Q:1The most common food protein sensitivity in infancy is to:
Dairy from cow's milk is the top thing that causes allergies in babies. If a mother eats dairy, the proteins can pass into her milk and make the baby fussy.
Q:2When examining the newborn's hard palate, the normal shape is a:
A normal roof of the mouth is shaped like a wide U. This gives the nipple plenty of room for a deep latch. Narrow shapes can make nursing much harder.
Q:3The most important societal change to increase breastfeeding rates is:
The biggest help for nursing mothers is changing how people think. We need to see breastfeeding as a normal, everyday job for the body rather than a private act.
Q:4Which of the following is most likely to be affected by the foods a mother ingests?
Strong flavors like garlic or vanilla can show up in the milk. This helps the baby get used to different tastes before they start eating real solid food.
Q:5A three-week-old baby has infrequent stools but is gaining weight appropriately and appears well. What is the most likely reason for the infrequent stools?
After a few weeks, some babies stop pooping every day. Breast milk is very well digested, so there is little waste. If weight gain is good, it is normal.
Q:6Which statement is true about weight gain for exclusively breastfed infants in the first two months?
Most babies lose a little weight right after birth. The general rule is that they should be back to where they started by the time they are two weeks old.
Q:7To kill Cronobacter sakazkii bacteria, what temperature should water be when mixing with powdered formula?
Powdered formula is not germ-free. You need very hot water to kill any bad bacteria in the powder before you cool it down for the baby to drink.
Q:8What is a common and effective treatment for a yeast infection (thrush) of the nipples?
Yeast on the nipples is usually treated with a prescription cream. Both the mom and the baby must be treated at the same time to stop the infection.
Q:9A 2-month-old infant is fussy but has gained weight well since birth (from 8 lbs, 4 oz to 9 lbs, 1 oz). What is the most likely cause of the fussiness?
Since the baby is gaining weight well, we know he is eating enough. Fussiness at this age is often normal colic, which usually improves on its own.
Q:10Which nutrient is typically present in higher concentrations in the breast milk of mothers who deliver preterm infants?
Mothers who have babies early make special milk. It has more protein and fat than regular milk to help the premature baby grow and stay strong and healthy.
Q:11All of the following are signs of dehydration in a newborn EXCEPT:
Most babies have peeling skin after they are born. This is normal. Real signs of dehydration are a sunken soft spot on the head or a very dry mouth.
Q:12The clinical practice of an IBCLC focuses primarily on which of the following?
An IBCLC's main job is to look at the situation, make a plan to help, and then check back to see if that plan worked for the mother.
Q:13What is the current best practice for managing a plugged milk duct?
New guidelines focus on reducing inflammation. Cold packs and light touch help reduce the swelling that blocks milk flow.
Q:14The primary function of leukocytes (white blood cells) in human milk is:
Breast milk is alive. It has white blood cells that hunt down and kill germs. This gives the baby a shield against getting sick from common viruses.
Q:15Which is most likely an early factor causing insufficient milk supply at 10 days postpartum?
The first three days are very important for setting up milk supply. If the baby does not nurse enough early on, the body makes less milk overall.
Nursing very often keeps certain hormones high. These hormones tell the body not to release an egg. This is how breastfeeding can help prevent a new pregnancy.
Q:17A neonatologist determines a week-old, 3 lb., 15 oz. baby needs to take in 35 mL per feeding every 3 hours. What is the best way to ensure the breastfed baby gets an adequate caloric intake?
By weighing the baby before and after they nurse, you see exactly how much they drank. If they need more, you can supplement only the missing amount.
Q:18A nipple shield is used with a preterm infant. At what point is the infant expected to be weaned off the shield?
A shield is just a tool for a little while. You stop using it once the baby is strong enough to latch and get milk by themselves.
Q:19Which substance in breast milk promotes the growth of beneficial bacteria (probiotics) in the infant's gut?
HMOs are special sugars that the baby cannot digest. Instead, they feed the good bacteria in the baby's tummy. This helps the baby build a healthy gut.
Q:20Symptomatic hypoglycemia in a newborn is manifested by which of the following?
Low blood sugar can make a baby very shaky, cold, or very sleepy. These are serious signs that the baby needs help getting their sugar levels up.
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This test contains 20 practice questions covering key topics in Clinical Management & Nutrition. Use our IBLCE IBCLC exam questions to assess your knowledge and prepare for your official certification exam for your IBLCE Lactation Consultant. Immediate scoring and answer rationales are provided for every question.