
depression
What creates an inverted nipple? - ANS When the Mammary pit fails to elevate
What is witches milk? - ANS After birth, a neonate's mammary tissue (under the influence of maternal
hormones) might recreate colostral like fluid
At what age do the primary and secondary ducts grow and divide and form the terminal end buds that
become the alveoli? - ANS 10-12 years old
,When does complete development of mammary function occur? - ANS During pregnancy
What is superficial fiscia? - ANS Fibrous tissue beneath the skin
Where is the breast located? - ANS In the superficial fascia between the second rib and sixth intercostal
space
What are the two major divisions of the breast? - ANS Parenchyma and Stroma
What makes up the Parenchyma? - ANS Ducts, lobes, and aveoli
What are alveoli? - ANS Small sacs where milk is secreted
What makes up the Stroma? - ANS Connective tissue, fat tissue, blood vessels, nerves, and lymphatics.
What is Cooper's Ligament? - ANS Suspensory ligament that are the fibrous connections between the
inner side of the breast skin and pectoral muscles. Help to shape the breasts
What does the nipple contain? - ANS 15-25 milk ducts, smooth muscle fibers, sebaceous and apocrine
sweat glands, and dense innervations of sensory nerve endings
What are Montgomery Tubercles? - ANS Sebaceous glands in the areola surrounding the nipple
What do the Montgomery Tubercles secrete? - ANS Oily secretions (lipoid fluid) to keep the areola and
the nipple lubricated and protected
,What artery(s) supply blood to the breast? - ANS Internal mammary artery (60%) and lateral thoracic
artery (30%)
Where does the lymphatic system of the breast drain excess fluids from tissue space, bacteria and cast
off cells? - ANS Auxiliary lymph node
Where does the nerves of the breast mainly branch from? - ANS 4th, 5th, and 6th intercostal nerve
What nerve supplies the greatest amount of sensation to the areola? - ANS 4th intercostal nerve
What part of the breast is most sensitive? - ANS The areola followed by the general skin of the breast,
and then the nipple which is least sensitive.
What percent of breast milk is carbohydrates? - ANS Approximately 7%
What are the six infant behavioral "states" - ANS Crying, active alert, quiet alert, drowsy, active sleep,
and quiet sleep
Milk components that protect the infant/lactating breast actively bind ______, preventing their passage
through the permeable infant _____ _____ - ANS pathogens
gut mucosa
How does the infant get the antibodies produced by mom? - ANS antibodies are produced in moms
blood, targeted SIgA which is transported across the mammary secretory cells and released in the milk.
What is sIgA? - ANS Immunoglobulin A is an antibody that coats mucosal surfaces to prevent adherence
and penetration by pathogens
, What are the most common food allergies? - ANS 1. Cow's milk protein
2. Eggs
3. Peanuts
4. Tree nuts
5. Fish
6. Shellfish
7. Soy
8. Wheat
What are the common symptoms of food allergies? - ANS 1. Eczema
2. Hives
3. Digestive or respiratory problems (e.g. mucus or blood in the stool)
The infant uses their _____ to draw in the nipple and ____ it in the mouth - ANS Lips
Stabilize
What is weak lip tone? - ANS Hypotonic lips result in the inability to seal lips around the breast
impacting the amount of suction created
What is a sucking blister? - ANS friction abrasions resulting from retracted lips or a labial frenulum that
restricts the lips from flanging
What does weak lip tone look like? - ANS Milk spilling, smacking sound (breaking suction), infant tires
faster due to increased work of the feedings even though they aren't efficient feedings
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