CBS Treatment Planning & Management 2

Question 1

A mother reports severe nipple pain described as burning and shooting pain between feedings. What condition should the CBS suspect first?

Accepted Answer

Candida (thrush) infection

Answer

Burning, shooting nipple pain between feedings is a classic presentation of Candida infection affecting the breast and nipple.

Question 2

When planning care for a mother with a history of breast reduction surgery, which concern is MOST critical to address early?

Accepted Answer

Milk supply adequacy

Answer

Breast reduction surgery can sever milk ducts and nerves, making milk supply adequacy the primary concern requiring early assessment and supplementation planning.

Question 3

A CBS is developing a plan for a mother of twins. Which feeding strategy is generally recommended to maintain supply for two infants?

Accepted Answer

Feed both infants simultaneously at each feeding

Answer

Simultaneous tandem feeding is recommended for twins as it saves time, stimulates both breasts concurrently, and helps establish and maintain adequate milk supply.

Question 4

A mother with flat nipples is struggling to achieve latch. Which intervention should the CBS recommend as a FIRST step before each feeding?

Accepted Answer

Evert the nipple manually or with a breast pump briefly before feeding

Answer

Briefly evert the nipple manually or with a breast pump before latching helps flat nipples protrude enough for the infant to grasp effectively.

Question 5

In developing a plan for a mother with insufficient glandular tissue (IGT), which statement about supplementation is MOST accurate?

Accepted Answer

Donor milk or formula supplementation at the breast preserves breastfeeding while ensuring adequate infant nutrition

Answer

With IGT, supplementation at the breast using a supplemental nursing system (SNS) ensures the infant receives adequate nutrition while still stimulating the breast.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Treatment Planning & Management 2