LEC 6 Breastfeeding and
Infant Feeding Essentials
Exam Questions and
Certified Solutions
Graded A+
Denning [Date] [Course title]
,IBCLC - Answer: · International Board Certified Lactation Consultant
· A health care professional who is specialized in the clinical management of lactation
· Certified by the International Board of Lactation Consultant Examiners
· Some private insurance plans cover IBCLC consultation services
· IBCLCs have:
o Over 90 hours of accredited lactation education
o Minimum 1000 hours of lactation support experience before writing the IBLCE exam
o Have passed the IBLCE exam in order to obtain the IBCLC credential
o Recertify every 5 years with minimum 75 hours accredited continuing education
principles of family centred care - Answer: · Mothers and babies are mutually interdependent units
(dyads)
· BF is the unequalled method of infant feeding
· Respect parents informed choices
o Remember: culture, personal experiences, knowledge, marketing, and attitudes all affect decision-
making
Goal: Support each dyad and their family to feed their baby the best possible way within their unique
lived context
WHO recommendations - Answer: · Exclusive breastfeeding (BF) for the first 6 months of life for
healthy, term infants with the introduction of nutrient rich complementary food at 6 months, and
continued partial BF up to 2 years or beyond.
· Daily Vitamin D supplement (until 1 year) à 400 IU/day "D-drops"
· If weaned before 1 year- recommend iron-fortified Step 1 commercial infant formula (until 1 year)
· Focus on introducing Iron rich foods at 6 months
6 months? - Answer: · By 6 months, babies reach several growth and developmental milestones
indicating that they are ready to begin eating complementary foods:
o Gut closure - maturation of the gut
o Ability to sit up on their own
o Tongue protrusion reflex has subsided
, ways to feed an infant - Answer: · Exclusive Breastfeeding (optimal - recommended)
· Breast Milk/Expressed Breast Milk (EBM)
o Pumping (EBM)
o Donor milk
o Cup feeding, spoon feeding, supplemental nursing systems (SNS)
o Bottles
o NG tube
o Informal milk sharing
· Mixed Feeding (partial breastfeeding)
· Formula Feeding
· Cross Nursing and Wet Nursing
language is important - Answer: · Careful using the word natural
· Remember:
o Breastfeeding is a learned skill between 2 people (one of whom hasn't read the books, websites, blogs,
pamphlets, and the other may have specific expectations)
o What is normal for one dyad may be very different from what is normal for another.
o What is best for one dyad may not be the best for another.
breastmilk - Answer: · Human milk is so much more than nutrition!
o Commercial Infant Formula
o Breast milk / Human milk
properties of breastmilk - Answer: · Composition of milk changes over time to meet the nutritional and
immunological needs of the infant
· Enhances the maturation of the GI tract/gut microbiome
· Contains anti-infective and nutritional components, growth factors, enzymes that aid in digestion and
absorption of nutrients, and fatty acids for brain development
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