Certified Breastfeeding Counselor PCE exam ALL QUESTIONS AND CORRECT ANSWERS LATEST UPDATE THIS YEAR

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Certified Breastfeeding Counselor PCE exam
ALL QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE THIS YEAR


QUESTION: What is the stomach size of the baby at birth ? - - ANSWER-The baby's stomach is

only the size of a marble , button or grape at birth . It can only hold 1-7 mL or 1-2 teaspoons at

this time .




QUESTION: 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




QUESTION: Where is the milk produced ? - ANSWER-ANSWER- In the alveoli




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QUESTION: How long after cessation of breast feeding does milk production ( involution ) stop ?

- - ANSWER-Approximately 40 days




QUESTION: What are the common signs of milk " let down " ? - ANSWER-Tingling , warmth ,

fullness , dripping and contractions




QUESTION: How is preterm milk different than term milk ? - - ANSWER-It is higher in protein

and immune factors ( because the body KNOWS this is what the preemie needs ! )


Q; What is the normal weight loss for the infant during the first few days ? - - ANSWER-5-7% in

the first 24hrs and below 10% in the first week




QUESTION: How many calories does a lactating mom need - ANSWER-Moms need

approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700 with most

mons consuming around 2,200




QUESTION: What type of supplement do most lactating vegans / bariatric patients take ? - -

ANSWER-supplement Vitamin B12




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QUESTION: How much vitamin D does a baby need ? When do they need to be supplemented ?

- ANSWER-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 .




QUESTION: What types of foods ( or diet ) should lactating moms consume ? - ANSWER-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




QUESTION: When would a Habermen feeder be indicated ? - ANSWER-with Down's Syndrome

or a Cleft Lip / Palate




QUESTION: What medications are contraindicated in breastfeeding mothers ? - ANSWER-

Antimetabolite drugs or chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs




QUESTION: What is the Tail of Spence ? What are the symptoms ? How do you treat it ? -

ANSWER-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 .



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Moms can apply cold compresses to the area and take Motrin / Tylenol as needed for

discomfort .




QUESTION: What happens to estrogen and progesterone during pregnancy and after birth ? - -

ANSWER-They increase during pregnancy and then decrease after birth .




QUESTION: How many stages of the " Magic Hour " are there ? What are they ? - ANSWER-

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




QUESTION: What component of breast milk is the most variable ? - ANSWER-Lipids




QUESTION: What component of human milk is destroyed by freezing ? - ANSWER-Macrophages




QUESTION: When is the side - lying position helpful ? - ANSWER-In moms that are sleepy or

have lacerations / repairs that put pressure and cause discomfort on the perineal area




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