CBS Patient Assessment & Documentation 2

Question 1

During a breastfeeding assessment, a mother reports her nipples are "blanching" after feeds. This is most likely indicative of:

Accepted Answer

Raynaud's phenomenon of the nipple

Answer

Nipple blanching (turning white) followed by color changes is the hallmark sign of Raynaud's phenomenon, caused by vasospasm.

Question 2

When documenting a breastfeeding session, which BEST describes the 'transfer' component in a LATCH score?

Accepted Answer

Whether milk is audibly swallowed by the infant

Answer

The 'T' in LATCH stands for 'Type of nipple/Transfer,' specifically assessing audible swallowing as evidence of milk transfer.

Question 3

A 4-day-old infant has had 3 wet diapers and 1 stool in 24 hours. The CBS should:

Accepted Answer

Flag this as below expected output and assess for adequate milk transfer

Answer

By day 4, infants should have at least 4–6 wet diapers and 3–4 stools per day; fewer indicates possible inadequate intake.

Question 4

Which maternal history finding is MOST relevant to document when assessing breastfeeding potential?

Accepted Answer

Prior breast surgery involving the areola or nipple

Answer

Breast surgery near the areola or nipple may have severed milk ducts or nerves critical for lactation and milk ejection.

Question 5

When assessing an infant's suck, a CBS notes the infant has a weak, disorganized pattern. The FIRST step is to:

Accepted Answer

Document findings and refer to a pediatric feeding specialist or IBCLC

Answer

Disorganized sucking may indicate neurological or anatomical issues requiring specialist evaluation before implementing interventions.

(CBS) Certified Breastfeeding Specialist Practice Test