PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM 250 QUESTIONS AND WELL ELABORATED ANSWERS 2023 -2024 UPDATE ALREADY A GRADED |BRAND NEW!!{ACTUAL EXAM} How much vitamin D does a baby need ? When do they need to be supplemented ? - ANSWER - Babies need 400 IU of Vitamin D per d ay . 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 ? - ANSWER - Moms 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 ? - ANSWER - with Down's Syndrome or a Cleft Lip / Palate What medications are contraindicated in breastfeeding mothers ? - ANSWER - Antimetabolite 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 ? - ANSWER - The 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 mastiti s . Moms can apply cold compresses to the area and take Motrin / Tylenol as needed for discomfort What is the normal weight loss for the infant dur ing the first few days ? - - ANSWER - 5-7% in the first 24hrs and below 10% in the first week How many calories does a lactating mom need - ANSWER - Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800 -2,700 with most mons consu ming around 2,200 What type of supplement do most lactating vegans / bariatric patients take ? - - ANSWER - supplement Vitamin B12 . What happens to estrogen and progesterone during pregnancy and after birth ? - - ANSWER - They increase during pregnancy and then decrease after birth . How many stages of the " Magic Hour " are there ? What are they ? - ANSWER - There 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 ? - - ANSWER - The 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 - - ANSWER - Help famil ies define and achieve goals -Problem solving : Assessment , plan , implementation , evaluation -Education and counseling -Professionalism -Legal considerations Where is the milk produced ? - ANSWER - ANSWER - In the alveoli How long after cessation of breast feeding does milk production ( involution ) stop ? - - ANSWER - Approximately 40 days What are the common signs of milk " let down " ? - ANSWER - Tingling , warmth , fullness , dripping and contractions How is preterm milk different than term milk ? - - ANSWER - It 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 ? - ANSWER - Lipids What component of human milk is destroyed by freezing ? - ANSWER - Macrophages When is the side - lying position helpful ? - ANSWER - In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the perineal area What position is centered around the infant attaching themselves to the breast ? - - ANSWER - The laid back position ( aka the biological position ) When is the Australian / Saddle position helpful ? - ANSWER - When moms are experiencing active let - down What is the dancer hand ? - ANSWER - Mom would have hand below the breast in a " U " shape ; this is good for infants who need good jaw support What are signs of milk transfer ? - ANSWER - Swallowing - harsh " Ca " sound ; air from nose felt , neck movement visualized What are the stool transition colors ? - ANSWER - Black to green to yellow What can affect a hc professionals presentation about breastfeeding ? - ANSWER - Experience , philosophy , credentials What are responsibilities of staff ? - ANSWER - Provide education and foster environment -Baby friendly practices -Evidence based knowledge - Help preterms w / moms milk or donor -Culturally and developmentally sensitive -WHO growth charts -Legislation International code of marketing substitutes - ANSWER - -No advertising -No free sample - Scientific info Not law but should be use Baby friendly 10 steps - ANSWER - -- Written policy -Proper training -Proper education -Initiation w in 1 hr -Maintain lactation even if separated -Breastmilk only unless medical ly required -Rooming in -Cue feeding , 8 -12x -No artificial teats -Support groups Where is milk produced ? - ANSWER - Alveoli
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