PCE Certified Breastfeeding Counselor
Exam with complete solutions latest
version
Standards .of .of .practice .for .CBC .- .CORRECT .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? .-
.CORRECT .ANSWER--Experience, .philosophy, .credentials
What .are .responsibilities .of .staff? .- .CORRECT .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 .- .CORRECT .ANSWER--No
.advertising
-No .free .sample
- .Scientific .info
Not .law .but .should .be .use
Baby .friendly .10 .steps .- .CORRECT .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? .- .CORRECT .ANSWER-Alveoli
, How .is .milk .ejected .into .ducts .from .alveoli? .aka .let .down .- .CORRECT
.ANSWER-Myoepitheal .cells .encase .the .aveoli, .contract .in .response .to .oxytocin.
.In .response .to .sucking .oxytocin .increases
Different .stages .of .breast .development .- .CORRECT .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? .-
.CORRECT .ANSWER-40 .days
What .happens .to .estrogen .and .progesterone .during .pregnancy .and .birth? .-
.CORRECT .ANSWER-Increase .during .pregnancy, .decreases .after .birth. .Helps
.development .of .lobes.
Signs .of .letdown? .- .CORRECT .ANSWER-Tingling, .warmth, .fullness, .dripping,
.contractions
Tail .of .spence: .What .is .it, .symptoms, .how .to .treat .- .CORRECT .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? .- .CORRECT
.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? .-
.CORRECT .ANSWER-Difficulty .w/ .latch. .Nipple .shield .may .help. .
Short .shank= .retraction .w/ .stimulation
Hypoplasia, .what .is .it? .- .CORRECT .ANSWER-Underdevelopment, .insufficient
.glandular .tissue. .No .changes .during .pregnancy, .insufficient .milk.
What .is .breast .milk .composed .of? .- .CORRECT .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? .- .CORRECT .ANSWER-Higher .in .protein .and
.immune .factors
Exam with complete solutions latest
version
Standards .of .of .practice .for .CBC .- .CORRECT .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? .-
.CORRECT .ANSWER--Experience, .philosophy, .credentials
What .are .responsibilities .of .staff? .- .CORRECT .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 .- .CORRECT .ANSWER--No
.advertising
-No .free .sample
- .Scientific .info
Not .law .but .should .be .use
Baby .friendly .10 .steps .- .CORRECT .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? .- .CORRECT .ANSWER-Alveoli
, How .is .milk .ejected .into .ducts .from .alveoli? .aka .let .down .- .CORRECT
.ANSWER-Myoepitheal .cells .encase .the .aveoli, .contract .in .response .to .oxytocin.
.In .response .to .sucking .oxytocin .increases
Different .stages .of .breast .development .- .CORRECT .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? .-
.CORRECT .ANSWER-40 .days
What .happens .to .estrogen .and .progesterone .during .pregnancy .and .birth? .-
.CORRECT .ANSWER-Increase .during .pregnancy, .decreases .after .birth. .Helps
.development .of .lobes.
Signs .of .letdown? .- .CORRECT .ANSWER-Tingling, .warmth, .fullness, .dripping,
.contractions
Tail .of .spence: .What .is .it, .symptoms, .how .to .treat .- .CORRECT .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? .- .CORRECT
.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? .-
.CORRECT .ANSWER-Difficulty .w/ .latch. .Nipple .shield .may .help. .
Short .shank= .retraction .w/ .stimulation
Hypoplasia, .what .is .it? .- .CORRECT .ANSWER-Underdevelopment, .insufficient
.glandular .tissue. .No .changes .during .pregnancy, .insufficient .milk.
What .is .breast .milk .composed .of? .- .CORRECT .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? .- .CORRECT .ANSWER-Higher .in .protein .and
.immune .factors
