CBC CBC Breastfeeding Support & Lactation 2

Question 1

A breast counselor notices an infant has a short lingual frenulum limiting tongue movement during feeding. This condition is called:

Accepted Answer

Ankyloglossia

Answer

Ankyloglossia (tongue-tie) restricts the tongue's range of motion and is a common cause of ineffective latch and poor milk transfer.

Question 2

Which of the following is a key indicator that a newborn is transferring sufficient milk during a breastfeeding session?

Accepted Answer

Audible swallowing and active suckling pattern

Answer

Audible swallowing combined with nutritive suckling (suck-swallow-breathe rhythm) confirms effective milk transfer.

Question 3

Mastitis is best defined as:

Accepted Answer

Inflammatory condition of the breast, often with infection

Answer

Mastitis involves breast inflammation, frequently caused by bacterial infection (commonly Staphylococcus aureus), and presents with redness, warmth, pain, and fever.

Question 4

When counseling a mother with mastitis, continuing breastfeeding on the affected side is generally recommended because:

Accepted Answer

Emptying the breast prevents abscess formation and maintains milk supply

Answer

Continued breastfeeding or milk expression from the affected breast helps drain the obstruction, reducing abscess risk and protecting long-term supply.

Question 5

Which vitamin is synthesized in the skin via sunlight and is commonly LOW in exclusively breastfed infants in the US, requiring supplementation?

Accepted Answer

Vitamin D

Answer

Breast milk contains minimal vitamin D, so the AAP recommends 400 IU/day of vitamin D supplementation for all breastfed infants.

(CBC) Certified Breast Counselor Practice Test

(CBC) Certified Breast Counselor Practice Test

CBC CBC Breastfeeding Support & Lactation 2