CBS Patient Assessment & Documentation 3

Question 1

Which finding on an oral assessment is MOST associated with difficulty achieving a deep latch?

Accepted Answer

High, narrow palate arch

Answer

A high, narrow palatal arch prevents the infant's tongue from cupping the breast properly, making a deep latch difficult.

Question 2

A CBS is completing intake documentation for a mother with a history of polycystic ovary syndrome (PCOS). This is clinically significant because:

Accepted Answer

PCOS is associated with hormonal imbalances that may affect milk supply

Answer

PCOS is linked to insulin resistance and androgen excess, which can impair prolactin sensitivity and delay or reduce milk production.

Question 3

During a home visit on day 5 postpartum, the CBS notes the infant's skin has a yellow tinge extending below the knees. The appropriate documentation and action is:

Accepted Answer

Document jaundice extending to the lower extremities and urgently refer to the pediatric provider

Answer

Jaundice extending below the knees suggests a bilirubin level that warrants prompt medical evaluation beyond the newborn norm.

Question 4

When documenting maternal nipple anatomy, which term correctly describes a nipple that inverts when stimulated?

Accepted Answer

Truly inverted (grade 3)

Answer

A grade 3 (truly inverted) nipple inverts with any stimulation or pressure and cannot be manually everted, requiring specific management.

Question 5

A mother at 3 weeks postpartum reports her breasts 'never feel full.' The MOST important assessment finding to document first is:

Accepted Answer

Current infant weight and weight gain trajectory since birth

Answer

Infant weight gain is the primary objective measure of adequate milk supply; subjective breast fullness is not a reliable indicator.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Patient Assessment & Documentation 3