PCE-CBC : PCE Certified BreastFeeding Counselor Exam

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PCE-CBC
PCE Certified BreastFeeding Counselor
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Question: 639
In a case where a mother is dealing with a plugged duct, which of the following strategies should be recommended to alleviate the condition?
1. Continue breastfeeding frequently from the affected side
2. Apply cold compresses to the area to reduce swelling
oid pumping to allow the duct to clear naturally
er: A, C
nation: Frequent breastfeeding from the affected side and gentle massage can help clear a plu old compresses are not recommended; warmth is generally more effective. Pumping may b ary if breastfeeding is not effective.
ion: 640
ical trial assessing a new breastfeeding technique measured both participant satisfaction and eeding success rates. If researchers discovered that those who reported higher satisfaction w ikely to be in the intervention group, which type of bias could this indicate?
porting bias ection bias formance bias rition bias
er: A
nation: Reporting bias occurs when participants' responses are influenced by their group alloc
Use gentle massage on the affected area before feeding
3. Av
Answ
Expla gged
duct. C e
necess
Quest
A clin
breastf ere
more l
1. Re
2. Sel
3. Per
4. Att
Answ
Expla ation,
potentially leading to a skewed understanding of the intervention's effectiveness based on subjective satisfaction measures.
Question: 641
When counseling a client from a collectivist culture, what communication strategy should be emphasized to ensure effective counseling regarding breastfeeding choices? (Select All That Apply)
1. Highlighting individual benefits of breastfeeding
2. Acknowledging the role of family and community in decision-making
3. Encouraging the client to prioritize personal preferences over family opinions
4. Facilitating discussions that include family members if appropriate
Answer: B, D
ion: 642
ch scenarios might a lactation consultant recommend the use of a nipple shield, and what fac be considered to ensure its effective use? (Select All That Apply)
infant has difficulty latching due to prematurity; evaluate usage under supervision thers experiencing severe nipple pain; use as a temporary solution
ng-term reliance on a shield to prevent latch issues; discourage this approach
pple shield use to protect sore nipples while maintaining milk flow; monitor closely
er: A, B, D
nation: Nipple shields can be helpful for preterm infants and in cases of severe pain, but relia be limited. Monitoring is essential to ensure the infant still effectively feeds.
ion: 643
ation consultant is discussing strategies to manage sore nipples with a new mother. What is ritical piece of advice that should be given to prevent further nipple trauma?
breast pads to absorb moisture
oid breastfeeding while the nipples heal mit breastfeeding sessions to 10 minutes
Explanation: Acknowledging family roles (B) and facilitating family discussions (D) align with collectivist values, promoting supportive decision-making. Highlighting individual benefits (A) and prioritizing personal preferences (C) may not resonate in these contexts.
Quest
In whi tors
should
1. The
2. Mo
3. Lo
4. Ni
Answ
Expla nce
should
Quest
A lact the
most c
1. Use
2. Av
3. Li
4. Ensure the baby is latched deeply Answer: D
Explanation: Ensuring that the baby is latched deeply is crucial in preventing further nipple trauma and soreness, making it essential to focus on proper latch techniques.
Question: 644
What is the primary reason for the recommendation that lactating women consume adequate amounts of omega-3 fatty acids during breastfeeding?
1. To improve maternal skin health
2. To support infant brain development
3. To enhance the flavor of breast milk
4. To increase milk volume
er: B
nation: Omega-3 fatty acids, particularly DHA, are crucial for the development of the infant's es. Adequate intake during lactation supports the transfer of these essential fatty acids throu
ilk.
ion: 645
lactation, which of the following is the most significant source of energy for breast milk sis?
bohydrates amins
teins
er: D
nation: Fats are the most significant source of energy for breast milk synthesis, providing ess cids and a high caloric density that supports the growth and development of the infant.
Answ
Expla brain
and ey gh
breast m
Quest
During synthe
1. Car
2. Vit
3. Pro
4. Fats Answ
Expla ential
fatty a
Question: 646
A breastfeeding mother is diagnosed with a low milk supply. Which of the following evidence-based interventions should be recommended to help increase her supply?
1. Implementing more frequent breastfeeding sessions
2. Using herbal supplements without consulting a healthcare provider
3. Ensuring proper latch and positioning during breastfeeding
4. Reducing the number of formula supplements provided
Answer: A, C, D
Explanation: Increasing breastfeeding frequency and ensuring proper latch can help stimulate milk production. Reducing formula supplementation can encourage the infant to breastfeed more, promoting supply. Herbal supplements should only be used with guidance.
Question: 647
upply. Which hormone, often dysregulated in PCOS, is critical for milk production?
einizing hormone lactin
ulin tosterone
er: B
nation: Prolactin is essential for milk production. Women with PCOS may have irregular hor which can impact lactation, making monitoring important.
ion: 648
stfeeding mother is prescribed a new medication for her chronic migraines. Which of the fol of medications is known to have a higher risk of affecting infant sedation and should be ched with caution?
ioids ptans
a-blockers
A breastfeeding mother has a history of polycystic ovary syndrome (PCOS) and is concerned about her milk s
1. Lut
2. Pro
3. Ins
4. Tes
Answ
Expla mone
levels,
Quest
A brea lowing
classes approa
1. Op
2. Tri
3. Bet
4. NSAIDs
Answer: A
Explanation: Opioids are known to cause sedation and respiratory depression in infants if ingested through breast milk. Mothers should be counseled on the risks associated with opioid use while breastfeeding.
Question: 649
A breastfeeding counselor is educating a group of new parents about the immunological properties of breast milk. Which components are primarily responsible for providing passive immunity to the infant?
1. Lactoferrin and lysozyme
2. IgA and secretory IgA
3. Omega-3 fatty acids
4. Casein and whey proteins
er: A, B
nation: Lactoferrin and lysozyme are important for antimicrobial protection, while IgA and ory IgA play a crucial role in providing passive immunity through the gastrointestinal tract.
ion: 650
ical trial finds that a new breastfeeding support app significantly increases breastfeeding dura first-time mothers. What is a critical factor to ensure the findings are applicable to broader tions?
dying only first-time mothers lizing only quantitative measures
nducting the trial in multiple locations miting participation to mothers under 30
er: C
nation: Conducting the trial in multiple locations enhances the generalizability of the findings orating diverse populations, thus increasing the applicability of the results to broader groups rs.
Answ Expla
secret
Quest
A clin tion
among popula
1. Stu
2. Uti
3. Co
4. Li
Answ
Expla by
incorp of
mothe
Question: 651
In a randomized controlled trial assessing the impact of a breastfeeding intervention, what is the primary benefit of randomizing participants?
1. It guarantees a large sample size.
2. It helps to reduce selection bias.
3. It eliminates the need for a control group.
4. It ensures all participants receive the intervention.
Answer: B
ion: 652
inical setting, which of the following approaches is most effective in integrating evidence-ba es related to breastfeeding into routine care?
plementing a strict protocol that does not allow for clinician discretion couraging clinicians to use personal experiences as the primary guide viding access to up-to-date clinical guidelines and research articles miting discussions about new evidence during staff meetings
er: C
nation: Providing access to current clinical guidelines and research empowers clinicians to m ed decisions based on the latest evidence, fostering an environment of continuous improvem
ion: 653
stfeeding mother is experiencing low milk supply and is considering using herbal suppleme
Explanation: Randomization minimizes selection bias by ensuring that each participant has an equal chance of being assigned to either the intervention or control group, enhancing the validity of the trial's findings.
Quest
In a cl sed
practic
1. Im
2. En
3. Pro
4. Li
Answ
Expla ake
inform ent.
Quest
A brea nts.
Which of the following should be discussed with her? (Select All That Apply)
1. The efficacy and safety of specific herbal supplements
2. Potential interactions with prescription medications
3. The importance of a well-balanced diet and hydration
4. Immediate results are expected from herbal supplementation
Answer: A, B, C
Explanation: Discussing the efficacy and safety of herbal supplements, potential interactions with medications, and the importance of diet and hydration is essential. Immediate results are not guaranteed with herbal use.
Question: 654
What is the primary purpose of a literature review in the context of evidence-based practice in breastfeeding counseling?
dentify gaps in current research and suggest future studies ollect data from a variety of sources
valuate the effectiveness of individual interventions
er: B
nation: A literature review aims to identify existing research gaps, highlight inconsistencies i gs, and suggest directions for future studies, thereby advancing knowledge in the field.
ion: 655
stfeeding mother notices that her infant is feeding more frequently during the evenings. Wha on reason for this behavior, and how should you advise her?
infant is developing an unhealthy feeding habit; she should limit feeding time infant is not getting enough milk; she should consider supplementing
infant is likely experiencing a growth spurt; she should allow this pattern infant is likely teething; she should use teething gels
er: C
To summarize personal opinions of experts in the field
To i
To c
To e
Answ
Expla n
findin
Quest
A brea t is a
comm
1. The
2. The
3. The
4. The
Answ
Explanation: Increased feeding during evenings is often due to growth spurts. Advising the mother to allow this pattern can help ensure the infant gets adequate nutrition and can support increased milk production.
Question: 656
A mother is struggling with engorgement after introducing a bottle for the first time. She is confused
about how to manage the situation without compromising her milk supply. Which strategies should be recommended? (Select All That Apply)
1. Pumping immediately after bottle feeds to relieve pressure
2. Reducing the number of breastfeeding sessions per day
3. Applying heat before feeds to encourage let-down
4. Monitoring the baby’s feeding cues closely
Answer: A, C, D
nation: Pumping after bottle feeds can relieve engorgement, and applying heat can help with Monitoring feeding cues is essential to ensure adequate breastfeeding. Reducing sessions ca engorgement and supply issues.
Expla let-
down. n
worsen

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