P-IBCLC BFHL-23

P-IBCLC BFHL-23-P01 A principal concern with any contraceptive is that it not interfere with breastmilk quality or quantity. Of the options listed, the least effective option for a mother whose 4-month-old infant regularly sleeps through the night is:

The Lactational Amenorrhea method.
A barrier contraceptive.
Oral compounds containing both estrogen and progesterone.
Oral compounds containing only progesterone.

P-IBCLC BFHL-23-P02 Secluding a mother and newborn for about 6 weeks (the original “quarantine” of 40 days) generally serves to:

Allow the mother to focus on her infant and settle into effective breastfeeding.
Diminish maternal strength by limiting her activity.
Impair the infant’s immune system because of lack of challenges to it.
Make the baby cling to his or her mother because he or she sees so few other people.

P-IBCLC BFHL-23-P03 A lactation consultant evaluating breastfeeding practices of a client from another culture does not need to consider whether a practice is:

Common.
Harmful.
Harmless.
Helpful.

P-IBCLC BFHL-23-P04 In 2015, an immigrant from Southeast Asia who has children born abroad and born in the United States is most likely to:

Breastfeed all of her children if she receives culturally supportive postpartum care in the United States.
Breastfeed her Asian-born children but feed manufactured baby milk in the United States as a way to adapt to her new culture.
Formula-feed all of her children as the “modern” way to feed her infant.
Formula-feed children born abroad but breastfeed those born in the United States.

P-IBCLC BFHL-23-P05 Carrying an infant that is swaddled to the mother’s body is a common practice in a culture that:

Produces an overstimulated and irritable infant.
Can inhibit circulation of blood and lymph.
May weaken one eye if it is always turned into the mother’s body.
Promotes higher muscle tone and alertness in the infant.

P-IBCLC BFHL-23-P06 A National Immunization Survey in 2008 in the United States found the lowest rates of breastfeeding in ________ women.

Hispanic.
Southeast Asian.
Black, non-Hispanic.
White, non-Hispanic.

P-IBCLC BFHL-23-P07 A culture:

Does not guide a person's decisions or actions in any predictable way.
Implies knowledge limited to a small, self-selected subgroup of a population.
Is learned only through formal instruction.
Is the coherent set of values, beliefs, norms, and practices of a particular group.

P-IBCLC BFHL-23-P08 A principal influence guiding a black mother after the birth of a child is the:

Mother’s mother.
Baby’s father.
Mother’s sisters.
Mother’s women friends.

P-IBCLC BFHL-23-P09 What is a lactation consultant’s best answer to a mother who asks about using a galactagogue?

Unqualified “Yes.” Some have been used in more than one culture for centuries; they must be OK.
Qualified “Yes.” If you wish, go ahead, but despite long use, little research evidence confirms either their safety or effectiveness.
Unqualified “No.” Research has proven neither their safety nor their effectiveness.
Qualified “Yes.” If the galactagogue you wish to use is a part of your traditional foodways and it is known to be safe.

P-IBCLC BFHL-23-P10 Which of the following is generally acceptable in all cultures?

Breastfeeding in public.
Offering colostrum to the newborn.
Breastfeeding at home with female friends.
Timing of complete weaning from the breast.

P-IBCLC BFHL-23-P11 In medieval Europe, it was believed that:

Semen contaminated breastmilk.
Sexual intercourse while lactating would increase milk supply.
Women should not breastfeed longer than one year.
Sexual intercourse while lactating would decrease milk supply.

P-IBCLC BFHL-23-P12 Sexual intercourse after childbirth is best resumed shortly after the:

Mother is ready.
Father is ready.
Parents have agreed on a contraceptive method.
Parents are able to sleep through most nights.

P-IBCLC BFHL-23-P13 Interviews with black mothers enrolled in WIC programs found that mothers felt that they were offered:

Sufficient prenatal education in breastfeeding.
Insufficient breastfeeding support in pregnancy, in the hospital, and at home with their newborn.
Sufficient breastfeeding support postpartum.
Sufficient referrals to breastfeeding-support groups in the community.

P-IBCLC BFHL-23-P14 If an infant’s diet contains ________ % of breastmilk, the milk will protect the infant from most environmental pathogens.

12 to 30.
25 to 50.
50 to 75.
65 to 80.

P-IBCLC BFHL-23-P15 Cultural relativism refers to a(n):

Appreciation of one’s relatives and how they live and work.
Belief that one’s own culture is the only right way to live.
Recognition that all cultures share the same basic values.
Appreciation and acceptance of cultural norms other than one’s own.

P-IBCLC BFHL-23-P16 Which of the following has a cultural interpretation?

Age at which the infant is able to digest cereals.
Development of a depressed fontanel.
Eruption of the first tooth.
Time at which milk comes in.

P-IBCLC BFHL-23-P17 The key to effective rituals is that they:

Are beyond the ability of Western science to explain.
Reflect a belief in the efficacy of a particular ceremony.
Have been rigorously analyzed and shown to produce the desired result.
Can be modified to fit the situation.

P-IBCLC BFHL-23-P18 Dominant health attitudes in the United States about birth include:

Birth is completely safe for mother and infant.
Breastfeeding is not the preferred feeding choice.
Breastfeeding must be practiced in private.
Breastfeeding is reasonably easy for most mothers.

P-IBCLC BFHL-23-P19 Immigrants may formula-feed children born in the United States because they believe that:

Ancillary costs of breastfeeding are too high.
Breastfeeding is outdated or old-fashioned.
Formula strengthens children’s bones.
Traditional postpartum rituals, now unavailable to the mother, promoted breastfeeding.

P-IBCLC BFHL-23-P20 __________ cultures treat colostrum as __________.

Almost all / the accepted first food for a newborn.
Some / to be used only for ritual purposes to welcome the infant to the community.
All /a valuable first food.
Some / unfit or dangerous for the infant.

P-IBCLC BFHL-23-P21 Many Hispanic and Asian families incorporate the concept of “hot” and “cold” foods. These classifications are based on:

Their ability to counter a physical state, which itself is characterized as “hot” or “cold”.
Typical temperature at which they are eaten.
The color of the food—more resembling red (hot) or green (cold).
Digestibility—cold foods are believed to be easier to digest.

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P-IBCLC BFHL-23

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