PCE CERTIFIED BREASTFEEDING
COUNSELOR EXAM ACTUAL EXAM
150 QUESTIONS AND CORR ECT
DETAILED ANSWERS|ALREADY
GRADED A+
Question 1: What is the normal weight loss for the infant
during the first few days?
CORRECT ANSWER : 5-7% in the first 24hrs and below
10% in the first week
Question 2: How many calories does a lactating mom need?
CORRECT ANSWER : Moms need approximately 500 extra
calories/day when breastfeeding. Range is 1,800-2,700 with most moms consuming around 2,200
Question 3: What type of supplement do most lactating
vegans/bariatric patients take?
CORRECT ANSWER : Supplement Vitamin B12
Question 4: How much vitamin D does a baby need? When
do they need to be supplemented?
CORRECT 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 5: What types of foods (or diet) should lactating
moms consume?
CORRECT 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 6: When would a Haberman feeder be indicated?
CORRECT ANSWER : With Down's Syndrome or a Cleft
Lip/Palate
Question 7: What medications are contraindicated in
breastfeeding mothers?
CORRECT ANSWER : Antimetabolite drugs or
chemotherapy, radioisotopes (not IV contrast dye), and illicit drugs
Question 8: What is the Tail of Spence? What are the
symptoms? How do you treat it?
CORRECT 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.
Question 9: What happens to estrogen and progesterone
during pregnancy and after birth?
CORRECT ANSWER : They increase during pregnancy and
then decrease after birth.
Question 10: How many stages of the "Magic Hour" are
there? What are they?
CORRECT ANSWER : There are nine stages of the "Magic
Hour" or "Golden Hour": 1. Birth cry 2. Relaxation 3.
Awakening 4. Activity 5. Rest 6. Crawling 7. Familiarization
- Suckling 9. Sleep
Question 11: What is the stomach size of the baby at birth?
CORRECT 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 12: Standards of practice for CBC
CORRECT ANSWER : - Help families define and achieve
goals
- Problem solving: Assessment, plan, implementation,
evaluation
- Education and counseling
- Professionalism
- Legal considerations
