PCE CERTIFIED BREASTFEEDING
COUNSELOR EXAM 2023/2024 VERSION REAL
EXAM 90 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
What is the normal weight loss for the infant during the first few days ? - - ANSWER>>5-7% in
the first 24hrs and below 10% in the first week
How many calories does a lactating mom need - ANSWER>>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 ? - -
ANSWER>>supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? -
ANSWER>>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 ? - ANSWER>>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 ? - ANSWER>>with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - ANSWER>>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 ? - ANSWER>>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 ? - -
ANSWER>>They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - ANSWER>>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 ? - - ANSWER>>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 - - ANSWER>>Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWER>>ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
ANSWER>>Approximately 40 days
What are the common signs of milk " let down " ? - ANSWER>>Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - - ANSWER>>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 ? - ANSWER>>Lipids
What component of human milk is destroyed by freezing ? - ANSWER>>Macrophages
When is the side - lying position helpful ? - ANSWER>>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 ? - -
ANSWER>>The laid back position ( aka the biological position )
COUNSELOR EXAM 2023/2024 VERSION REAL
EXAM 90 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
What is the normal weight loss for the infant during the first few days ? - - ANSWER>>5-7% in
the first 24hrs and below 10% in the first week
How many calories does a lactating mom need - ANSWER>>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 ? - -
ANSWER>>supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? -
ANSWER>>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 ? - ANSWER>>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 ? - ANSWER>>with Down's Syndrome or a Cleft
Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - ANSWER>>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 ? - ANSWER>>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 ? - -
ANSWER>>They increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - ANSWER>>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 ? - - ANSWER>>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 - - ANSWER>>Help families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWER>>ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
ANSWER>>Approximately 40 days
What are the common signs of milk " let down " ? - ANSWER>>Tingling , warmth , fullness ,
dripping and contractions
How is preterm milk different than term milk ? - - ANSWER>>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 ? - ANSWER>>Lipids
What component of human milk is destroyed by freezing ? - ANSWER>>Macrophages
When is the side - lying position helpful ? - ANSWER>>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 ? - -
ANSWER>>The laid back position ( aka the biological position )
