PCE Certified Breastfeeding Counselor Exam 2026
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What are some reasons formula replaced breastfeeding? -
Answer--think there is no difference between breast milk
and formula
-embarrassed about the idea of BF
-modest, do not want to nurse publicly
-do not want to be tied down
-think of body secretions as "icky"
-want to go back to work
-want father to share more equally in baby's care
-afraid of ruining figures
-husbands or partners don't want their wife to BF
-too nervous
-think their breasts are not the right shape
-too complicated
-old fashioned
-think they have to change their diet
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-sexual abuse
Hormones that influence changes in the lactating breast -
Answer--estrogen
-progesterone
-prolactin
-oxytocin
-TSH
What triggers Lactogenesis 2? - Answer-decline in
progesterone due to placental separation (progesterone is
a prolactin inhibitor)
Lactogenesis 1 occurs when - Answer-16 weeks
prenatally, complete development of mammary function
during pregnancy
What are some considerations when assessing the nipple
for breastfeeding? - Answer-unusual nipple anatomy that
can cause barriers to breastfeeding (flat, inverted, large)
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What are some assessment considerations when a
women has had a breast reduction? - Answer--full
breastfeeding may not be possible after a reduction
-outcomes depend on the type of procedure, amount of
glandular tissue removed, and blood supply
-encourage BF early and often to stimulate milk production
What can affect the healthcare professional's presentation
about breastfeeding? - Answer--personal experiences
-philosophy
-credentials
According to AWHONN, what are some of the
responsibilities of staff nurses working with breastfeeding
women? - Answer--implement Baby-Friendly Hospital
Initiative practices
-maintain current, evidence-based knowledge of BF
-relay consistent, supportive messages about BF
-nurses working with preterm infants should promote use
of mother's own milk or donor EBM
-advocate for BF as cultural norm
-integrate education of breastfeeding into professional and
academic programs