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IBCLC EXAM REVIEW QUESTIONS & ANSWERS
1. high lipid solubility: drug property most likely to permit high passage into milk
2. lymphocytes: protective components of milk is destroyed by freezing
3. 62.5°C for 30 minutes: standard temperature and time for Holder pasteurization
used in donor human milk banks is
4. Fat levels in mother's milk are highest:: when the breast is relatively empty.
5. pregnant woman with many allergies asks about infant feeding. Your best
response is: A baby is never allergic to its mother's milk, but he may be sensitive to foods in the mother's diet
6. A baby is never allergic to its mother's milk, but he may be sensitive to
foods in the mother's diet: 1.0%
7. Which nutrient is most difficult for premature babies to digest?: fats
8. For optimal breastfeeding, which best describes effective positioning at
breast?: The baby's mouth is open to a wide (> 120-degree) angle.
9. 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:: Pain-relieving drugs are lipid soluble and concentrate in the infant brain.
10. 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-swal- low
pattern and that he never develops a good rhythmic suckling action. Most likely to explain his sucking behavior.: The baby's head is still quite molded.
11. After an unmedicated labor and birth, how soon is a baby most likely to
be able and ready to breastfeed?: within the first hour
12. A mother complains of raw, inflamed skin on both areolas. Her infant is
teething, has recently started solid foods and is taking an antibiotic for strep throat. The most likely cause of this areolar irritation is: a bacterial infection of the nipple skin.
13. Which of the following approaches will be most helpful in assisting a
breastfeeding mother who has a hearing impairment?: Help her observe the baby's visual cues.
14. Within the first minute or 2 of beginning a breastfeed, a 2-week-old infant
gulps, coughs and chokes, then releases the breast. This incident most likely describes: poor coordination of sucking, swallowing, and breathing
reasons: Her milk will quickly obtain specific antibodies to reduce the chance that her child will get this infection. Her milk contains white cells that will help her baby fight this infection. She will recover quicker without the additional burden of preparing artificial feeds.
25. The mother's milk contains environmental chemicals, triggering the
baby's immune system: NOT an example of mutual interdependency during breastfeeding
26. Which component of human milk is LEAST important in preventing
neonatal septicemia: lysozyme in colostrum
27. Lactoferrin in human milk has all of the following functions: nutrition.
iron transport. acting as an anti-inflammatory agent
28. Which fetal presenting position is the LEAST LIKELY to affect the baby's
ability to breastfeed?: left occiput anterior (LOA)
29. Breastfeeding as an oral function of the baby involves all of the follow-
ing: sense of taste and smell of milk. B. oral gratification as described by Freud. C. tactile sensation of the breast filling the infant's mouth
30. experimental research designs: Subjects receive the intervention; controls
do not The independent variable is manipulated to test the hypothesis Confounding variables will affect the results of the experiment.
31. Implementation of the Baby-Friendly Hospital Initiative has been demon-
strated to have all of the following outcomes: decreased rates of infant aban- donment during the hospital stay increased rates of breastfeeding initiation, duration, and exclusivity decreased risk of gastrointestinal infection in the first year of life
