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IBCLC EXAM | QUESTIONS & ANSWERS
(VERIFIED) | LATEST UPDATE | GRADED
A+
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:
proliferation of the duct system in the breast during pregnancy is primarily due to Correct Answer: estrogen [pg 54] A new mother tells you that she has implants as she is beginning to breastfeed her infant. One of the most important factors in her health hx to predict successful breastfeeding is Correct Answer: the location of the implant did not damage any nerves to the breast [p 299 - 300] The possible side effects of breast augmentation on breastfeeding are Correct Answer: compromise of the ductal structure [p 299-300] A new mother tells her nurse that she has had breast reduction surgery. In her care plan, you would advise the mother : Correct Answer: to frequently feed her newborn and monitor the babys weight loss, urine, and stool output 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]
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] A new mother tells you that she is returning to work full time at 6 wks and that she wants to continue to breastfeed her baby. She has a pump for work and is already pumping and giving bottles of milk to her baby. Your 1st question to her would be: Correct Answer: What are your goals for breastfeeding after you return to work? [552] Other helpful hints for the employed breastfeeding mother may include Correct Answer: obtaining a breast pump and practicing Physiologic Engorgement is characterized by Correct Answer: mild fullness and heaviness
A mother who is 8 wk PP reports that she has had 2 episodes of mastitis. The following factors could contribute to this reoccurrence: Correct Answer: the mother stopped her antibiotics when she felt better This mother is 5 days pp and complains of breast pain. You notice redness and a lumpy area. The mother does not have a fever. Your suggestion would be to: Correct Answer: feed frequently while massaging the affected area [283-284] Mastitis this severe may have the following consequences: Correct Answer: decreased milk supply in the affected breast [287] This mother is 6 wk PP and reports a fever of 102. The mostly likely reason is: Correct Answer: she has signs of mastitis [284] in optimal support of breastfeeding for this newborn, you would encourage hospital practices to Correct Answer: delay hospital interventions and initiate breastfeeding within an hour of birth [178-181] This mother has placed her infant on her chest to Correct Answer: promote infant self attachment [180-181] Your next step with this newborn would be:
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]
Correct Answer: each baby has to individually learn how to breastfeed and the mother needs to recognize that each baby is feeding effectively A mother of a 2 year old and a newborn contacts you about tandem nursing. The 2 year old wants to nurse frequently. You suggest: Correct Answer: breastfeed the infant 1st, then the toddler vegetarian mothers need a source of vitamin b12, a good source is: Correct Answer: fortified cereals, soy milk, nutritional yeast The rooting instinct helps the infant find his mothers nipple. You can stimulate this reflex by Correct Answer: touching the corner of the mouth the cranial nerve that controls the movements of the tongue is Correct Answer: CN XII [p71] 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: 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] the consistency and color of this newborn stool is (pic of yellowish liquid stool) Correct Answer: normal in breastfed infants You are invited to meet your neighbors new baby, but you do not remember his birth date. By his position and posture, you would estimate that he is: (pic of baby in prone position, isnt able to push self up) Correct Answer: 2 months [582] finger feeding is a useful technique in certain circumstances and can easily be taught to parents. The main advantage of finger feeding is it: Correct Answer: can be used to correct improper tongue movements [80-82]
This mother is using a special bottle feeding technique: Correct Answer: to slow the rate if flow of the milk and encourage the infant to suck stronger [p71] when a mothers nipple appears this way after a breastfeeding, the likely reason could be: Correct Answer: the infant had a shallow latch [pg 254-255] one of the primary advantages of this method of alternative feeding is (pic of baby being cup fed) Correct Answer: the infant is fed but avoids feel of a bottle nipple in the mouth [pg 254- 255] this mother is having great difficulty latching on her baby. Your assessment identifies this condition and you recommend the following to assist with latch on: Correct Answer: The infant has a heart shaped tongue which is an indication of being "tongue tied". Refer the baby to her pedi for eval [pg 332-335] Stephen is a healthy breastfed baby, you would describe his latch on as: Correct Answer: normal the weight of this baby may be inaccurate bc:
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
