Download IBCLC Exam (New 2024/ 2025 Update) Questions and Verified Answers| Grade A+| 100% Correct and more Exams Advanced Education in PDF only on Docsity! IBCLC Exam (New 2024/ 2025 Update) Questions and Verified Answers| Grade A+| 100% Correct Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ - Correct Answer-IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: - Correct Answer- prevents/limits the infant's exposure to non human proteins [p759-760] Amy is concerned that her 3 month old may have lactose intolerance and is wondering about trying a lactose free formula instead of breastfeeding. You inquire what symptoms led her to this conclusion. Amy relates that her mother said she was lactose intolerant as an infant. Her baby is gassy and has loose stools. You best response to this mother would be: - Correct Answer-Babies under 3 y/o rarely have lactose intolerance. Tell me more about your baby's behavior. [p 658- 659] A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that _____ - Correct Answer- primary lactose intolerance is rare in newborns & that she should continue to breastfeed [p 658-659] This mother notices something white on her nipple tip. This most probably is: - Correct Answer-a nipple bleb [p.295] The structure represented in this image is a: - Correct Answer- Alveoli, which is the milk producing unit in the breast, lined with lactocytes which produce breastmilk [p 50] When, in the various stages of lactation, does the switch from endocrine to autocrine control occur: - Correct Answer- Lactogenesis II [p.55] During a prenatal breast exam, the expectant mother presents with widely spaced small breasts with mark asymmetry. This anatomical "red flag" is often associated with: - Correct Answer-Insufficient lactation [p. 338] During pregnancy, high circulating plasma levels of progesterone will: - Correct Answer- This new mother came into your office for a consultation. Surgical scars on her breasts indicate she - Correct Answer-has had breast reduction mammoplasty [p.296] Your pt just gave birth to an infant w/ a cleft lip and an intact palate. The mother tells you she wants to breastfeed. Your 1st response is: - Correct Answer-I will assist you with latch on, evaluate a feeding, show you techniques to help the infant transfer milk and support your milk supply. your hospital d/c care plan for a mother with an infant with a cleft of the soft palate may include the following tips EXCEPT: - Correct Answer-No intervention is necessary since a cleft of the soft palate foes not effect breastfeeding. [pg 642-643] infants with severe heart defects face fatigue and the following breastfeeding challenges: - Correct Answer-greater calorie needs a new mother asks you for suggestions about breastmilk storage recommendations for her full term infant. This new mother plans to collect as much extra breastmilk as possible as she must return to work in 2 weeks. Ideally, she'd like to use some of the collected pumped/expressed milk so that her relatives, who will be helping care for the child, can feed the baby too. You tell mom: - Correct Answer-breastmilk, cleanly collected, can be left for up to 6 hrs w/o refrigeration [p 559] before a new mother begins to pump, you would recommend that she wash her hands, use a clean pump kit have available an appropriate storage container and - Correct Answer-gently massage her breasts and begin pumping [pg 379] This mother is using this technique of expressing her milk for her preterm infant. This technique may: - Correct Answer- result in greater milk production [p342 & 380] The fit of this flange for this mother can - Correct Answer- cause pain and low supply [p379] Fat is the most variable component of breast milk. You can use this fact to increase fat content in the breastmilk of a slow to gain infant. Your recommendation would be: - Correct Answer-Feed the baby more often during the day since fat content is higher during the day [p93] the composition of "weaning" milk is - Correct Answer-higher in fat The proportion of proteins in mature breastmilk is approx - Correct Answer-Whey 60%, Casein 40% [p. 96] The major immunological factor in breastmilk is - Correct Answer-IgA [pg 97] Your consultation with a breastfeeding mother should include - Correct Answer-the reason why the mother is seeking help and advice often culture defines the breastfeeding norms and expectations of the mother and her baby. In planning for care, it is most important to take into consideration - Correct Answer-preserving the mothers cultural values while recommending a plan of care [pg 741-743] When you are delivering culturally competent care, introduction can often make a good or bad impression. All of these cues may help you except - Correct Answer-introducing yourself as the breastfeeding expert [741] encouraging breastfeeding o demand would include all of the following EXCEPT - Correct Answer-pumping to establish a supply [183-185] a professional relationship is established when a LC discusses a breastfeeding issue with a mother: - Correct Answer- whether or not the LC is being paid [p.8] A breastfeeding mother is going on vacation and is considering purchasing breastmilk from an internet website. Which statement is correct: - Correct Answer-pasteurized breastmilk from a reputable milk bak is only available by physician prescription [443-444] You could recommend the use of banked donor milk to parents in all of these circumstances EXCEPT: - Correct Answer-a mother is returning to work and would like to provide additional breastmilk [443-444] In treating jaundice, the most significant way phototherapy can impact successful breastfeeding is: - Correct Answer- mother/baby separation [361] A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a bilirubin of 10 and weight loss of 7%. The mother reports that the baby will not wake up and continues to sleep and will not latch onto the breast. Your immediate plan of care would include: - Correct Answer-teach the mother wake up techniques, spoon feed colostrum, and attempt to breastfeed In the infant described in the question above, if he does not awaken for the next feeding, the next steps would be: - Correct Answer-start the mother pumping, pre-feed the infant pumped breastmilk, then attempt breastfeeding [358] You are a LC working in a clinic that serves a primary population of new immigrant mothers. Many of your patients are being treated during their pregnancy for inactive TB with 1st line anti TB drugs. You counsel these mothers to: - Correct Answer-start breastfeeding immediately right after birth and continue taking the meds as prescribed [pg 513] many pregnant women test positive for HSV. Your care plan for breastfeeding with HSV would include all of the following EXCEPT - Correct Answer-continue breastfeeding even if active moist lesions are on the breast [163] Of the following vaccines administered to the mother, which are not safe for the breastfed baby? - Correct Answer- smallpox (it is a live vaccine) This mother complains of nipple soreness. Which of the following could be the cause of this discomfort? - Correct Answer-The mother has inverted nipples with a yeast infection, which can cause pain [290-294] A mother comes to your new nothers support group and you observe her infant after a breastfeeding. You recommend that she: - Correct Answer-make an appt with pedi for possible thrush [291] a mother with diabetes IDDM should be advised - Correct Answer-to breastfeed early and often and supplement with expressed breastmilk if neeed [516] what is the recommendation for breastfeeding mother of a 3 month old who has recently traveled to an area where zika virus is endemic and has a suspected case of the virus? - Correct Answer-breastfeed [cdc.gov] The WHO code requires that manufacturers of infant formula give factual and scientific info to health care workers, but the code does NOT specifically address: - Correct Answer-free supplies given to hospitals premature infants often exhibit an immature sucking reflex characterized by - Correct Answer-the poor coordination of sucking and swallowing in a rhythmic pattern [417-421] which of the following would not be a reason to use this intervention as shown (pic of a nipple shield) - Correct Answer-increase milk production to assist this premature baby with breastfeeding, this mother is - Correct Answer-using the dancer hand position to give support to her infants jaw [621-622] this premature infant (pic of a breastfeeding infant with nasogastric tube taped onto face) - Correct Answer-having nasogastric tube supplementation while breastfeeding so he can be supplemented without bottles [622] in assisting the mother of a premature infant to hold her infant, you put the infant in this position bc (pic of skin to skin) - Correct Answer-skin to skin contact stabilizes the infants body temperature, HR, and RR professional growth of the LC can best be enhanced by - Correct Answer-clinical experience, reading professional journals, public speaking, mentoring new LCs [p.7] relactation is easier for the mother to accomplish of - Correct Answer-she had a good milk supply ad there has been a short interval since the last breast stimulation (breastfeeding or pumping) [p508] domperidone and metoclopramide are galactagogues. both medications significantly: - Correct Answer-raise prolactin levels by inhibiting the action of dopamine at its receptors For optimum breastmilk production, a mother of an adopted baby should be counseled - Correct Answer-pump 8-12 x QD prior to the adoption, then feed the baby at the breast with a feeding tube device [pg 505] Lactational Amenorrhea Method (LAM) can be considered effective contraceptive when: - Correct Answer-the mother is < 6 mo PP w/ no menstrual cycles, the infant is totally breastfed around the clock [485] the form of contraception that would have no impact on milk supply is - Correct Answer-barrier method This infant may have difficulty latching into the breast because he appears to - Correct Answer-have a receding chin [232] This newborn is reacting with which normal newborn reflex? (pic of one arm up one are down) - Correct Answer- asymmetric tonic neck reflex [234-235] this infant is demonstrating - Correct Answer-rooting. [184- 185] during an oral assessment you notice the following anomaly: (pic of tongue tie) - Correct Answer-ankyloglossia [332-335] What is the 1st action u would take when your pt shows u this nipple damage? - Correct Answer-assess the infants breastfeeding position and latch on technique [p254-255] Things to consider when counseling a mother on the use of meds during breastfeeding include: - Correct Answer-older infants are less affected by medications in breastmilk [132] after reviewing this growth chart, you would give the mother the following advice: - Correct Answer-breastfeed while increasing your milk supply and use temporarily supplementation [pg 347-348] Marie, a 38 y/o g1 p0 due in 2 wks is concerned she will not be able to produce enough milk for her infant. The 1st thing you would do would be - Correct Answer-ask her why she is concerned about her milk supply During a routine breastfeeding observation you notice sunken cheeks and clicking sounds while the infant is sucking. You will: - Correct Answer-take the baby off and assist with a relatch [68-69] 1 gram of weight gain = 1ml of milk intake. The use of this formula for test weighing infants before and after feedings: - Correct Answer-helps determine adequate intake in special situations of concern [p344-346] characteristic of a quantitative study are: - Correct Answer- There are controlled variables [pg 683-685] this example of a bell curve: - Correct Answer-? doesnt list answer