2024-2025 QUESTIONS AND DETAILED ANSWERS
The AAP Statement recommends pacifiers for infants in the following
situations:
a) Whenever the infant is in a prone position
b) All infants under 4 weeks of age
c) Breastfed infants over 4 weeks of age
d) Families with a history of SIDS - ANSWER-c) Breastfed infants over 4
weeks of age
Which of the following nutritional advice for breastfeeding women is
evidence-based?
a) Increase caloric intake by 500 calories per day
b) Drink enough fluids to satisfy thirst
c) Avoid spicy foods as they will affect the baby's digestion
d) Drink at least 2, 8 oz. glasses of milk per day - ANSWER-b) Drink
enough fluids to satisfy thirst
Which of the following would be perceived as a conflict of interest for an
IBCLC)
a) Working as a lactation consultant for a non-Baby Friendly Hospital
b) Suggesting the use of formula to supplement a low weight gaining baby
c) Including her name on a list of private practice IBCLCs given out at the
hospital
,d) Speaking at a conference where her honoria is paid by a formula
company - ANSWER-d) Speaking at a conference where her honoria is
paid by a formula company
The most important reason to provide breast milk to infants during a
disaster is:
a) Unavailability of ready-to-feed formula
b) Prevention of GI diseases such as diarrhea
c) Breast milk will be at the correct temperature
d) Water for reconstitution of formula may not be available or safe -
ANSWER-b) Prevention of GI diseases such as diarrhea
Slade is able to stick his tongue out over his lower gum because of which
nerve?
a) Trigeminal
b) Hypoglossal
c) Facial
d) Glossopharyngeal - ANSWER-b) Hypoglossal
A pregnant woman who attended your breastfeeding class calls to tell you
that she has found out that she is HIV positive and she has been told she
can't breastfeed. What is the first thing you would say to her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without
any problems
,c) If you determine that you will exclusively breastfeed without giving any
supplements, you can go ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much
you were looking forward to breastfeeding your baby - ANSWER-d) I'm
so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby
Christie comes in for a breastfeeding assessment, and it's evident that her
baby is getting too much milk
Georgia asks you how long Mimosa should breastfeed each time. What
do you tell her?
a) At least 10 minutes on the first side and as long as she wants on the
second.
b) She doesn't need to breastfeed any longer than about 7 minutes on a
side because 90% of the milk is gone by then.
c) At least 15 minutes on each breast to make sure the breasts receive
equal stimulation
d) Until Mimosa stops breastfeeding on the first side, then offer the
second. - ANSWER-d) Until Mimosa stops breastfeeding on the first side,
then offer the second
Which category of drugs is a breastfeeding mother most likely to take?
a) Antibiotics
b) Antidepressants
, c) Analgesics
d) Antiemetics - ANSWER-c) Analgesics
The birth spacing effects of breastfeeding are most beneficial for:
a) Infant well-being
b) Lactational amenorrhea
c) Maternal recovery from childbirth
d) Increasing ovulation - ANSWER-c) Maternal recovery from childbirth
Lactoferrin is a whey protein that is protective against infection through:
a) Preventing the bacteria from ingesting fat
b) Destabilizing the outer cell membrane of bacteria
c) Attaching itself to the bacteria, thus preventing replication
d) Increasing the amount of IgA available to the infant - ANSWER-b)
Destabilizing the outer cell membrane of bacteria
You are an IBCLC that is due to recertify by exam at your 10 year mark.
On your way to the exam site, you are in a car accident which lands you in
the hospital for a couple of days, so you miss the exam. Which of the
following is your first best course of ethical action?
a) Continue to use your IBCLC designation and sign up for the exam the
next time it's offered
b) Call IBCLC as soon as possible to explain what happened; abide by
their directives regarding use of the IBCLC designation