IBCLC Psychosocial and Cultural Aspects 2

Question 1

Research consistently identifies which factor as the strongest predictor of breastfeeding duration?

Accepted Answer

Maternal breastfeeding self-efficacy and confidence

Answer

Maternal education level

Answer

Household income

Answer

Access to a lactation consultant

Question 2

A mother from a community where formula feeding is the cultural norm feels isolated in her decision to breastfeed. What intervention is most likely to support her continuation?

Accepted Answer

Connect her with a peer support group of breastfeeding mothers from similar backgrounds

Answer

Provide additional educational materials

Answer

Tell her not to worry about what others think

Answer

Recommend she keep her breastfeeding private

Question 3

What is the relationship between breastfeeding and postpartum depression (PPD)?

Accepted Answer

There is a bidirectional relationship: breastfeeding difficulties can contribute to PPD, and PPD can negatively impact breastfeeding success

Answer

Breastfeeding always prevents PPD

Answer

Breastfeeding causes PPD

Answer

There is no relationship

Question 4

Breastfeeding in public remains a barrier for many women in Western countries. What does current legislation in most US states provide?

Accepted Answer

Most US states have laws that specifically protect a mother's right to breastfeed in any public or private location where she is otherwise authorized to be

Answer

Breastfeeding in public is not addressed by law

Answer

Breastfeeding in public is only legal in designated nursing rooms

Answer

Federal law prohibits breastfeeding in public spaces

Question 5

The Baby-Friendly Hospital Initiative (BFHI) includes ten steps to support breastfeeding. Which step addresses supplemental feedings?

Accepted Answer

Step 6: Do not provide breastfed newborns any food or fluids other than breast milk unless medically indicated

Answer

Step 2: Ensure staff competence

Answer

Step 8: Support mothers to recognize feeding cues

Answer

Step 10: Coordinate discharge with community support

Question 6

A transgender man who has chest-fed a previous child wants to breastfeed again. What should the IBCLC consider?

Accepted Answer

Assess whether chest masculinization surgery was performed, support preferred terminology, and develop an individualized lactation plan

Answer

Transgender men cannot breastfeed

Answer

Recommend formula feeding only

Answer

Treat this identically to a cisgender mother