IBCLC Maternal and Infant Pathology 2

Question 1

A breastfeeding mother presents with a red, wedge-shaped area on her breast, fever of 38.5C, and flu-like symptoms. What is the most likely diagnosis?

Accepted Answer

Lactational mastitis

Answer

The combination of a localized red, wedge-shaped area with systemic symptoms is the classic presentation of lactational mastitis.

Question 2

An infant is diagnosed with ankyloglossia (tongue-tie). Which assessment tool is commonly used to evaluate its impact on breastfeeding?

Accepted Answer

The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF)

Answer

The HATLFF specifically evaluates both the appearance and function of the lingual frenulum.

Question 3

A mother with HIV infection in a high-income country asks about breastfeeding. What is the current recommendation?

Accepted Answer

In high-income countries, formula feeding is generally recommended to eliminate the risk of HIV transmission through breast milk

Answer

In high-income countries with access to safe water and affordable formula, avoidance of breastfeeding is generally recommended.

Question 4

What is the most common cause of neonatal jaundice in the first week, and how should breastfeeding be managed?

Accepted Answer

Physiological jaundice exacerbated by insufficient breastfeeding; increase breastfeeding frequency

Answer

Early-onset neonatal jaundice is most commonly physiological, often worsened by suboptimal breastfeeding. Increasing breastfeeding frequency is the primary management.

Question 5

A mother develops Raynaud's phenomenon of the nipple with severe blanching and pain after breastfeeding. What is the pathophysiology?

Accepted Answer

Vasospasm of the nipple blood vessels in response to cold or compression, causing ischemia and pain

Answer

Raynaud's phenomenon involves vasospasm causing characteristic triphasic color changes (white, blue, red) and significant pain.

IBCLC - Certification Exam Practice Test

IBCLC - Certification Exam Practice Test

IBCLC Maternal and Infant Pathology 2