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Certified Breastfeeding Counselor Exam Prep 2025–2026 | Verified Study
Guide with Questions, Correct Answers & Detailed Rationales
1. What is the normal weight loss for the infant during the first few days
ANS 5-7% in the first 24hrs and below 10% in the first week
2. How many calories does a lactating mom need
ANS: Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700
with most mons consuming around 2,200
3. What type of supplement do most lactating vegans / bariatric patients take
ANS supplement Vitamin B12
4. How much vitamin D does a baby need ? When do they need to be supple- mented
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ANS 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 .
5. What types of foods ( or diet ) should lactating moms consume
ANS 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
6. When would a Habermen feeder be indicated
ANS with Down's Syndrome or a Cleft Lip / Palate
7. What medications are contraindicated in breastfeeding mothers
ANS An- timetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
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8. What is the Tail of Spence ? What are the symptoms ? How do you treat it
ANS 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 .
9. What happens to estrogen and progesterone during pregnancy and after birth
ANS They increase during pregnancy and then decrease after birth .
10.How many stages of the " Magic Hour " are there ? What are they
ANS 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
11.What is the stomach size of the baby at birth
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Certified Breastfeeding Counselor Exam Prep 2025–2026 | Verified Study
Guide with Questions, Correct Answers & Detailed Rationales
1. What is the normal weight loss for the infant during the first few days
ANS 5-7% in the first 24hrs and below 10% in the first week
2. How many calories does a lactating mom need
ANS: Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700
with most mons consuming around 2,200
3. What type of supplement do most lactating vegans / bariatric patients take
ANS supplement Vitamin B12
4. How much vitamin D does a baby need ? When do they need to be supple- mented
1/
,2 | Page
ANS 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 .
5. What types of foods ( or diet ) should lactating moms consume
ANS 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
6. When would a Habermen feeder be indicated
ANS with Down's Syndrome or a Cleft Lip / Palate
7. What medications are contraindicated in breastfeeding mothers
ANS An- timetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
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, 3 | Page
8. What is the Tail of Spence ? What are the symptoms ? How do you treat it
ANS 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 .
9. What happens to estrogen and progesterone during pregnancy and after birth
ANS They increase during pregnancy and then decrease after birth .
10.How many stages of the " Magic Hour " are there ? What are they
ANS 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
11.What is the stomach size of the baby at birth
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