IBCLC Questions and Answers
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ✔ IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ✔ 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: - ✔ 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
_____ - ✔ 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: - ✔ a
nipple bleb [p.295]
The structure represented in this image is a: - ✔ 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: - ✔ 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: - ✔
Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ✔
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ✔ 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 - ✔
can be aspirated and refilled with milk [p301]
which nerve supplies the greatest amount of sensation to the areola? - ✔ 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: - ✔ 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, - ✔ 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 - ✔
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 - ✔ 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 - ✔ compromise
of the ductal structure [p 299-300]
A new mother tells her nurse that she has had breast reduction surgery. In her care
plan, you would advise the mother : - ✔ to frequently feed her newborn and monitor the
babys weight loss, urine, and stool output
This new mother came into your office for a consultation. Surgical scars on her breasts
indicate she - ✔ has had breast reduction mammoplasty [p.296]
Your pt just gave birth to an infant w/ a cleft lip and an intact palate. The mother tells
you she wants to breastfeed. Your 1st response is: - ✔ I will assist you with latch on,
evaluate a feeding, show you techniques to help the infant transfer milk and support
your milk supply.
your hospital d/c care plan for a mother with an infant with a cleft of the soft palate may
include the following tips EXCEPT: - ✔ No intervention is necessary since a cleft of the
soft palate foes not effect breastfeeding. [pg 642-643]
infants with severe heart defects face fatigue and the following breastfeeding
challenges: - ✔ greater calorie needs
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: - ✔ breastmilk, cleanly collected, can be left
for up to 6 hrs w/o refrigeration [p 559]
Food allergy is defined as an adverse reaction to a foreign substance or antigen. This
causes an immunological change, a rise in _______ - ✔ IgE [p657]
When considering the effect of breastfeeding in the development of infant allergies,
breastmilk: - ✔ 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: - ✔ 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
_____ - ✔ 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: - ✔ a
nipple bleb [p.295]
The structure represented in this image is a: - ✔ 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: - ✔ 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: - ✔
Insufficient lactation [p. 338]
During pregnancy, high circulating plasma levels of progesterone will: - ✔
After breastfeeding this mother complains of extreme pain in both of her nipples. You
may discuss with her the following causes: - ✔ 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 - ✔
can be aspirated and refilled with milk [p301]
which nerve supplies the greatest amount of sensation to the areola? - ✔ 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: - ✔ 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, - ✔ 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 - ✔
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 - ✔ 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 - ✔ compromise
of the ductal structure [p 299-300]
A new mother tells her nurse that she has had breast reduction surgery. In her care
plan, you would advise the mother : - ✔ to frequently feed her newborn and monitor the
babys weight loss, urine, and stool output
This new mother came into your office for a consultation. Surgical scars on her breasts
indicate she - ✔ has had breast reduction mammoplasty [p.296]
Your pt just gave birth to an infant w/ a cleft lip and an intact palate. The mother tells
you she wants to breastfeed. Your 1st response is: - ✔ I will assist you with latch on,
evaluate a feeding, show you techniques to help the infant transfer milk and support
your milk supply.
your hospital d/c care plan for a mother with an infant with a cleft of the soft palate may
include the following tips EXCEPT: - ✔ No intervention is necessary since a cleft of the
soft palate foes not effect breastfeeding. [pg 642-643]
infants with severe heart defects face fatigue and the following breastfeeding
challenges: - ✔ greater calorie needs
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: - ✔ breastmilk, cleanly collected, can be left
for up to 6 hrs w/o refrigeration [p 559]
