IBCLC Lactation Management Techniques 2

Question 1

Which breastfeeding position is most recommended for a mother who has had a cesarean birth and is experiencing incisional pain?

Accepted Answer

Football (clutch) hold

Answer

Cradle hold

Answer

Cross-cradle hold

Answer

Prone position

Question 2

A mother experiencing engorgement is having difficulty achieving latch. What technique should be recommended before attempting to latch the infant?

Accepted Answer

Express a small amount of milk manually or with a pump to soften the areola

Answer

Apply ice packs for 30 minutes

Answer

Take a hot shower to stimulate full let-down

Answer

Apply cabbage leaves and wait for swelling to reduce

Question 3

What is the recommended storage duration for freshly expressed breast milk at room temperature (up to 25C/77F)?

Accepted Answer

Up to 4 hours

Answer

1-2 hours

Answer

Up to 8 hours

Answer

Up to 12 hours

Question 4

A mother wants to increase her milk supply. Which approach is most evidence-based?

Accepted Answer

Increasing the frequency and thoroughness of breast emptying through more frequent feeding or pumping

Answer

Drinking large quantities of water throughout the day

Answer

Taking fenugreek supplements

Answer

Eating oatmeal daily

Question 5

When teaching hand expression, what is the correct technique for compressing the breast?

Accepted Answer

Place fingers behind the areola, compress toward the chest wall, then compress fingers together toward the nipple in a rhythmic motion

Answer

Squeeze the nipple directly to extract milk

Answer

Apply firm pressure across the entire breast surface

Answer

Use a rolling motion from the base of the breast toward the nipple

Question 6

A mother is returning to work and wants to maintain breastfeeding. How often should she pump during a typical 8-hour workday?

Accepted Answer

Every 2-3 hours, approximately 2-3 pumping sessions

Answer

Once during her lunch break

Answer

Only if she feels full

Answer

Every 4-5 hours is sufficient