Practice Test GeeksCBC - Certified Breastfeeding Counselor Practice Test
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CBC Medications & Substances in Breastfeeding Flashcards

6 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Alcohol consumption while breastfeeding is a common concern. What is the safest guidance for a CBC counselor to provide?

    Answer: Waiting 2–3 hours per standard drink before nursing minimizes infant exposure

    Alcohol clears from milk at the same rate as from blood, so waiting approximately 2–3 hours per drink before nursing minimizes infant alcohol exposure.

  2. Which antidepressant class is generally considered most compatible with breastfeeding based on current evidence?

    Answer: Selective serotonin reuptake inhibitors (SSRIs), particularly sertraline and paroxetine

    SSRIs, especially sertraline and paroxetine, have extensive safety data showing low milk transfer and minimal adverse infant effects.

  3. A CBC counselor is asked about cannabis use while breastfeeding. What is the most evidence-based response?

    Answer: Cannabis use is not recommended during breastfeeding as THC accumulates in breast milk and may affect infant neurodevelopment

    THC is highly lipid-soluble and accumulates in breast milk; current evidence links infant THC exposure to potential neurodevelopmental concerns.

  4. What is the primary concern with codeine use in breastfeeding mothers?

    Answer: Ultra-rapid metabolizers can produce dangerously high morphine levels that transfer into milk, potentially causing infant respiratory depression

    Mothers who are CYP2D6 ultra-rapid metabolizers convert codeine to morphine very quickly, leading to elevated morphine levels in milk that can cause infant sedation or respiratory depression.

  5. Which herbal supplement has some evidence suggesting it may decrease milk supply?

    Answer: Sage (Salvia officinalis)

    Sage contains compounds thought to have antiestrogenic and antisecretory effects, and traditionally has been used to dry up milk supply.

  6. When a breastfeeding mother must undergo general anesthesia for surgery, what is the current evidence-based recommendation?

    Answer: Breastfeeding can typically resume as soon as the mother is alert and stable, without a required pump-and-dump period

    Most anesthetic agents are rapidly cleared from the body, and current evidence supports resuming breastfeeding once the mother is alert and recovering, as milk levels are minimal.