CERTIFIED BREASTFEEDING COUNSELOR
UPDATED PRACTICE SOLUTION
QUESTIONS AND VERIFIED ANSWERS
●● How many calories does a lactating mom need
Answer: Moms need approximately 500 extra calories/day when
breastfeeding. Range is 1,800-2,700 with most mons consuming around
2,200
●● What type of supplement do most lactating vegans / bariatric patients
take ? -
Answer: supplement Vitamin B12
●● How much vitamin D does a baby need ? When do they need to be
supplemented ?
Answer: Babies need 400 IU of Vitamin D per day . They should be
supplemented if moms are deficient ; there is vitamin D in formula , so if
they are being formula - fed they do NOT require additional vitamin D
supplementation .
●● What types of foods ( or diet ) should lactating moms consume ?
Answer: Moms should consume a diet of normal foods - they should eat
when they're hungry and drink when they're thirsty . The MyPlate is a
good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
,●● When would a Habermen feeder be indicated ?
Answer: with Down's Syndrome or a Cleft Lip / Palate
●● What medications are contraindicated in breastfeeding mothers ?
Answer: Antimetabolite drugs or chemotherapy , radioisotopes ( not IV
contrast dye ) and illicit drugs
●● What is the Tail of Spence ? What are the symptoms ? How do you
treat it ?
Answer: The Tail of Spence refers to mammary gland tissue that extends
to the axillary area that is connected to the milk ducts . Symptoms
include swollen armpits and even mastitis . Moms can apply cold
compresses to the area and take Motrin / Tylenol as needed for
discomfort .
●● What happens to estrogen and progesterone during pregnancy and
after birth ? -
Answer: They increase during pregnancy and then decrease after birth .
●● How many stages of the " Magic Hour " are there ? What are they ?
Answer: There are nine stages of the " Magic Hour " or " Golden Hour ,
" they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6.
Crawling 7. Familiarization 8. Suckling 9. Sleep
, ●● What is the stomach size of the baby at birth ? -
Answer: The baby's stomach is only the size of a marble , button or
grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time .
●● Standards of of practice for CBC -
Answer: Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
●● Where is the milk produced ?
Answer: ANSWER- In the alveoli
●● How long after cessation of breast feeding does milk production (
involution ) stop ? -
Answer: Approximately 40 days
●● What are the common signs of milk " let down " ?
Answer: Tingling , warmth , fullness , dripping and contractions
●● How is preterm milk different than term milk ? -
UPDATED PRACTICE SOLUTION
QUESTIONS AND VERIFIED ANSWERS
●● How many calories does a lactating mom need
Answer: Moms need approximately 500 extra calories/day when
breastfeeding. Range is 1,800-2,700 with most mons consuming around
2,200
●● What type of supplement do most lactating vegans / bariatric patients
take ? -
Answer: supplement Vitamin B12
●● How much vitamin D does a baby need ? When do they need to be
supplemented ?
Answer: Babies need 400 IU of Vitamin D per day . They should be
supplemented if moms are deficient ; there is vitamin D in formula , so if
they are being formula - fed they do NOT require additional vitamin D
supplementation .
●● What types of foods ( or diet ) should lactating moms consume ?
Answer: Moms should consume a diet of normal foods - they should eat
when they're hungry and drink when they're thirsty . The MyPlate is a
good example - 50 % carbs , 15 % protein , 20-30 % healthy fats
,●● When would a Habermen feeder be indicated ?
Answer: with Down's Syndrome or a Cleft Lip / Palate
●● What medications are contraindicated in breastfeeding mothers ?
Answer: Antimetabolite drugs or chemotherapy , radioisotopes ( not IV
contrast dye ) and illicit drugs
●● What is the Tail of Spence ? What are the symptoms ? How do you
treat it ?
Answer: The Tail of Spence refers to mammary gland tissue that extends
to the axillary area that is connected to the milk ducts . Symptoms
include swollen armpits and even mastitis . Moms can apply cold
compresses to the area and take Motrin / Tylenol as needed for
discomfort .
●● What happens to estrogen and progesterone during pregnancy and
after birth ? -
Answer: They increase during pregnancy and then decrease after birth .
●● How many stages of the " Magic Hour " are there ? What are they ?
Answer: There are nine stages of the " Magic Hour " or " Golden Hour ,
" they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6.
Crawling 7. Familiarization 8. Suckling 9. Sleep
, ●● What is the stomach size of the baby at birth ? -
Answer: The baby's stomach is only the size of a marble , button or
grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at this time .
●● Standards of of practice for CBC -
Answer: Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
●● Where is the milk produced ?
Answer: ANSWER- In the alveoli
●● How long after cessation of breast feeding does milk production (
involution ) stop ? -
Answer: Approximately 40 days
●● What are the common signs of milk " let down " ?
Answer: Tingling , warmth , fullness , dripping and contractions
●● How is preterm milk different than term milk ? -
