PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM
ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
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
What can affect a hc professionals presentation about breastfeeding? - ANSWER: -
Experience, philosophy, credentials
What are responsibilities of staff? - ANSWER: -Provide education and foster
environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes - ANSWER: -No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - ANSWER: -Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced? - ANSWER: Alveoli
How is milk ejected into ducts from alveoli? aka let down - ANSWER: Myoepitheal
cells encase the aveoli, contract in response to oxytocin. In response to sucking
oxytocin increases
Different stages of breast development - ANSWER: - embryogenesis: Mammary
gland while embryo
, - Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin
when progestrone decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop? - ANSWER: 40
days
What happens to estrogen and progesterone during pregnancy and birth? -
ANSWER: Increase during pregnancy, decreases after birth. Helps development of
lobes.
Signs of letdown? - ANSWER: Tingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat - ANSWER: Mammary gland tissue
that extends to axillary area, connected to milk ducts. = Swollen armpits and
mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they lactate? - ANSWER: Diagonal line
from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank? -
ANSWER: Difficulty w/ latch. Nipple shield may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it? - ANSWER: Underdevelopment, insufficient glandular tissue.
No changes during pregnancy, insufficient milk.
What is breast milk composed of? - ANSWER: - Fats: higher in mature milk and
evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA,
kills bacteria
Carbs: Lactose, makes up alories/ energy.
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom.
Minerals: Calcium, phosphorus, magnesium, not affected by diet.
-Mostly water
How is preterm milk different? - ANSWER: Higher in protein and immune factors
Which component of breast milk is most variable? - ANSWER: Lipids
What component of human milk is destroyed by freezing? - ANSWER: Macrophages
B R E A S T assessment - ANSWER: Body position, responses, emotional bonding,
anatomy, suckling, time swallowed
ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
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
What can affect a hc professionals presentation about breastfeeding? - ANSWER: -
Experience, philosophy, credentials
What are responsibilities of staff? - ANSWER: -Provide education and foster
environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes - ANSWER: -No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - ANSWER: -Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced? - ANSWER: Alveoli
How is milk ejected into ducts from alveoli? aka let down - ANSWER: Myoepitheal
cells encase the aveoli, contract in response to oxytocin. In response to sucking
oxytocin increases
Different stages of breast development - ANSWER: - embryogenesis: Mammary
gland while embryo
, - Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin
when progestrone decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop? - ANSWER: 40
days
What happens to estrogen and progesterone during pregnancy and birth? -
ANSWER: Increase during pregnancy, decreases after birth. Helps development of
lobes.
Signs of letdown? - ANSWER: Tingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat - ANSWER: Mammary gland tissue
that extends to axillary area, connected to milk ducts. = Swollen armpits and
mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they lactate? - ANSWER: Diagonal line
from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank? -
ANSWER: Difficulty w/ latch. Nipple shield may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it? - ANSWER: Underdevelopment, insufficient glandular tissue.
No changes during pregnancy, insufficient milk.
What is breast milk composed of? - ANSWER: - Fats: higher in mature milk and
evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA,
kills bacteria
Carbs: Lactose, makes up alories/ energy.
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom.
Minerals: Calcium, phosphorus, magnesium, not affected by diet.
-Mostly water
How is preterm milk different? - ANSWER: Higher in protein and immune factors
Which component of breast milk is most variable? - ANSWER: Lipids
What component of human milk is destroyed by freezing? - ANSWER: Macrophages
B R E A S T assessment - ANSWER: Body position, responses, emotional bonding,
anatomy, suckling, time swallowed
