Certified Breastfeeding Counselor Exam Study
Guide Questions and Answers ()
(Verified Answers)
What is the normal weight loss for the infant during the first few days ? -
5-7% in the first 24hrs and below 10% in the first week
How many calories does a lactating mom need
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 ? -
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ?
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 ?
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 ?
with Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ?
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 ?
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 ? -
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ?
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 ? -
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 -
, Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ?
ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? -
Approximately 40 days
What are the common signs of milk " let down " ?
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? -
It is higher in protein and immune factors ( because the body KNOWS this is what the preemie needs !
)
What component of breast milk is the most variable ?
Lipids
What component of human milk is destroyed by freezing ?
Macrophages
When is the side - lying position helpful ?
In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the
perineal area
What position is centered around the infant attaching themselves to the breast ? -
The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ?
When moms are experiencing active let - down
What is the dancer hand ?
Mom would have hand below the breast in a " U " shape ; this is good for infants who need good jaw
support
What are signs of milk transfer ?
Swallowing - harsh " Ca " sound ; air from nose felt , neck movement visualized
What are the stool transition colors ?
Black to green to yellow
Guide Questions and Answers ()
(Verified Answers)
What is the normal weight loss for the infant during the first few days ? -
5-7% in the first 24hrs and below 10% in the first week
How many calories does a lactating mom need
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 ? -
supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ?
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 ?
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 ?
with Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ?
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 ?
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 ? -
They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ?
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 ? -
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 -
, Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ?
ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? -
Approximately 40 days
What are the common signs of milk " let down " ?
Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? -
It is higher in protein and immune factors ( because the body KNOWS this is what the preemie needs !
)
What component of breast milk is the most variable ?
Lipids
What component of human milk is destroyed by freezing ?
Macrophages
When is the side - lying position helpful ?
In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the
perineal area
What position is centered around the infant attaching themselves to the breast ? -
The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ?
When moms are experiencing active let - down
What is the dancer hand ?
Mom would have hand below the breast in a " U " shape ; this is good for infants who need good jaw
support
What are signs of milk transfer ?
Swallowing - harsh " Ca " sound ; air from nose felt , neck movement visualized
What are the stool transition colors ?
Black to green to yellow
