CERTIFIED BREASTFEEDING COUNSELOR
COMPREHENSIVE STUDY GUIDE FULL
QUESTIONS WITH ACCURATE SOLUTIONS
●● Breastfeeding
Answer: Baby receives human milk, as well as other foods or fluids,
including formula.
●● Complementary Feeding
Answer: Process starts when BM alone or infant formula alone is no
longer sufficient to meet nutritional requirements of infants, therefore
other foods or liquids are introduced. Typically child is between 6-23
months
●● 3 strategies for increasing BF initiation and duration
Answer: Promotion, Protection, Support
●● Promotion
Answer: Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
●● Protection
,Answer: Focuses on government, manufacturer, and social responsibility
to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
●● International Code of Marketing of Breast-milk Subsitutes
Answer: Addresses improper marketing practices by formula companies.
It is not currently a law in the US.
●● What does the International Code Prohibit?
Answer: Distributing free formula
Giving coupons for formula
●● What did the AAP resolution state in regards to the International
Code?
Answer: No distributing formula, discharge bags, industry written
handouts.
●● Support
Answer: Focuses on interaction of helpers with family, as well as
program development and implementation.
●● 10 steps to successful BF
Answer: 1. Written BF policy. Skin to Skin immediately after birth.
,2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
●● Healthcare staff responsibility for working with lactating mothers
include what?
Answer: 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
●● What are the indications for providing supplementation other than
breast milk?
Answer: 1. Medical condition
2. Parents request after being informed of consequences
●● Protocol for calculating Baby's daily needs
, Answer: Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up
weight) = daily ounces. PCP decides what the multiplier is!!!
●● What should be assessed 3-5 days after birth by PCP?
Answer: Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
●● What is a CLC?
Answer: Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
●● How many stools per day should a breast fed newborn have?
Answer: 4, some yellow by day 4.
●● When should a baby be back to birth weight?
Answer: 12-14 days post birth
●● How much weight should a baby gain daily?
Answer: Approximately 1 ounce
COMPREHENSIVE STUDY GUIDE FULL
QUESTIONS WITH ACCURATE SOLUTIONS
●● Breastfeeding
Answer: Baby receives human milk, as well as other foods or fluids,
including formula.
●● Complementary Feeding
Answer: Process starts when BM alone or infant formula alone is no
longer sufficient to meet nutritional requirements of infants, therefore
other foods or liquids are introduced. Typically child is between 6-23
months
●● 3 strategies for increasing BF initiation and duration
Answer: Promotion, Protection, Support
●● Promotion
Answer: Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
●● Protection
,Answer: Focuses on government, manufacturer, and social responsibility
to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
●● International Code of Marketing of Breast-milk Subsitutes
Answer: Addresses improper marketing practices by formula companies.
It is not currently a law in the US.
●● What does the International Code Prohibit?
Answer: Distributing free formula
Giving coupons for formula
●● What did the AAP resolution state in regards to the International
Code?
Answer: No distributing formula, discharge bags, industry written
handouts.
●● Support
Answer: Focuses on interaction of helpers with family, as well as
program development and implementation.
●● 10 steps to successful BF
Answer: 1. Written BF policy. Skin to Skin immediately after birth.
,2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
●● Healthcare staff responsibility for working with lactating mothers
include what?
Answer: 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
●● What are the indications for providing supplementation other than
breast milk?
Answer: 1. Medical condition
2. Parents request after being informed of consequences
●● Protocol for calculating Baby's daily needs
, Answer: Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up
weight) = daily ounces. PCP decides what the multiplier is!!!
●● What should be assessed 3-5 days after birth by PCP?
Answer: Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
●● What is a CLC?
Answer: Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
●● How many stools per day should a breast fed newborn have?
Answer: 4, some yellow by day 4.
●● When should a baby be back to birth weight?
Answer: 12-14 days post birth
●● How much weight should a baby gain daily?
Answer: Approximately 1 ounce
