Page 1 of 33
PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Standards of of practice for CBC .....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? .....ANSWER.....-Experience, philosophy,
credentials
What are responsibilities of staff? .....ANSWER.....-Provide
education and foster environment
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-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 .....ANSWER.....-No
advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps .....ANSWER.....-Written policy
-Proper training
-Proper education
,Page 3 of 33
-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? .....ANSWER.....Alveoli
How is milk ejected into ducts from alveoli? aka let down
.....ANSWER.....Myoepitheal cells encase the aveoli, contract in
response to oxytocin. In response to sucking oxytocin increases
Different stages of breast development .....ANSWER.....-
embryogenesis: Mammary gland while embryo
, Page 4 of 33
- 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? .....ANSWER.....40 days
What happens to estrogen and progesterone during pregnancy
and birth? .....ANSWER.....Increase during pregnancy, decreases
after birth. Helps development of lobes.
Signs of letdown? .....ANSWER.....Tingling, warmth, fullness,
dripping, contractions
PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Standards of of practice for CBC .....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? .....ANSWER.....-Experience, philosophy,
credentials
What are responsibilities of staff? .....ANSWER.....-Provide
education and foster environment
,Page 2 of 33
-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 .....ANSWER.....-No
advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps .....ANSWER.....-Written policy
-Proper training
-Proper education
,Page 3 of 33
-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? .....ANSWER.....Alveoli
How is milk ejected into ducts from alveoli? aka let down
.....ANSWER.....Myoepitheal cells encase the aveoli, contract in
response to oxytocin. In response to sucking oxytocin increases
Different stages of breast development .....ANSWER.....-
embryogenesis: Mammary gland while embryo
, Page 4 of 33
- 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? .....ANSWER.....40 days
What happens to estrogen and progesterone during pregnancy
and birth? .....ANSWER.....Increase during pregnancy, decreases
after birth. Helps development of lobes.
Signs of letdown? .....ANSWER.....Tingling, warmth, fullness,
dripping, contractions
