CBS Emergency Procedures & Response 3

Question 1

A mother calls a lactation hotline during a power outage and states she has pumped milk stored in a refrigerator that has been without power for 6 hours. The refrigerator is still cool. What guidance should the CBS provide?

Accepted Answer

Use the milk within 4 hours if it still feels cold (below 40°F/4°C)

Answer

Breast milk remains safe if the refrigerator has stayed below 40°F (4°C); milk that is still cold should be used promptly or assessed based on current temperature guidelines.

Question 2

During a wildfire evacuation, a breastfeeding mother is exposed to heavy smoke for several hours. She asks if it is safe to continue breastfeeding. What is the appropriate CBS response?

Accepted Answer

Reassure her that short-term smoke exposure does not significantly contaminate breast milk and breastfeeding should continue

Answer

Short-term smoke exposure does not significantly transfer harmful levels of toxins into breast milk, and the benefits of continued breastfeeding outweigh the minimal risks.

Question 3

A postpartum mother is brought to an emergency room after a car accident. She is alert but injured and asks about breastfeeding. She received a CT scan with iodinated contrast. What guidance applies?

Accepted Answer

She can resume breastfeeding immediately; contrast agents used in CT scans are generally compatible with breastfeeding

Answer

Current evidence and guidelines from major radiology and lactation organizations indicate that iodinated contrast agents are compatible with breastfeeding and pumping/discarding is not necessary.

Question 4

A mother who is exclusively breastfeeding her 4-month-old is isolated with her infant during a flood with no access to formula for 72 hours. She is worried about her own limited food intake affecting her milk. What is the MOST accurate information to share?

Accepted Answer

Her body will prioritize milk production and nutritional quality is maintained even with moderate maternal caloric restriction

Answer

The lactating body prioritizes milk production and sustains nutritional quality during short-term food shortages, making continued breastfeeding the safest option when no alternative is available.

Question 5

In an emergency, a mother presents with sudden unilateral breast pain, localized swelling, and point tenderness without fever. What is the most likely diagnosis and immediate recommendation?

Accepted Answer

Plugged duct; apply moist heat, massage, and continue frequent feeding from the affected breast

Answer

A plugged duct typically presents with localized tenderness and swelling without fever and responds to moist heat, gentle massage, and continued nursing to clear the blockage.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Emergency Procedures & Response 3