IBCLC Exam
Questions and
Correct Answers
Graded A+
Denning [Date] [Course title]
,% of breastmilk that is carbohydrates - Answer: Approximately 7%
Wikipedia. en.wikipedia.org/wiki/Breast_milk.
% of breastmilk that is fat - Answer: Approximately 4%
Hale and Hartman, 2007. Textbook of Human Lactation, page 50.
% of breastmilk that is protein - Answer: Approximately .8 - 1 %
Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272.
% of calories in breastmilk from carbohydrates - Answer: Approximately 40%
Hale and Hartman, 2007. Textbook of Human Lactation, page 69.
% of calories in breastmilk from fat - Answer: Approximately 50%
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 124.
% of calories in breastmilk from protein - Answer: Approximately 10%
Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272.
Acinus - Answer: Any of the small sacs or alveoli that terminate the ducts and are lined with secretory
cells.
Merriam-Webster Medical Dictionary. Available online:
http://www.merriam-webster.com/medical/acinus?show=0&t=1296699192
Acrocyanosis - Answer: Bluish discoloration of the hands and feet in the newborn; peripheral cyanosis.
Should not persist beyond 24 hours after birth.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
Active immunity - Answer: Immunity conferred by the production of antibodies by one's own immune
system.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 868.
,Active transport - Answer: Passage of drug into breastmilk assisted by components in breastmilk.
Hale & Hartman, 2007. Textbook of Human Lactation, page 470.
Acyclovir/Zovirax - Answer: Antiviral used to treat herpes infections, L2.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.
Aerobic bacteria - Answer: Bacteria requiring air for metabolic processes. The breast is colonized with
this type of bacteria.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
AGA - Answer: Appropriate for Gestational Age. Having a birth weight between the 10th and 90th
percentile on intrauterine growth charts.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 671.
Alcohol and breastfeeding - Answer: Alcohol can decrease milk supply. Breastfeeding must be
interrupted for 1 hour per drink, or until mother is sober.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 171 & 188.
Aldomet/Methyldopa - Answer: Antihypertensive, L2. Frequently used to treat hypertension during
pregnancy. No concerns reported via breastmilk.
Hale, 2010. Medications and Mother's Milk (14th ed.), page 667.
Allergen - Answer: A substance that causes an allergic response, such as foods, drugs, inhalants. Cow's
milk is common source for infants.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
Αlphalactalbumin - Answer: A major protein found in human milk whey. Assists in processing lactose.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
, Alveolar ridge - Answer: The ridges on the upper and lower jaw where infant's teeth will grow.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
Alveolus, alveoli - Answer: Secrete and store milk for let down. Surrounded by myoepithelial cells,
contractile cells and connective tissue.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 80.
Amenorrhea - Answer: A natural phase of infertility that takes place when a mother is exclusively
breastfeeding. Menstruation has not returned.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 707 &865.
Amoxicillin - Answer: Antibiotic, L2. Observe for change in intestinal flora, compatible.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.
Ampicillin - Answer: Antibiotic, L1. Observe for change in intestinal flora, compatible.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.
Anaphylaxis - Answer: Hypersensitivity (as to foreign proteins or drugs) resulting from sensitization
following prior contact with the causative agent.
Merriam-Webster Medical Dictionary. www.merriam-webster.com/medical/anaphylaxis.
Anchor scar - Answer: Surgical technique for breast reduction, slang.
Ankyglossia - Answer: A tongue tie. Characterized by a thick, short, or tight frenulum under the tongue.
Can cause breastfeeding issues, such as a painful latch or inefficient milk transfer.
Anterior pituitary - Answer: This gland releases prolactin into the blood effecting milk production and
ejection. It is susceptible to stress.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 91.