IBCLC Exam Questions And Answers Verified 100% Correct

IBCLC Exam Questions And Answers Verified 100% Correct HMO's (Human Milk Oligosaccharides) - ANSWER -Serve as prebiotics for the "good" bacteria in the baby's gut -Act as a decoy receptors to prevent pathogens from attaching to the infant's mucosal surfaces -Team up with good bacteria to produce sialic acid that helps grow the infant's brain Prebiotic - ANSWER Compound in food that induces the growth or activity of beneficial bacteria in the gut microbiome HMO's - ANSWER These are believed to protect premature infant's from necrotizing enterocolitis (NEC) Carbohydrates found in human milk - ANSWER -Lactose -Oligosaccharides -Glycoconjugates .9% - ANSWER Total protein in mature milk Human milk - ANSWER Contains the lowest amount of protein of all mammalian milk The numerous functions of the protein in human milk - ANSWER -Provide essentia amino acids for growth -Provide protection against infection -Carriers for hormones and vitamins -Provide enzymatic and other biological activities Cholecystokinin - ANSWER A hormone that helps digestion and provides a feeling of fullness, well-being and sleepiness Leptin - ANSWER Hormone that regulates appetite, food intake and energy metabolism. Also, may lower a breastfeeding baby's risk of childhood obesity Melatonin - ANSWER The hormone that promotes sleep and digestion. It's secreted in breast milk in circadian rhythm. It's barely detected in the daytime but roses in the evening, peaking at 3am Cortisol - ANSWER Hormone that is present in relatively high concentration in colostrum, then declines. It promotes alertness-levels are 3 times higher in the morning milk than evening milk. It is also released during chronic stress l Immunoglobulin A (IgA), in the form of secretory IgA (sIgA). - ANSWER The main immunoglobulin in human milk, accounting for 80-90% of all of the antibodies Secretory IgA - ANSWER A special form of IgA that is not digested by the acid in the stomach or any of the enzymes in the baby's gut. It is especially high in colostrum in the first 72 hours after birth. It then declines a bit after that, but substantial levels are maintained throughout the first four months. sIgA - ANSWER The infant's ability to make this is very deficient at birth and they only start to slowly produce it during the first few months after birth. Therefore, IgA in human milk provides important immune protection to the baby. secretory differentiation - ANSWER Also known as Lactogenesis I Cephalohematoma - ANSWER Bleeding above periosteum, causes soft bump on head, does not cause an increase in intercranial pressure, does not cross suture lines, can cause jaundice due to the reabsorption of RBC's. No Tx is needed - will go away on it's own. Kernicterus - ANSWER Bilirubin encephalopathy, a form of brain damage resulting from extremely high levels of bilirubin entering the brain What is one reason that preterm infants have difficulty with breastfeeding? - ANSWER They lack buccal fat pads which provide stability for tongue grooving during sucking and provide structural integrity to the cheeks during sucking Scar under the breast - ANSWER Breast augmentation with where the incision is made under the breast and for the implant to be placed under the tissue or muscle. SUPC (Sudden, Unexpected Postnatal Collapse) - ANSWER Occurs when infants considered healthy stop breathing after skin to skin due to improper placement or monitoring after birth. It commonly occurs during or after initial breastfeeding of skin toskin contact which vitamin deficiencies are most likely in a breastfeeding mother - ANSWER Mothers who get 2200 calories per day may need extra calcium, zinc, magnesium, thiamin (vitamin B1), vitamin B-6 & vitamin E. Name the 4 fat soluble vitamins - ANSWER Vitamins A, D, E, and K are fat-soluble vitamins. They are present in foods containing fats. The body absorbs these vitamins as it does dietary fats. They do not dissolve in water. What are the 4 intrinsic muscles of the tongue? - ANSWER superior longitudinal muscle of the tongue. inferior longitudinal muscle of the tongue. transverse muscle of the tongue. vertical muscle of the tongue What are the 4 extrinsic muscles of the tongue? - ANSWER P: palatoglossus. S: styloglossus. G: genioglossus. H: hyoglossus. When are the levels of secretory IgA (sIgA) highest in human milk? - ANSWER Secretory IgA is biggest in the first 25 hours, with levels up to 15 times higher than at any other stage of lactation. Intent to treat - ANSWER This research design allocates participants to groups according to a planned intervention. Bromocriptine - ANSWER A drug that has been used to suppress lactation Symptoms of Candida (yeast) infection - ANSWER Burning pain Stabbing pain Non-stabbing pain Shiny skin Flaky skin Fetal Alcohol Syndrome Signs - ANSWER Appearance-thin upper lip, flat space under nose, small eyes Slower growth Feeding difficulties Why may a late preterm infant consistently fall asleep at the breast? - ANSWER His suck has low intraoral pressure (vacuum) due to gestational age Babinski reflex - ANSWER Flare toes when sole of foot is stimulated Why do drugs pass more easily into milk during the colostral phase of lactation? - ANSWER Because the intracellular spaces between lactocytes are small. With closure of the intercellular spaces, the transfer of maternal medications is greatly reduced. The most influential maternal factors that affect relative oral absorption and plasma levels of medication are: - ANSWER Maternal plasma levels Molecular weight of the medication Oral bioavailability of the medication in mother and infant