IBCLC
Exam
review
high
lipid
solubility
-
ANS
drug
property
most
likely
to
permit
high
passage
into
milk
lymphocytes
-
ANS
protective
components
of
milk
is
destroyed
by
freezing
62.5°C
for
30
minutes
-
ANS
standard
temperature
and
time
for
Holder
pasteurization
used
in
donor
human
milk
banks
is
Fat
levels
in
mother's
milk
are
highest:
-
ANS
when
the
breast
is
relatively
empty .
pregnant
woman
with
many
allergies
asks
about
infant
feeding.
Your
best
response
is
-
ANS
A
baby
is
never
allergic
to
its
mother's
milk,
but
he
may
be
sensitive
to
foods
in
the
mother's
diet
A
baby
is
never
allergic
to
its
mother's
milk,
but
he
may
be
sensitive
to
foods
in
the
mother's
diet
-
ANS
1.0%
Which
nutrient
is
most
difficult
for
premature
babies
to
digest?
-
ANS
fats
For
optimal
breastfeeding,
which
best
describes
effective
positioning
at
breast?
-
ANS
The
baby's
mouth
is
open
to
a
wide
(>
120-degree)
angle.
A
mother
was
given
high
doses
of
pain-relieving
drugs
during
labor .
When
the
baby's
cord
blood
is
tested
for
the
presence
of
drugs,
none
is
found.
The
most
likely
explanation
is:
-
ANS
Pain-relieving
drugs
are
lipid
soluble
and
concentrate
in
the
infant
brain.
A
mother
comes
to
you
for
help
with
breastfeeding
her
3-week-old
baby ,
stating,
"He
just
doesn't
seem
to
be
able
to
get
it
right."
When
you
observe
the
baby
breastfeeding,
you
note
that
the
baby
has
a
highly
erratic
suck-swallow
pattern
and
that
he
never
develops
a
good
rhythmic
suckling
action.
Most
likely
to
explain
his
sucking
behavior .
-
ANS
The
baby's
head
is
still
quite
molded.
After
an
unmedicated
labor
and
birth,
how
soon
is
a
baby
most
likely
to
be
able
and
ready
to
breastfeed?
-
ANS
within
the
first
hour
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