IBCLC Trivia 4

Question 1

What is the primary hormone responsible for milk PRODUCTION (synthesis) in the mammary glands?

Accepted Answer

Prolactin

Answer

Prolactin, secreted by the anterior pituitary in response to nipple stimulation, drives milk synthesis in the alveolar cells.

Question 2

In the context of IBCLC practice, what does 'FIL' stand for?

Accepted Answer

Feedback Inhibitor of Lactation

Answer

Feedback Inhibitor of Lactation (FIL) is a whey protein in breast milk that locally suppresses milk production when milk accumulates and is not removed.

Question 3

A nursing parent develops a red, wedge-shaped area of breast tenderness with fever and flu-like symptoms. The MOST appropriate first step is:

Accepted Answer

Continue frequent milk removal and contact a healthcare provider for evaluation

Answer

Continuing to remove milk from the affected breast and seeking prompt medical evaluation is critical — stopping breastfeeding can worsen mastitis and risk abscess formation.

Question 4

Which of the following is a true statement about the storage of freshly expressed breast milk at room temperature (~77°F/25°C)?

Accepted Answer

It is safe for up to 4 hours

Answer

According to CDC guidelines, freshly expressed breast milk can safely be stored at room temperature (up to 77°F/25°C) for up to 4 hours.

Question 5

Tongue-tie (ankyloglossia) primarily affects breastfeeding by:

Accepted Answer

Restricting tongue elevation and extension, impairing latch and milk transfer

Answer

A tight or short lingual frenulum restricts tongue mobility, preventing adequate breast compression and effective milk transfer, often causing nipple pain and poor weight gain.

IBCLC - Certification Exam Practice Test

IBCLC - Certification Exam Practice Test

IBCLC Trivia 4