CBC Milk Expression & Storage

Question 1

Which hand expression technique involves placing the thumb and forefinger in a C-hold approximately 1-2 inches behind the nipple and compressing toward the chest wall?

Accepted Answer

Marmet technique

Answer

The Marmet technique uses a C-hold with thumb and forefinger 1-2 inches behind the nipple, compressing and rolling toward the chest to mimic the infant's milking action.

Question 2

At room temperature (up to 77°F/25°C), freshly expressed breast milk can safely be stored for up to:

Accepted Answer

4 hours

Answer

The CDC and ABM guidelines state that freshly expressed breast milk can be kept at room temperature (up to 77°F/25°C) for up to 4 hours.

Question 3

A mother asks how long she can store freshly expressed breast milk in a standard refrigerator at 40°F (4°C). The correct answer is:

Accepted Answer

4 days

Answer

According to CDC guidelines, freshly expressed breast milk can be refrigerated for up to 4 days under clean conditions, though 3 days is optimal.

Question 4

When using an electric double breast pump, which of the following practices most effectively supports milk output?

Accepted Answer

Beginning at low suction and short cycles to stimulate letdown, then increasing suction

Answer

Initiating with low suction and a rapid cycle rate (stimulation phase) mimics the infant's initial rapid suckling to trigger letdown before switching to a slower, higher-suction expression phase.

Question 5

A mother is exclusively pumping and notices her output is decreasing. Which counseling recommendation is most evidence-based for increasing supply?

Accepted Answer

Increasing pumping frequency rather than duration

Answer

Milk production is driven by frequent and effective milk removal; increasing session frequency (removing milk more often) is more effective than extending individual session length.

CBC - Certified Breastfeeding Counselor Practice Test

CBC - Certified Breastfeeding Counselor Practice Test

CBC Milk Expression & Storage