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Nursing
PCE-CBC
PCE Certified BreastFeeding Counselor
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Question: 1
What is a common cause of low milk supply in breastfeeding?
Abscess formation
Candidiasis infection
Mastitis
wer: D
anation: A common cause of low milk supply in breastfeeding is poor or ineffective breastfeeding technique. When a baby is not latched erly or not able to effectively remove milk from the breast, it can lead equate stimulation of milk production, resulting in low milk supply. It rtant to address latch issues and seek support from a lactation professi
mprove milk supply.
stion: 2
ch of the following initiatives aims to promote, protect, and support stfeeding practices in healthcare facilities?
WHONN (Association of Women's Health, Obstetric and Neonatal es)
aby Friendly Hospital Initiative
Poor latch or ineffective breastfeeding technique Ans
Expl latch
prop to
inad is
impo onal
to i
Que
Whi brea
A
Nurs
B
Ten steps to successful breastfeeding as outlined by WHOand UNICEF
Marketing code Answer: B
Explanation: The Baby Friendly Hospital Initiative (BFHI) is an international program launched by the World Health Organization (WHO) and the United
Nations Children's Fund (UNICEF). The initiative aims to promote, protect, and support breastfeeding practices in healthcare facilities. Hospitals and birthing centers that meet the criteria and implement the Ten Steps to Successful Breastfeeding, as outlined by WHO and UNICEF, can receive Baby-Friendly designation, indicating their commitment to breastfeeding support and education.
ch of the following is a common infant pathology involving a tongue-t nkyloglossia
left lip/palate yberbilirubinemia eurologic disabilities
wer: A
anation: Ankyloglossia, commonly known as tongue-tie, is a conditio e the lingual frenulum (the tissue that attaches the tongue to the floor outh) is tight or restricted. This can affect the infant's ability to breas tively and may require intervention, such as a frenotomy, to improve ng.
stion: 4
Question: 3
Whi ie?
A
C
H
N
Ans
Expl n
wher of
the m tfeed
effec feedi
Que
Which of the following is a common pharmacological intervention used to increase milk supply in breastfeeding?
Alcohol
Tobacco
Contraceptive pills
Galactogogues
Answer: D
essionals before using galactogogues to ensure their safety and approp e.
stion: 5
ch of the following is true about the let-down reflex? occurs several times during a feeding.
connects a lobule to the lactiferous ducts.
is associated with IgA, which protects the gastrointestinal tract. is the initiation of milk production.
wer: A
anation: The let-down reflex, also known as the milk ejection reflex, i ess by which milk is released from the breast. It typically occurs sever during a feeding, allowing the baby to receive milk in bursts. This re ggered by the stimulation of the nerve endings in the nipple and areol
Explanation: Galactogogues are pharmacological interventions used to increase milk supply in breastfeeding. They are substances or medications that promote lactation and milk production. Examples of galactogogues include certain herbs, prescription medications such as domperidone, and off-label use of medications like metoclopramide. It is important to consult with healthcare prof riate
usag Que Whi
It
It
It
It
Ans
Expl s the
proc al
times flex
is tri a and
involves the contraction of the milk ducts and the release of milk into the milk sinuses, making it available for the baby to suckle.
Question: 6
Which of the following initiatives promotes and supports breastfeeding-friendly
practices in healthcare settings?
Baby Friendly Hospital Initiative
Maternal support network
Cultural competency program
anation: The Baby Friendly Hospital Initiative (BFHI) is an internatio ram launched by the World Health Organization (WHO) and the Unit ons Children's Fund (UNICEF). Its goal is to promote and support stfeeding-friendly practices in healthcare settings. Hospitals and birthi ers that meet the BFHI criteria are designated as "Baby-Friendly" and ide optimal care and support for breastfeeding mothers and infants.
stion: 7
ch of the following is an example of a lactation aid used to support stfeeding?
reast pumps
ilk storage bags ipple shields upplementers
Marketing code Answer: A
Expl nal
prog ed
Nati
brea ng
cent prov
Que
Whi brea
B
M
N
S
Answer: D
Explanation: Supplementers are a type of lactation aid used to support breastfeeding when supplementation is necessary. They allow the baby to receive additional milk while at the breast, helping to maintain breastfeeding and stimulate milk production. Supplementers are particularly useful in situations where low milk supply or other breastfeeding challenges are present.
Question: 8
What is a potential cause of low milk supply in breastfeeding mothers?
Ankyloglossia
Cleft lip/palate
nsufficient glandular tissue wer: D
anation: Insufficient glandular tissue is a potential cause of low milk ly in breastfeeding mothers. It refers to a condition where the mamma ds do not develop fully, leading to a reduced capacity for milk product mportant for breastfeeding counselors to recognize this condition and ide appropriate support and guidance to affected mothers.
stion: 9
ch of the following professional practice guidelines focuses on the dards of nursing practice related to breastfeeding and lactation support
WHONN (Association of Women's Health, Obstetric and Neonatal es)
aby Friendly Hospital Initiative
Hyberbilirubinemia
I
Ans Expl
supp ry
glan ion.
It is i prov
Que
Whi
stan ?
A
Nurs
B
Ten steps to successful breastfeeding as outlined by WHO and UNICEF
Marketing code Answer: A
Explanation: AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) is a professional organization that provides guidelines and
standards of nursing practice related to breastfeeding and lactation support. AWHONN offers evidence-based recommendations for nurses and healthcare providers involved in maternal and newborn care, including breastfeeding education, support, and advocacy.
Question: 10
e the tongue is restricted in its movement due to a short or tight frenu
nkyloglossia left lip/palate
yperbilirubinemia eurologic disabilities
wer: A
anation: Ankyloglossia, also known as tongue-tie, is a condition acterized by a tongue with restricted movement due to a short or tight ulum. The frenulum is the band of tissue that connects the underside o ue to the floor of the mouth. Ankyloglossia can affect breastfeeding b ng it difficult for the baby to latch and effectively remove milk from t st. It may require evaluation and intervention by a healthcare professio as a pediatrician or a lactation consultant.
stion: 11
Which of the following infant pathologies is characterized by a tongue-tie, wher lum?
A
C
H
N
Ans Expl
char
fren f the
tong y
maki he
brea nal,
such
Que
Which of the following lactation aids is commonly used to help maintain milk supply and feed expressed breast milk to the baby?
Breast pumps
Milk storage bags
Nipple devices
Feeding devices (e.g., cup, spoon, finger feeding, supplementer) Answer: A
ps can be an essential tool for working mothers or those who need to orarily or exclusively feed their babies expressed breast milk.
stion: 12
is the primary purpose of milk banks? provide breast pumps for lactating mothers
distribute lactation aids to breastfeeding mothers support research on milk production and lactation
collect, screen, and distribute donated breast milk to infants in need wer: D
anation: The primary purpose of milk banks is to collect, screen,and bute donated breast milk to infants in need. Milk banks ensure that ted breast milk is safe and appropriate for infants who are unable to ve sufficient breast milk from their own mothers. This helps to suppo
Explanation: Breast pumps are commonly used lactation aids that help maintain milk supply and allow for the expression of breast milk. They can be manual or electric and are used to stimulate milk production, collect expressed milk, and provide milk for the baby when direct breastfeeding is not possible. Breast
pum temp
Que
What
To
To
To
To
Ans Expl
distri dona
recei rt the
health and well-being of vulnerable infants, such as premature babies or those with medical conditions.
Question: 13
Which of the following conditions is characterized by inflammation and infection of the breast tissue?
Abscess
Candidiasis
Mastitis
anation: Mastitis is a condition characterized by inflammation and tion of the breast tissue. It commonly occurs in breastfeeding women pically caused by bacteria entering the breast through a cracked or aged nipple. Symptoms may include breast pain, redness, warmth, ling, and flu-like symptoms. Prompt treatment with antibiotics and nued breastfeeding or pumping is important to resolve the infection a tain milk supply.
stion: 14
ording to the American Association of Women's Health, Obstetric, and natal Nurses (AWHONN), what are the standards of nursing practice f tion support?
en steps to successful breastfeeding rofessional practice guideline uidelines for use of medication tandards of cultural competency
Low milk supply Answer: C
Expl
infec and
is ty dam swel
conti nd
main
Que
Acc
Neo or
lacta
T
P
G
S
Answer: B
Explanation: The Professional practice guideline from the American Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) outlines the standards of nursing practice for lactation support. This guideline provides evidence-based recommendations and best practices for lactation
consultants and other healthcare professionals involved in supporting breastfeeding mothers and infants.
Question: 15
What is the primary cause of nipple pain and trauma during breastfeeding?
ngorgement ipple vasospasm east infection
wer: A
anation: Nipple pain and trauma during breastfeeding are commonly ed by a poor latch, where the baby does not attach to the breast proper
an lead to friction, soreness, and damage to the nipple. It is importan re a proper latch to prevent and address nipple pain and trauma.
stion: 16
ch of the following factors should breastfeeding counselors consider w iding culturally competent lactation support?
reast pump types and models arketing strategies for lactation aids
Poor latch
E
N
Y
Ans Expl
caus ly.
This c t to
ensu
Que
Whi hen
prov
B
M
Cultural beliefs and practices related to breastfeeding
Guidelines for the use of medication during lactation Answer: C
Explanation: When providing culturally competent lactation support, breastfeeding counselors should consider cultural beliefs and practices related
to breastfeeding. Different cultures may have unique perspectives, traditions, and preferences regarding breastfeeding. Understanding and respecting these cultural factors is essential for effectively supporting breastfeeding mothers and promoting successful breastfeeding outcomes.
Question: 17
ch of the following is a common breast condition characterized by a p redness, and warmth?
bscess andidiasis astitis
ow milk supply wer: C
anation: Mastitis is a common breast condition that occurs when the b becomes infected and inflamed. It is typically characterized by a pai redness, warmth, and sometimes fever. Prompt treatment with antibi ontinued breastfeeding are important for resolving mastitis.
stion: 18
ch of the following substances should breastfeeding mothers avoid du
Whi ainful
lump,
A
C
M
L
Ans
Expl reast
tissue nful
lump, otics
and c
Que
Whi e to
its potential negative effects on milk production?
Galactogogues
Herbs
Medication (prescription, OTC)
Alcohol and tobacco
Answer: D
Explanation: Breastfeeding mothers should avoid consuming alcohol and tobacco as these substances can have negative effects on milk production and may harm the infant. Alcohol can pass into breast milk and affect the baby's development and sleep patterns, while tobacco smoke exposure can increase the risk of respiratory problems and decrease milk supply.
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