Communication and Counseling Flashcards

A mother with postpartum depression is considering weaning because she believes her medication is unsafe during breastfeeding. What should the IBCLC do first?

Answer: Assess which medication she is taking and provide evidence-based information about its compatibility with breastfeeding

The IBCLC should assess the specific medication and provide accurate, evidence-based information about its lactation safety.

When counseling an adolescent mother about breastfeeding, which communication strategy is most important to employ?

Answer: Use age-appropriate language, shorter sessions, and peer support connections

Adolescent mothers benefit from developmentally appropriate communication including simpler language, shorter sessions, visual aids, and connection to peer support.

A mother who speaks limited English is struggling to understand breastfeeding instructions. What is the most appropriate action?

Answer: Use a professional medical interpreter rather than relying on family members to translate

Professional medical interpreters ensure accurate translation of clinical information and maintain patient confidentiality.

An IBCLC is documenting a consultation. Which element is most critical to include from both a legal and clinical perspective?

Answer: An objective assessment of the feeding including infant latch, milk transfer, and the evidence-based rationale for recommendations

Documentation must include objective clinical assessment findings and evidence-based rationale.

A mother's partner is insisting on giving formula against the mother's wishes. The mother appears distressed but remains silent. What is the IBCLC's role?

Answer: Privately assess the mother's wishes and advocate for her autonomous decision-making

The IBCLC has an ethical obligation to advocate for the mother's autonomy in infant feeding decisions.

Which counseling technique is most effective for helping a mother develop confidence in her ability to breastfeed?

Answer: Building self-efficacy through guided practice, positive reinforcement of successful behaviors, and incremental goal-setting

Self-efficacy theory identifies mastery experiences, positive reinforcement, and achievable goals as the most effective ways to build confidence.