International Board
Certified Lactation
Consultant (IBCLC)
Certification Exam.
1 gram of weight gain = 1ml of milk intake. The use of this formula for test weighing infants before and
after feedings: ans: helps determine adequate intake in special situations of concern [p344-346]
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 ans: can be aspirated and refilled with milk [p301]
A breastfeeding mother is going on vacation and is considering purchasing breastmilk from an internet
website. Which statement is correct: ans: pasteurized breastmilk from a reputable milk bank is only
available by physician prescription [443-444]
A breastfeeding mother tells you that she is lactose intolerant. You inform her that _____ ans: primary
lactose intolerance is rare in newborns & that she should continue to breastfeed [p 658-659]
A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a bilirubin of 10 and
weight loss of 7%. The mother reports that the baby will not wake up and continues to sleep and will not
latch onto the breast. Your immediate plan of care would include: ans: teach the mother wake up
techniques, spoon feed colostrum, and attempt to breastfeed
A mother comes to your new nothers support group and you observe her infant after a breastfeeding.
You recommend that she: ans: make an appt with pedi for possible thrush [291]
A mother of a 2 year old and a newborn contacts you about tandem nursing. The 2 year old wants to
nurse frequently. You suggest: ans: breastfeed the infant 1st, then the toddler
A mother who is 8 wk PP reports that she has had 2 episodes of mastitis. The following factors could
contribute to this reoccurrence: ans: the mother stopped her antibiotics when she felt better
a mother with diabetes IDDM should be advised ans: to breastfeed early and often and supplement with
expressed breastmilk if neeed [516]
, a new mother asks you for suggestions about breastmilk storage recommendations for her full term
infant. This new mother plans to collect as much extra breastmilk as possible as she must return to work
in 2 weeks. Ideally, she'd like to use some of the collected pumped/expressed milk so that her relatives,
who will be helping care for the child, can feed the baby too. You tell mom: ans: breastmilk, cleanly
collected, can be left for up to 6 hrs w/o refrigeration [p 559]
A new mother of twins would like to start tandem nursing before hospital discharge. A key point to
discuss with the mother would be ans: each baby has to individually learn how to breastfeed and the
mother needs to recognize that each baby is feeding effectively
A new mother tells her nurse that she has had breast reduction surgery. In her care plan, you would
advise the mother : ans: to frequently feed her newborn and monitor the babys weight loss, urine, and
stool output
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 ans: the location of the
implant did not damage any nerves to the breast [p 299-300]
A new mother tells you that she is returning to work full time at 6 wks and that she wants to continue to
breastfeed her baby. She has a pump for work and is already pumping and giving bottles of milk to her
baby. Your 1st question to her would be: ans: What are your goals for breastfeeding after you return to
work? [552]
A parent of a 3 wk old baby born at 38 wks gestation is concerned because her baby spits up after every
feeding. She reports that is seems to be "the entire feeding". The babys weight gain is approx an ounce
per day. The baby is nursing in cross cradle position at most feedings. The parents has begun to give the
baby a bottle once q 3-4 days. What is the 1st suggestion to this parent? ans: suggest different
positioning of the baby when nursing
a professional relationship is established when a LC discusses a breastfeeding issue with a mother: ans:
whether or not the LC is being paid [p.8]
After breastfeeding this mother complains of extreme pain in both of her nipples. You may discuss with
her the following causes: ans: she likely has Raynaud's syndrome
after reviewing this growth chart, you would give the mother the following advice: ans: breastfeed while
increasing your milk supply and use temporarily supplementation [pg 347-348]
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: ans: Babies under 3 y/o rarely have lactose
intolerance. Tell me more about your baby's behavior. [p 658-659]
before a new mother begins to pump, you would recommend that she wash her hands, use a clean
pump kit have available an appropriate storage container and ans: gently massage her breasts and begin
pumping [pg 379]
Certified Lactation
Consultant (IBCLC)
Certification Exam.
1 gram of weight gain = 1ml of milk intake. The use of this formula for test weighing infants before and
after feedings: ans: helps determine adequate intake in special situations of concern [p344-346]
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 ans: can be aspirated and refilled with milk [p301]
A breastfeeding mother is going on vacation and is considering purchasing breastmilk from an internet
website. Which statement is correct: ans: pasteurized breastmilk from a reputable milk bank is only
available by physician prescription [443-444]
A breastfeeding mother tells you that she is lactose intolerant. You inform her that _____ ans: primary
lactose intolerance is rare in newborns & that she should continue to breastfeed [p 658-659]
A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a bilirubin of 10 and
weight loss of 7%. The mother reports that the baby will not wake up and continues to sleep and will not
latch onto the breast. Your immediate plan of care would include: ans: teach the mother wake up
techniques, spoon feed colostrum, and attempt to breastfeed
A mother comes to your new nothers support group and you observe her infant after a breastfeeding.
You recommend that she: ans: make an appt with pedi for possible thrush [291]
A mother of a 2 year old and a newborn contacts you about tandem nursing. The 2 year old wants to
nurse frequently. You suggest: ans: breastfeed the infant 1st, then the toddler
A mother who is 8 wk PP reports that she has had 2 episodes of mastitis. The following factors could
contribute to this reoccurrence: ans: the mother stopped her antibiotics when she felt better
a mother with diabetes IDDM should be advised ans: to breastfeed early and often and supplement with
expressed breastmilk if neeed [516]
, a new mother asks you for suggestions about breastmilk storage recommendations for her full term
infant. This new mother plans to collect as much extra breastmilk as possible as she must return to work
in 2 weeks. Ideally, she'd like to use some of the collected pumped/expressed milk so that her relatives,
who will be helping care for the child, can feed the baby too. You tell mom: ans: breastmilk, cleanly
collected, can be left for up to 6 hrs w/o refrigeration [p 559]
A new mother of twins would like to start tandem nursing before hospital discharge. A key point to
discuss with the mother would be ans: each baby has to individually learn how to breastfeed and the
mother needs to recognize that each baby is feeding effectively
A new mother tells her nurse that she has had breast reduction surgery. In her care plan, you would
advise the mother : ans: to frequently feed her newborn and monitor the babys weight loss, urine, and
stool output
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 ans: the location of the
implant did not damage any nerves to the breast [p 299-300]
A new mother tells you that she is returning to work full time at 6 wks and that she wants to continue to
breastfeed her baby. She has a pump for work and is already pumping and giving bottles of milk to her
baby. Your 1st question to her would be: ans: What are your goals for breastfeeding after you return to
work? [552]
A parent of a 3 wk old baby born at 38 wks gestation is concerned because her baby spits up after every
feeding. She reports that is seems to be "the entire feeding". The babys weight gain is approx an ounce
per day. The baby is nursing in cross cradle position at most feedings. The parents has begun to give the
baby a bottle once q 3-4 days. What is the 1st suggestion to this parent? ans: suggest different
positioning of the baby when nursing
a professional relationship is established when a LC discusses a breastfeeding issue with a mother: ans:
whether or not the LC is being paid [p.8]
After breastfeeding this mother complains of extreme pain in both of her nipples. You may discuss with
her the following causes: ans: she likely has Raynaud's syndrome
after reviewing this growth chart, you would give the mother the following advice: ans: breastfeed while
increasing your milk supply and use temporarily supplementation [pg 347-348]
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: ans: Babies under 3 y/o rarely have lactose
intolerance. Tell me more about your baby's behavior. [p 658-659]
before a new mother begins to pump, you would recommend that she wash her hands, use a clean
pump kit have available an appropriate storage container and ans: gently massage her breasts and begin
pumping [pg 379]
