PCE Exam Study Guide Questions &
Answers 2024/2025
What is the normal weight loss for the infant during the first few days ? - - ANSWERS5-7% in the first
24hrs and below 10% in the first week
How many calories does a lactating mom need - ANSWERSMoms need approximately 500 extra
calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - ANSWERSsupplement
Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - ANSWERSBabies
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 .
What types of foods ( or diet ) should lactating moms consume ? - ANSWERSMoms 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
When would a Habermen feeder be indicated ? - ANSWERSwith Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - ANSWERSAntimetabolite drugs or
chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - ANSWERSThe 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 .
, What happens to estrogen and progesterone during pregnancy and after birth ? - - ANSWERSThey
increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - ANSWERSThere are nine stages of
the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5.
Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - ANSWERSThe 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 .
Standards of of practice for CBC - - ANSWERSHelp families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWERSANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
ANSWERSApproximately 40 days
What are the common signs of milk " let down " ? - ANSWERSTingling , warmth , fullness , dripping and
contractions
How is preterm milk different than term milk ? - - ANSWERSIt is higher in protein and immune factors
( because the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - ANSWERSLipids
What component of human milk is destroyed by freezing ? - ANSWERSMacrophages
Answers 2024/2025
What is the normal weight loss for the infant during the first few days ? - - ANSWERS5-7% in the first
24hrs and below 10% in the first week
How many calories does a lactating mom need - ANSWERSMoms need approximately 500 extra
calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - ANSWERSsupplement
Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - ANSWERSBabies
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 .
What types of foods ( or diet ) should lactating moms consume ? - ANSWERSMoms 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
When would a Habermen feeder be indicated ? - ANSWERSwith Down's Syndrome or a Cleft Lip / Palate
What medications are contraindicated in breastfeeding mothers ? - ANSWERSAntimetabolite drugs or
chemotherapy , radioisotopes ( not IV contrast dye ) and illicit drugs
What is the Tail of Spence ? What are the symptoms ? How do you treat it ? - ANSWERSThe 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 .
, What happens to estrogen and progesterone during pregnancy and after birth ? - - ANSWERSThey
increase during pregnancy and then decrease after birth .
How many stages of the " Magic Hour " are there ? What are they ? - ANSWERSThere are nine stages of
the " Magic Hour " or " Golden Hour , " they are : 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5.
Rest 6. Crawling 7. Familiarization 8. Suckling 9. Sleep
What is the stomach size of the baby at birth ? - - ANSWERSThe 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 .
Standards of of practice for CBC - - ANSWERSHelp families define and achieve goals
-Problem solving : Assessment , plan , implementation , evaluation
-Education and counseling
-Professionalism
-Legal considerations
Where is the milk produced ? - ANSWERSANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - -
ANSWERSApproximately 40 days
What are the common signs of milk " let down " ? - ANSWERSTingling , warmth , fullness , dripping and
contractions
How is preterm milk different than term milk ? - - ANSWERSIt is higher in protein and immune factors
( because the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - ANSWERSLipids
What component of human milk is destroyed by freezing ? - ANSWERSMacrophages
