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IBCLC LER Exam Questions and Correct Answers Graded A+
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IBCLC LER ExamQuestions and
Correct Answers
Graded A+
Denning [Date] [Course title]
, Place the infant in skin to skin contact with the birthing parent and notify the nurse of your infant
assessment. - Answer: You enter the hospital room for a lactation consult on a five-hour old infant that
will not keep his latch for more than just a few seconds before breaking the latch. When assisting the
birthing parent with positioning, you notice the infant has nasal flaring, the infant is pink with
acrocyanosis, and oxygen saturation of 97% on room air. Which is the most appropriate next step in
advocating for the breast-feeding dyad?
Repeat the same results time after time. - Answer: For a research tool to be reliable, it must:
Let me get some information on lactation while taking these medications for you to present to your
pediatrician so you can discuss it with her. - Answer: Callie is a 27-year-old first time mother who is
chosen to exclusively breast-feed her two hour old newborn. She has asked you, as her lactation
consultant, if it would be all right to breast-feed for the baby while she is taking Zoloft daily and Xanax as
needed for anxiety. Which is the most appropriate response?
How many wet and dirty diapers has Allen had in the last 24 hours? - Answer: Bonnie is the mother of
two day old Allen who was born at term gestation and is exclusively breast-feeding. You visit with
Bonnie during your lactation rounds. Bonnie denies pain while latching Allen but is questioning how to
know he is getting enough milk? What is one of the first questions you would ask her in educating on
signs of infant intake?
What do you know about breast-feeding? - Answer: A Gravita 1 Hispanic mother in her third trimester
approaches you about breast-feeding her baby and she's unsure that she wants to do it. What is your
best initial inquiry?
Acknowledge Amber's feelings and concerns about her baby's lack of weight gain. - Answer: Amber is
the mother of three month old Hayden. She has contacted you with concerns about a low milk supply
and the need to supplement. Amber reports that she has exclusively breast-fed Hayden since birth. She
has supplemented with expressed milk when available. The pediatric provider recommends
supplementation with formula. The picture depicts some milk pumped that morning an hour before his
feeding. Amber reports a health history of PCOS and the inability to directly breast-feed or pump for
over 16 hours after birth due to treatment of postpartum hemorrhage that required three blood
transfusions. According to the WHO growth charts, Hayden was born at the 50th percentile and is now
at the 35th percentile. Which of the following is the most supportive initial response?
"You are experiencing after birth pains. They increase with each birth, and our intensified with nursing,
due to the oxytocin hormone contracting the uterus." - Answer: Assume you are a hospital lactation
consultant doing hospital rounds. One parent, G2P2, complains about contractions (on a scale of six out
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