PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM 2023-
2024 ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
What is the normal weight loss for the infant during the first few days? -
ANSWER- 5-7% in first 24 hours
Below 10?ter that
How many calories does a lactating mom need? - ANSWER- Moms
need approximately 500 extra calories/day when breastfeeding. Range is
between 1,800 and 2,700 with most moms consuming around 2,200!
What type of supplement do most lactating vegans/bariatric patients
take? - ANSWER- Vitamin B12
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?rbs, 15% protein, 20-30% healthy fats
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.
When would a Habermen feeder be indicated? - ANSWER- In infants
with Down's Syndrome or a Cleft Lip/Palate
What medications are contraindicated in breastfeeding mothers? -
ANSWER- Antimetabolite drugs or chemotherapy, radioisotopes (not
IV contrast dye) and illicit drugs
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. Moms can apply
cold compresses to the area and take Motrin/Tylenol as needed for
discomfort.
What happens to estrogen and progesterone during pregnancy and after
birth? - ANSWER- They increase during pregnancy and then decrease
after birth.
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
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.
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
Where is the milk produced? - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production
(involution) stop? - ANSWER- Approximately 40 days
What are the common signs of milk "let down"? - ANSWER- Tingling,
warmth, fullness, dripping and contractions
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!)
What component of breast milk is the most variable? - ANSWERLipids
What component of human milk is destroyed by freezing? - ANSWERMacrophages
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
What position is centered around the infant attaching themselves to the
breast? - ANSWER- The laid back position (aka the biological position)
When is the Australian/Saddle position helpful? - ANSWER- When
moms are experiencing active let-down
What is the dancer hand? - ANSWER- Mom would have hand below the
breast in a "U" shape; this is good for infants who need good jaw
support
What are signs of milk transfer? - ANSWER- Swallowing - harsh "Ca"
sound; air from nose felt, neck movement visualized
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