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IBCLC QUESTIONS AND ANSWERS

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Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: prevents/limits the infant's exposure to non hu...

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  • September 11, 2022
  • 10
  • 2022/2023
  • Exam (elaborations)
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IBCLC QUESTIONS AND ANSWERS
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:

, 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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