CBS Treatment Planning & Management 3

Question 1

A mother develops a firm, red, wedge-shaped area on one breast with flu-like symptoms and fever 3 weeks postpartum. What is the MOST appropriate initial management?

Accepted Answer

Continue breastfeeding or pumping, apply warm compresses, rest, and refer for antibiotic evaluation

Answer

Mastitis management includes continued milk removal (breastfeeding or pumping), warm compresses, rest, hydration, and antibiotic evaluation to prevent abscess formation.

Question 2

A CBS is counseling a mother who wants to relactate after stopping breastfeeding 4 weeks ago. Which factor MOST improves the likelihood of successful relactation?

Accepted Answer

The shorter the time since cessation and the more frequent breast stimulation provided

Answer

The shorter the time since weaning and the more frequently the breast is stimulated, the greater the likelihood of successfully reestablishing milk production.

Question 3

When a breastfed infant is diagnosed with hyperbilirubinemia (jaundice) at 4 days old, what is the recommended breastfeeding management if the bilirubin is at a treatable but non-critical level?

Accepted Answer

Increase breastfeeding frequency to 8–12 times per 24 hours to enhance bilirubin excretion

Answer

Frequent breastfeeding promotes stooling which is the primary route of bilirubin excretion, and ensures adequate caloric intake to support the infant's ability to clear bilirubin.

Question 4

A mother is preparing to return to work at 8 weeks postpartum and wants to continue breastfeeding. Which pumping schedule should the CBS recommend to maintain supply?

Accepted Answer

Pump every 3–4 hours during work hours to replace missed feedings

Answer

Pumping every 3–4 hours at work replaces the frequency of missed breastfeedings, maintaining the milk removal signal needed to sustain supply.

Question 5

A mother's infant has a posterior tongue-tie (Type IV) confirmed by assessment. The mother is experiencing nipple pain and the infant is gaining weight slowly. What is the recommended course of action?

Accepted Answer

Refer to a knowledgeable provider for frenotomy evaluation while providing interim latch support

Answer

A confirmed posterior tongue-tie causing pain and poor weight gain warrants referral for frenotomy evaluation, with interim latch optimization support from the CBS.

(CBS) Certified Breastfeeding Specialist Practice Test

(CBS) Certified Breastfeeding Specialist Practice Test

CBS Treatment Planning & Management 3