IBCLC Trivia 5

Question 1

The term 'laid-back breastfeeding' (biological nurturing) refers to which positioning approach?

Accepted Answer

The mother reclining at 45° or more with the infant prone on her chest, using gravity for latch support

Answer

Biological nurturing (Suzanne Colson) uses a semi-reclined maternal posture so the infant lies prone on the mother's body, activating feeding reflexes and reducing latch difficulty.

Question 2

Which immunoglobulin is most abundant in human breast milk and provides mucosal immunity to the infant?

Accepted Answer

Secretory IgA (sIgA)

Answer

Secretory IgA is the predominant immunoglobulin in breast milk; it lines mucosal surfaces of the infant's GI tract and respiratory system, providing passive immune protection.

Question 3

A mother produces significantly more milk than her infant requires, leading to discomfort, leaking, and infant gagging. This condition is called:

Accepted Answer

Hyperlactation syndrome

Answer

Hyperlactation syndrome (oversupply) is characterized by an excessive milk production rate that exceeds infant demand, causing maternal discomfort and potentially causing the infant to struggle with fast flow.

Question 4

According to the IBLCE Code of Professional Conduct, IBCLCs must maintain client confidentiality EXCEPT when:

Accepted Answer

Disclosure is required by law or is necessary to prevent serious harm

Answer

Confidentiality may be breached when legally mandated (e.g., mandatory reporting) or when necessary to prevent serious, imminent harm, consistent with healthcare ethics standards.

Question 5

Which of the following best describes 'transitional milk'?

Accepted Answer

The milk produced between days 2–5 and about day 14 postpartum as colostrum shifts to mature milk

Answer

Transitional milk appears after colostrum and before mature milk (roughly days 5–14), increasing in volume and shifting in composition with rising lactose and fat and declining protein and immunoglobulins.

IBCLC - Certification Exam Practice Test

IBCLC - Certification Exam Practice Test

IBCLC Trivia 5