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]