IBCLC Exam Test Questions And Answers Verified 100% Correct

IBCLC Exam Test Questions And Answers Verified 100% Correct When assessing the tongue you should look for all of the following: - ANSWER 1. shape 2. restrictions 3. position 4. abnormalities True or false: an infant who is struggling with a fast flow will break suction on their own - ANSWER True! How does the palate get shaped in utero? - ANSWER The tongue pressed against it Bubble palates result from what? - ANSWER Tongue Tie. The tongue is not able to extend all the way to the middle of the palate due to the restriction. So where the tongue is anchored, you will feel a bubble on the palate What is the job of the hard palate during a feeding? - ANSWER It opposes the tongue helping to compress the nipple and maintain its position in the mouth What are Epstein's pearls? - ANSWER They are small, round, white cysts that are found on the ridge of the hard palate or gums and they usually go away within 2 months (do not affect BF) Epstein's Pearls can sometime be mistaken for what? - ANSWER teeth or thrush What is a partial or incomplete cleft lip? - ANSWER Small gap or indentation of the lip What is the difference between a unilateral and bilateral complete cleft lip? - ANSWER Unilateral refers to 1 side, bilateral refers to both sides and complete means that it continues into the nose. What is an incomplete cleft palate? - ANSWER A "hole" in the roof of the mouth, usually as a cleft soft palate What is a complete cleft palate? - ANSWER Soft and hard palate, possibly including a gap in the jaw Why does a cleft palate make BF more difficult? - ANSWER Because the infant is unable to seal the oral cavity to create suction What is a submucosal cleft? - ANSWER A defect in the closure of the shelves behind the hard palate. These are hard to identify because a thin layer of skin grows over the hole How do you identify a submucosal cleft? - ANSWER By shining a light on the palate-it reveals a translucent area What is a bifurcated uvula and what does it usually indicated? - ANSWER A forked uvula that usually reveals a cleft defect What does nasal regurgitation usually indicate? - ANSWER Cleft palate What position helps a prevent nasal regurgitation and aspiration? - ANSWER sitting up right What are Alveoli? - ANSWER Small cavity in breast lined with lactocytes What is a lactocyte? - ANSWER Milk producing cell What are the cranial nerves and what is the acronym? - ANSWER I. Olfactory-smell II. Optic-sight III. Oculomotor-movement of the eye IV. Trochlear- movement of the eye up and down V. Trigeminal- muscle of mastication* VI. Abducens- moves the eye away from the center of the body VII. facial-moves the muscles of the face* VIII. auditory (vestibulocochlear) hearing and equilibrium IX. Glossopharyngeal- taste, sensation in the pharynx* X. Vagus-larynx and pharynx* XI. Spinal accessory-muscles of the neck and shoulder* XII. Hypoglossal-muscles of the tongue* "On Old Olympus' Towering Top A Fin and German Vend Some Hops" What does the sternohyoid muscle do? - ANSWER Depresses the hyoid and larynx what does the Omohyoid muscle do? - ANSWER Depresses the Hyoid What does the Thyrohyoid muscle do? - ANSWER Raises and changes the form of the larynx What is the buccinator and masseter muscles and what do they do? - ANSWER Sucking pads that consist of fatty tissue in the cheek that provide stability of the nipple during sucking What is the lingual frenulum? And if it is short, more posterior or anterior what does it cause? - ANSWER Fold of the mucous membrane extending from the floor of the mouth to the midline under the surface of the tongue. Can cause tongue tie What is the labial frenulum and if it is short or extends what does it cause? - ANSWER Membrane that attaches the lips to the gum ridge. if it is short or attaches to the papilla it can cause a lip tie What is the oropharnyx? - ANSWER Area between the elevated soft palate and epiglottis Where do the estuation tubes originate? - ANSWER Nasopharynx What does the oral anatomy consist of? - ANSWER Nose, mouth, pharynx, airways, and esophagus From birth-6 months the ____ ____ and _____ are close in proximity - ANSWER Soft palate and epiglottis From birth-6 months that oral cavity is _____ - ANSWER short What happens to the oral cavity between 6-12 months? - ANSWER The oral cavity elongates vertically. Soft palate and epiglottis are no longer close in proximity, and now the larynx must elevate farther to allow the epiglottis to fully seal during a swallow What are the two oral reflexes during a feeding? - ANSWER 1. Adaptive (rooting and sucking) 2. Protective (gag and cough) What does non-nutritive sucking help with? - ANSWER 1. Increase peristalsis of GI tract 2. Enhance secretion of digestive fluids 3. Decrease infant crying and helps them find a calm state 4. Reduces risk for sids What doe MER stand for? - ANSWER Milk Ejection Reflex What controls the volume of milk? - ANSWER MER