CBC CBC Medications & Substances in Breastfeeding

Question 1

Which resource is considered the gold standard for evaluating medication safety during breastfeeding in the US?

Accepted Answer

LactMed (NIH database)

Answer

LactMed, maintained by the National Institutes of Health, is the evidence-based database widely recognized as the gold standard for assessing drug safety in breastfeeding.

Question 2

A breastfeeding mother asks about taking ibuprofen for postpartum pain. What is the most accurate counseling point?

Accepted Answer

It is generally considered compatible with breastfeeding due to low transfer into milk

Answer

Ibuprofen has low transfer into breast milk and is generally considered compatible with breastfeeding by major health authorities.

Question 3

Which of the following factors most influences how much of a drug transfers into breast milk?

Accepted Answer

Molecular weight, protein binding, and lipid solubility

Answer

Molecular weight, protein binding, and lipid solubility are the primary pharmacokinetic properties that determine a drug's transfer into breast milk.

Question 4

What does the term 'Relative Infant Dose (RID)' mean in the context of breastfeeding and medications?

Accepted Answer

The infant's dose via milk as a percentage of the maternal weight-adjusted dose

Answer

RID expresses the infant's estimated drug exposure through milk as a percentage of the mother's weight-adjusted therapeutic dose, helping assess safety.

Question 5

Nicotine replacement therapy (NRT) patches are being considered by a breastfeeding mother who wants to quit smoking. What should a CBC counselor communicate?

Accepted Answer

NRT is generally preferred over continued smoking because it reduces infant nicotine and toxin exposure

Answer

NRT exposes the infant to less nicotine and eliminates the additional carcinogens found in cigarette smoke, making it preferable to continued smoking for breastfeeding mothers.

CBC - Certified Breastfeeding Counselor Practice Test

CBC - Certified Breastfeeding Counselor Practice Test

CBC CBC Medications & Substances in Breastfeeding