IBCLC Exam 2026
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes
an
immunological change, a rise in _______ - answer-IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: -
answer-prevents/limits the infant's exposure to non human proteins [p759-760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a
lactose free formula instead of breastfeeding. You inquire what symptoms led her to this
conclusion.
Amy relates that her mother said she was lactose intolerant as an infant. Her baby is gassy
and has loose
stools. You best response to this mother would be: - answer-Babies under 3 y/o rarely have
lactose
intolerance. Tell me more about your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that _____ -
answer-
primary lactose intolerance is rare in newborns & that she should continue to breastfeed [p
658-659]
This mother notices something white on her nipple tip. This most probably is: - answer-a
nipple bleb
[p.295]
The structure represented in this image is a: - answer-Alveoli, which is the milk producing
unit in the
breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: -
answer-Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with
mark asymmetry. This anatomical "red flag" is often associated with: - answer-Insufficient
lactation [p.
, 338]
During pregnancy, high circulating plasma levels of progesterone will: - answer-
After breastfeeding this mother complains of extreme pain in both of her nipples. You may
discuss with
her the following causes: - answer-she likely has Raynaud's syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She reports
that she has a
hx of plugged ducts. Her doctor diagnosed a galactocele by US. You explain to her that a
galactocele is a
benign cyst in the ducts of the breast and - answer-can be aspirated and refilled with milk
[p301]
which nerve supplies the greatest amount of sensation to the areola? - answer-4th
intercostal nerve
[p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant. The
mother
complains of tenderness and swelling in the axillary region. You explain to the mother that:
- answer-This
mammary tissue swellin can be reduced with cool compresses. This accessory mammary
tissue will
involute in a few days, w/o affecting milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - answer-widen
temporarily in
response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to - answer-
estrogen [pg
54]
A new mother tells you that she has implants as she is beginning to breastfeed her infant.
One of the
most important factors in her health hx to predict successful breastfeeding is - answer-the
location of the
implant did not damage any nerves to the breast [p 299-300]
The possible side effects of breast augmentation on breastfeeding are - answer-compromise
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes
an
immunological change, a rise in _______ - answer-IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: -
answer-prevents/limits the infant's exposure to non human proteins [p759-760]
Amy is concerned that her 3 month old may have lactose intolerance and is wondering
about trying a
lactose free formula instead of breastfeeding. You inquire what symptoms led her to this
conclusion.
Amy relates that her mother said she was lactose intolerant as an infant. Her baby is gassy
and has loose
stools. You best response to this mother would be: - answer-Babies under 3 y/o rarely have
lactose
intolerance. Tell me more about your baby's behavior. [p 658-659]
A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that _____ -
answer-
primary lactose intolerance is rare in newborns & that she should continue to breastfeed [p
658-659]
This mother notices something white on her nipple tip. This most probably is: - answer-a
nipple bleb
[p.295]
The structure represented in this image is a: - answer-Alveoli, which is the milk producing
unit in the
breast, lined with lactocytes which produce breastmilk [p 50]
When, in the various stages of lactation, does the switch from endocrine to autocrine
control occur: -
answer-Lactogenesis II [p.55]
During a prenatal breast exam, the expectant mother presents with widely spaced small
breasts with
mark asymmetry. This anatomical "red flag" is often associated with: - answer-Insufficient
lactation [p.
, 338]
During pregnancy, high circulating plasma levels of progesterone will: - answer-
After breastfeeding this mother complains of extreme pain in both of her nipples. You may
discuss with
her the following causes: - answer-she likely has Raynaud's syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She reports
that she has a
hx of plugged ducts. Her doctor diagnosed a galactocele by US. You explain to her that a
galactocele is a
benign cyst in the ducts of the breast and - answer-can be aspirated and refilled with milk
[p301]
which nerve supplies the greatest amount of sensation to the areola? - answer-4th
intercostal nerve
[p301]
the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant. The
mother
complains of tenderness and swelling in the axillary region. You explain to the mother that:
- answer-This
mammary tissue swellin can be reduced with cool compresses. This accessory mammary
tissue will
involute in a few days, w/o affecting milk supply [p54]
In the breast, the system of ductules converge behind the nipple which, - answer-widen
temporarily in
response to the milk ejection reflex [p 80-81]
proliferation of the duct system in the breast during pregnancy is primarily due to - answer-
estrogen [pg
54]
A new mother tells you that she has implants as she is beginning to breastfeed her infant.
One of the
most important factors in her health hx to predict successful breastfeeding is - answer-the
location of the
implant did not damage any nerves to the breast [p 299-300]
The possible side effects of breast augmentation on breastfeeding are - answer-compromise
