IBCLC Comprehensive Certification Exam || With All Correct Solutions (Rated A+)

IBCLC Comprehensive Certification Exam || With All Correct Solutions (Rated A+) IBCLC Comprehensive Certification Exam || With All Correct Solutions (Rated A+) What is the first question to consider when helping a breastfeeding mother with a medication question? A) What is the relative infant dose of the medication? B) What is the protein binding of the medication? C) What is the molecular weight of the medication? D) Is the medication really necessary to take now? - ANSWER - D Which drug property results in more transfer of the drug into the mother's milk? A) Molecular weight 800 Daltons B) High protein binding C) High lipid solubility D) Low maternal plasma concentration - ANSWER - C When it comes to medications and breastfeeding, drugs with a shorter half-life are preferred. How many half-lives until it is generally considered that the drug is eliminated from the system? A) 3 B) 5 C) 7 D) 9 - ANSWER - B If a woman is given 80 mg of a drug to treat a urinary tract infection - and the drug has a half-life of 3 hours - how much will be left in her system after 3 half-lives? A) 40 mg B) 20 mg C) 10 mg D) 5 mg - ANSWER - C What is considered a high enough molecular weight that the medication will be too big to easily get into the breast milk compartment? A) 200 Daltons B) 300 Daltons C) 400 Daltons D) More than 800 Daltons - ANSWER - D Drugs can be highly bound to albumin, a large protein in the blood circulation, and therefore too big to get into the breast milk space. What percentage of protein binding is considered high and therefore preferred? A) 40% B) 60% C) 80% D) 90% - ANSWER - D While most drugs are compatible with breastfeeding, a few are not. Which type of drug is usually contraindicated for breastfeeding? A) Antibiotic B) Antidepressant C) Chemotherapy D) Diabetic therapy - ANSWER - C A Relative Infant Dose (RID) of _____ indicates compatibility with breastfeeding.