FREE IBCLC Certification Exam Trivia Question and Answers

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For the best oral-motor function, which of the following pacifier or dummy shapes is preferred?

Correct! Wrong!

Explanation:
A symmetric teat should be utilized for the parent who choose to use a pacifier despite the risk or for a baby who has to use a pacifier for suckling therapy. Orthodontic pacifiers, pacifiers with bulged ends, and pacifiers with wedged ends may stay in the infant's mouth longer, but they also induce abnormal tongue motions, which can lead to latching problems and nipple pain.

Which typical newborn activity is least likely to result in moms' lowered self-efficacy in breastfeeding?

Correct! Wrong!

Explanation:
Infants that engage in periodic breathing typically do not breathe at a constant rate but rather alternate between rapid shallow breathing and slow, deep breathing several times in a minute. Typically, mothers are unaware of this infant behavior. Even though cluster feeding, screaming, and frequent movement are normal newborn behaviors, they are frequently suggested as causes for reported inadequate milk supply. It is easier to control expectations and boost self-efficacy in breastfeeding when parents are informed about typical newborn behaviors during pregnancy and the early postpartum period.

The lactation consultant's region has experienced power outages and water shortages as a result of a hurricane. To learn how parents should feed their newborns in this urgent scenario, the lactation specialist is summoned for an interview. Which of the following is NOT an appropriate course of action for parents to safely feed their infants?

Correct! Wrong!

Explanation:
Due to the lack of refrigeration and clean water to wash breast milk pump components and bottles during a natural catastrophe, routinely expressing breast milk might not be a safe alternative. The usage of an electric breast pump is likewise lost when the power goes out; even rechargeable pumps may only function for a day or two after the power goes out. If available, bottled water can be used to wash breast pump components, clean bottles, mix powdered formula, etc. However, in an emergency, bottled water will be rare. Despite the hazards associated with wet nursing and informal milk sharing, in an emergency, the advantages of sharing human milk are probably greater. Furthermore, expressed milk that was previously frozen will no longer be useable after a few days; consequently, moms may be more likely to share it with other parents in need if it is already going to go bad. Another reason breastfeeding should be encouraged, supported, and safeguarded is that it is the safest alternative for infant nutrition in an emergency or natural disaster.

Three hours after giving birth, a mother is meeting a breastfeeding specialist in the hospital. The mother-infant dyad will breastfeed the baby for the first time if this procedure is successful because the baby did not nurse during skin-to-skin care right after birth. The lactation specialist finds dimples in the center of the areola on both sides after examining the mother's breasts. What would be the best line of action to take next?

Correct! Wrong!

Explanation:
The lactation specialist can do a pinch test to assess whether the areola is flexible and malleable or fibrous and stiff, as well as whether the nipples can protrude when stimulated. Breast shape and a mother-led latch are frequently all that are required as interventions for inverted nipples that protrude with stimulation, compression, or suction and are also accompanied by supple and malleable areolas to direct the baby's mouth behind the nipple. If the areola is fibrous or stiff and the nipple does not evert with stimulation, compression, or suction, or if latching without one is not successful after a few tries, a nipple shield could be helpful. If hands-on assistance does not result in a successful latch, it may just be necessary to aid the mother with pumping. In this case, the formula is not yet specified.

A client tells the lactation consultant that she uses over-the-counter (OTC) cannabidiol (CBD) oil to treat her anxiety while they go over the mother's medical history. She says she believes it to be a safe and natural product and is not at this time interested in talking about stopping its use. What action should the lactation consultant take next?

Correct! Wrong!

Explanation:
The client should have a mood disorder screening if they are taking medication for a preexisting or perinatal mental health issue. If she agrees to the screening and has good results, this could be important information to show that possibly CBD oil is just not controlling her anxiety well enough and she might feel even better if she had the right medication. The lactation consultant should inform her obstetrician or primary care doctor that the client reported substantial concern if she rejects the test. The therapeutic connection will suffer if a client is told she must stop when she is not shown a willingness to change. The client can also grow aloof and dismiss any additional advice.

Which of the following is the most crucial preventative measure for prenatal mood disorders?

Correct! Wrong!

Explanation:
Although research has indicated that successful nursing reduces the likelihood of perinatal mood disorders, research has also shown that breastfeeding issues increase the likelihood of perinatal mood disorders. Breastfeeding issues are pervasive given that nearly all expectant mothers say they intend to breastfeed and that only about 20% do so at 6 months. A crucial public health measure that could dramatically lower the incidence of prenatal mood disorders is preventing breastfeeding issues. According to research, breastfeeding rates are improved by at least three one-on-one lactation consultations, with one taking place during pregnancy and two more during the postpartum period. The most efficient method to prevent or swiftly address breastfeeding issues is through prenatal lactation education and early intervention.

Which of the following DOES NOT have a reputation for increasing the probability of difficult parental identity integration?

Correct! Wrong!

Explanation:
Although there is no proof that difficult parental identity integration causes insecure attachment, it could be a side effect of unfavorable childhood experiences brought on by parents' untreated mental health issues. Substance use disorders, postpartum psychosis, and suicidal ideation can all hinder the integration of a parent's identity.

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