IBCLC 2024/2025 EXAM QUESTIONS WITH CORRECT
ANSWERS RATED 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 1 / 2
After breastfeeding this mother complains of extreme pain in both of her nipples. You may discuss with
her the following causes: - Correct Answer she likely has Raynaud's syndrome
A breastfeeding mother comes into your office with a lump in her right breast. She reports that she has a hx of plugged ducts. Her doctor diagnosed a galactocele by US. You explain to her that a galactocele is a benign cyst in the ducts of the breast and - Correct Answer can be aspirated and refilled with milk [p301] which nerve supplies the greatest amount of sensation to the areola? - Correct Answer 4th intercostal nerve [p301] the PP RN calls you to the bedside of a breastfeeding mother with a 4 day old infant. The mother complains of tenderness and swelling in the axillary region. You explain to the mother that: - Correct Answer This mammary tissue swellin can be reduced with cool compresses. This accessory mammary tissue will involute in a few days, w/o affecting milk supply [p54] In the breast, the system of ductules converge behind the nipple which, - Correct Answer widen temporarily in response to the milk ejection reflex [p 80-81] 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]
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