CBS Clinical Procedures & Protocols 3

Question 1

A CBS is observing a breastfeeding session and notes the infant's jaw is barely moving and cheeks are dimpling. What does this suggest?

Accepted Answer

Non-nutritive sucking or poor latch affecting suction

Answer

Minimal jaw excursion with cheek dimpling indicates the infant is not effectively extracting milk, often due to shallow latch or inadequate suction.

Question 2

Which protocol best supports milk supply maintenance for a mother returning to work?

Accepted Answer

Pumping approximately every 2-3 hours during separation to match the infant's feeding frequency

Answer

Matching pumping frequency to the infant's typical feeding pattern during separation maintains breast stimulation and prolactin levels needed to sustain milk supply.

Question 3

A mother presents with a red, wedge-shaped area of breast tenderness, fever, and flu-like symptoms. The CBS should recommend she:

Accepted Answer

Continue frequent breastfeeding or milk removal, apply warmth, rest, and contact her provider for antibiotic evaluation

Answer

Mastitis is treated with continued frequent milk removal, warmth, rest, hydration, and evaluation by a healthcare provider for antibiotic therapy if needed.

Question 4

When assessing breast anatomy, which finding would most concern a CBS regarding future milk production capacity?

Accepted Answer

Tubular breast shape with widely spaced breasts and hypoplastic tissue

Answer

Tubular (hypoplastic) breasts with wide spacing are associated with insufficient glandular tissue, which may limit milk production regardless of breastfeeding management.

Question 5

For a mother with a history of breast augmentation via periareolar incision, the CBS should counsel that:

Accepted Answer

Milk supply may be affected due to potential nerve and duct disruption near the areola

Answer

Periareolar incisions carry a higher risk of disrupting milk ducts and nipple innervation compared to other incision sites, potentially impacting milk supply and letdown.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Clinical Procedures & Protocols 3