PCE Breastfeeding Class Study Guide
Questions with Complete Solutions
2025-2026 Updated.
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
Standards of practice for breastfeeding counselors include what four areas? - Answer -
Clinical Practice
-Breastfeeding education/counseling
-Professional responsibilities
-Legal considerations
First organization in US to provide mother to mother support with Breastfeeding? - Answer
La Leche League
Ten Steps to Successful Breastfeeding - Answer 1. Have a written breastfeeding policy that is
routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated
from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.
7. Practice "rooming in"-- allow mothers and infants to remain together 24 hours a day.
8. Encourage breastfeeding on demand.
, 9. Give no pacifiers or artificial nipples to breastfeeding infants
10. Foster the establishment of breastfeeding support groups and refer mothers to them on
discharge from the hospital or clinic.
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
-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)
Questions with Complete Solutions
2025-2026 Updated.
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
Standards of practice for breastfeeding counselors include what four areas? - Answer -
Clinical Practice
-Breastfeeding education/counseling
-Professional responsibilities
-Legal considerations
First organization in US to provide mother to mother support with Breastfeeding? - Answer
La Leche League
Ten Steps to Successful Breastfeeding - Answer 1. Have a written breastfeeding policy that is
routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated
from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless medically indicated.
7. Practice "rooming in"-- allow mothers and infants to remain together 24 hours a day.
8. Encourage breastfeeding on demand.
, 9. Give no pacifiers or artificial nipples to breastfeeding infants
10. Foster the establishment of breastfeeding support groups and refer mothers to them on
discharge from the hospital or clinic.
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
-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)
