P-IBCLC BFHL-14

P-IBCLC BFHL-14-P01 Research has demonstrated that the most effective way to increase breastmilk feeding rates of preterm infants is to:

P-IBCLC BFHL-14-P02 Providing the mother’s own breastmilk to be fed to an infant in a neonatal intensive care unit is best considered:

P-IBCLC BFHL-14-P03 The best reason for having an abundant milk supply at the time a premature infant is discharged from hospital is that an abundant milk supply:

P-IBCLC BFHL-14-P04 The best indicator that a premature infant is ready to feed at the breast is that he or she:

P-IBCLC BFHL-14-P05 Mothers with large milk-storage capacity synthesize milk ________, even when pumping sessions are ________.

P-IBCLC BFHL-14-P06 To calculate an approximate rate of milk synthesis (cubic centimeters per hour) before a given pumping session, measure the volume of milk collected at that pumping session and:

P-IBCLC BFHL-14-P07 Which of the following factors surrounding the birth experience can adversely affect milk volume?

P-IBCLC BFHL-14-P08 Transmission of viruses through breastmilk is:

P-IBCLC BFHL-14-P09 Non-nutritive suckling by an infant at the mother’s soft breast tends to:

P-IBCLC BFHL-14-P10 A 1-g weight gain in a baby who was weighed before and after a breastfeed is the equivalent of a milk intake of ________ milliliters.

P-IBCLC BFHL-14-P11 A mother who is prescribed medications or is taking over the counter medications and is breastfeeding an infant who is preterm or ill and requires neonatal intensive care can generally continue breastfeeding if:

P-IBCLC BFHL-14-P12 Mothers who intend to express milk for several weeks or more are best-advised to use a:

P-IBCLC BFHL-14-P13 A mother’s best practice when first allowing a young premature infant to suckle at the breast is to ________ in order to ________.

P-IBCLC BFHL-14-P14 Because preterm infants may be unable to consume sufficient milk at the breast during the first few weeks after discharge, the mother should:

P-IBCLC BFHL-14-P15 Hindmilk added to a human milk feeding for preterm infants has which of the following properties?

P-IBCLC BFHL-14-P16 As compared with formula-fed premature infants, human-milk-fed premature infants typically tolerate a ________ volume of milk because ________.

P-IBCLC BFHL-14-P17 As compared with premature infants fed by bottle, preterm infants fed at the breast typically:

P-IBCLC BFHL-14-P18 While many neonates requiring neonatal intensive care receive breastmilk in the hospital, upon discharge breastfeeding rates typically:

P-IBCLC BFHL-14-P19 The preterm infant should be breastfed in a position that supports the:

P-IBCLC BFHL-14-P20 Which of the following statements about fats in breastmilk is true?

P-IBCLC BFHL-14-P21 Human milk is ________ and ________.

P-IBCLC BFHL-14-P22 The effects of human milk fortifiers  (HMF) derived from pooled human milk as compared with HMF made from cow’s milk include:

P-IBCLC BFHL-14-P23 As a premature infant transitions to feeding directly at the breast, a mother ________ continue to pump her breasts ________.

P-IBCLC BFHL-14-P24 For several weeks postpartum, the composition of the mother’s own milk provided to a premature infant (born between 30 and 37 weeks gestation) appears to be ________ the milk of mothers of term infants.

P-IBCLC BFHL-14-P25 Which finding would indicate ineffective or problems with pumping?

P-IBCLC BFHL-14-P26 Skin-to-skin care can be safely begun with ill infants:

P-IBCLC BFHL-14-P27 A premature infant with a weak suck may still obtain some breastmilk at a given feeding if:

P-IBCLC BFHL-14-P28 During a previously hospitalized premature infant’s first few weeks at home, waking him or her at less than 3-hour intervals generally is ________, in order to promote adequate ________.

P-IBCLC BFHL-14-P29 One notable benefit of human milk feeding of preterm infants is a significant reduction in the incidence of:

P-IBCLC BFHL-14-P30 As compared to similar mothers who cup-feed or finger-feed their infant, a mother who uses a nipple shield to encourage an immature preterm infant to feed at the breast typically:

P-IBCLC BFHL-14-P31 According to research with mothers of preterm infants, the most frequently reported reward of breastfeeding was:

P-IBCLC BFHL-14-P32 The concentration of fats, carbohydrates, and proteins in preterm breastmilk has:

P-IBCLC BFHL-14-P33 To promote normal linear growth in premature infants, the feeding recommended by the American Academy of Pediatrics (2013) is the mother’s own milk and:

P-IBCLC BFHL-14-P34 What is the optimal time for a mother of a premature infant to begin pumping her breasts?

P-IBCLC BFHL-14-P35 Which of the following compounds can diminish an adequate milk supply?

P-IBCLC BFHL-14-P36 When a premature infant begins feeding at the breast after the mother has spent many weeks of pumping her breasts with a hospital-grade electric pump, the milk-ejection reflex:

P-IBCLC BFHL-14-P37 If a mother of a preterm infant has received evidence-based couseling and education regarding breastfeeding and her choice is to stop pumping breast milk, the healthcare provider should tell her:

P-IBCLC BFHL-14-P38 During the second month of expressing milk, the volumes pumped ________ in most mothers of hospitalized premature infants because ________.

P-IBCLC BFHL-14-P39 Otherwise healthy premature infants typically are at risk of consuming too little milk directly from the breast until about:

P-IBCLC BFHL-14-P40 Human milk fed to a premature infant by gavage should be administered by ________ gavage in order to ________.

P-IBCLC BFHL-14-P41 Use of a thin silicone nipple shield over the mother’s nipple allows a weaker premature infant to:

P-IBCLC BFHL-14-P42 Which is the best container to store pumped milk?

P-IBCLC BFHL-14-P43 Which of the following does not encourage a mother to provide breastmilk for her hospitalized premature infant?

P-IBCLC BFHL-14-P44 In assessing persistent low milk volumes or decreasing milk volumes, a lactation consultant should review the mother’s recent milk expression patters and:

P-IBCLC BFHL-14-P45 Refrigerated or frozen mother’s milk should be warmed before feeding by:

P-IBCLC BFHL-14-P46 Researchers have demonstrated that compared with control mothers who did not use skin-to-skin baby care, mothers who did use skin-to-skin care of their infant benefited from:

P-IBCLC BFHL-14-P47 “Oral care” of an infant too weak to receive oral feeds—coating the inside of the oral cavity with colostrum/human milk—is best described by which of the following?

P-IBCLC BFHL-14-P48 As compared with refrigerated or frozen expressed milk, milk pumped at the infant’s bedside and fed at room temperature on the same day:

P-IBCLC BFHL-14-P49 Preterm mothers’ milk by itself typically is not able to sustain optimal:

P-IBCLC BFHL-14-P50 During the first 7 to 10 days postpartum, a mother who delivered prematurely or has a neonate who is separated from her should pumps her breasts:

P-IBCLC BFHL-14-P51 How would you counsel a mother pumping for her hospitalized premature infant if she is producing about 200 mL in 24 hours at 2 weeks postpartum?