CBC CBC Medications & Substances in Breastfeeding 3

Question 1

A breastfeeding mother is prescribed fluoroquinolone antibiotics. What should a CBC counselor communicate?

Accepted Answer

Fluoroquinolones transfer into breast milk and are generally used with caution; safer alternatives are preferred when possible

Answer

Fluoroquinolones do transfer into breast milk and, due to theoretical concern about cartilage effects in infants, safer antibiotic alternatives are preferred when clinically appropriate.

Question 2

What is the significance of a drug's milk-to-plasma (M/P) ratio in breastfeeding counseling?

Accepted Answer

A high M/P ratio indicates the drug concentrates in breast milk relative to maternal plasma, increasing infant exposure risk

Answer

A high M/P ratio indicates significant drug concentration in milk relative to plasma, signaling potentially higher infant exposure and the need for careful evaluation.

Question 3

A mother taking metformin for type 2 diabetes asks if she can breastfeed. What is the most accurate response?

Accepted Answer

Metformin transfers into breast milk in small amounts and is generally considered compatible with breastfeeding

Answer

Studies show metformin transfers into breast milk in low amounts, and current evidence supports its use as compatible with breastfeeding.

Question 4

Which statement best describes the effect of caffeine on breastfeeding infants?

Accepted Answer

Moderate caffeine intake (up to 300 mg/day) is generally considered safe, though high intake may cause infant irritability or sleep disturbances

Answer

Up to about 300 mg of caffeine per day is considered acceptable for breastfeeding mothers; excessive intake may lead to infant irritability or poor sleep.

Question 5

A mother is using a prescription topical corticosteroid on her nipples. What key counseling point should a CBC counselor emphasize?

Accepted Answer

The topical steroid should be wiped off the nipple and areola before breastfeeding to minimize infant ingestion

Answer

While systemic absorption from topical corticosteroids is generally low, cleansing the nipple before each feeding minimizes direct infant ingestion of the product.

CBC - Certified Breastfeeding Counselor Practice Test

CBC - Certified Breastfeeding Counselor Practice Test

CBC CBC Medications & Substances in Breastfeeding 3