CBS Clinical Procedures & Protocols 2

Question 1

When performing a pre- and post-feed weight to assess milk transfer, the infant should be weighed in which condition?

Accepted Answer

With the same clothing and diaper without changing

Answer

The infant must wear the same clothing and diaper (unchanged) for both pre- and post-feed weights so that any weight change reflects only milk intake.

Question 2

A mother reports her nipple turns white and becomes painful after feeds. Which clinical procedure is most appropriate to assess first?

Accepted Answer

Visual inspection of latch and infant oral anatomy

Answer

White, painful nipples after feeds often indicate vasospasm or Raynaud's phenomenon, but latch quality and oral anatomy must be assessed first as a correctable cause.

Question 3

What is the recommended protocol when a mother is separated from her preterm infant and needs to establish milk supply?

Accepted Answer

Begin hand expression within 1 hour of birth, then pump 8-12 times per 24 hours

Answer

Early hand expression within one hour of birth followed by frequent pumping 8–12 times per 24 hours is the evidence-based protocol to establish milk supply for separated mothers.

Question 4

During a breastfeeding assessment, the CBS observes the infant making clicking sounds during sucking. This most likely indicates:

Accepted Answer

Loss of intraoral vacuum due to poor tongue seal or high palate

Answer

Clicking sounds during sucking indicate a break in the intraoral vacuum, often caused by poor tongue positioning, tongue-tie, or a high-arched palate.

Question 5

A nipple shield is indicated as a short-term clinical intervention for which scenario?

Accepted Answer

Flat or inverted nipples making latch difficult for the newborn

Answer

Nipple shields can facilitate latch in newborns when flat or inverted nipples make it difficult, serving as a transitional tool while working toward direct latch.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Clinical Procedures & Protocols 2