P-IBCLC BFHL-24

P-IBCLC BFHL-24-P01 The person who usually exerts the most influence on how a woman feeds her infant is:

Her best friend.
The baby’s father.
Her mother.
The paternal grandmother

P-IBCLC BFHL-24-P02 The Cultural Context of Breastfeeding

Provide her with educational materials.
Identify resources to help her obtain a breast pump.
Encourage the teen to ask for needed help.
Tell her about the nutritional benefits of breastfeeding.

P-IBCLC BFHL-24-P03 Fathers can develop a good relationship with their breastfed infant by:

Calling to the baby loudly to get his or her attention.
Insisting on an orderly house as a means to a calm household.
Modeling a strong, authoritarian role for his infant.
Carrying or rocking a baby to burp or to console him or her.

P-IBCLC BFHL-24-P04 A lactation consultant’s best role in a court proceeding to decide custody of a breastfeeding infant is to:

Advocate for more breastfeeding-friendly laws in her state.
Educate herself about the law related to custody of a breastfeeding infant.
Educate parents’ attorneys about the physical and psychological importance of breastfeeding to the infant’s health.
Publicize the plight of the breastfeeding mother.

P-IBCLC BFHL-24-P05 Research shows that the teaching and advice of a lactation consultant are most likely to increase a woman’s intention to breastfeed if the mother:

Already intends to breastfeed.
Is an adolescent.
Has not decided how she will feed her baby.
Is pregnant with her first child.

P-IBCLC BFHL-24-P06 In the early weeks after a child is born, relationships may be strained due to the father feeling:

Jealous and upset about the closeness of the mother-infant relationship.
Greater attraction to the mother.
Closer to the mother.
Able to talk easily about their feelings with the mother.

P-IBCLC BFHL-24-P07 When a second child joins a household consisting of a mother, father, and older sibling, how many pairs of relationships now exist between these four persons?

4
10
3
6

P-IBCLC BFHL-24-P08 A lactation consultant working with a mother who plans to induce lactation for an adoptive child should emphasize:

The quantity of milk that the mother may induce.
Building a close mother–baby relationship.
How to choose a protocol for inducing lactation that the mother will follow before her infant comes to her.
Physical changes in the mother that show she has altered her hormonal state.

P-IBCLC BFHL-24-P09 Which of the following is one of the Ten Steps to Successful Breastfeeding?

First breastfeed within the first 4 hours.
Use manufactured baby milk or pacifiers in the hospital.
Infants are placed in the nursery so mothers can nap and be well rested.
No discharge “gift” packs or coupons.

P-IBCLC BFHL-24-P10 Significant others who support a mother’s breastfeeding efforts usually are:

Best kept at a distance so that they don’t try to take over care of the baby.
Necessary for long-term breastfeeding.
Likely to eventually undermine the closeness between mother and infant.
Nice but not necessary to continued breastfeeding.

P-IBCLC BFHL-24-P11 As compared with low-income women who do not work with a trained breastfeeding peer counselor, low-income women who do are ________ likely to breastfeed because the peer counselor ________.

More / establishes a comforting “I’m in charge” professional relationship with the mother.
Less / Just refers mothers with breastfeeding problems to a specialist.
More / is personable and is knowledgeable and enthusiastic about breastfeeding.
Less / may have suggestions that differ from those of her physician.

P-IBCLC BFHL-24-P12 A lactation consultant’s best role in a proceeding to decide custody of a breastfeeding toddler is to:

Focus on the health-preserving aspects of long-term breastfeeding to the toddler.
Suggest legal action to limit visitation by the noncustodial parent.
Suggest legal action to prevent some periods of separation of the toddler and the mother.
Suggest legal action to require that breastmilk be fed by bottle or cup during a period of separation.

P-IBCLC BFHL-24-P13 Intention to breastfeed is linked with:

Breastfeeding beyond 1 year.
Understanding of the nutritional benefits of breastfeeding.
Being provided breastfeeding educational materials by a healthcare provider.
Social networks that support her intention to breastfeed.

P-IBCLC BFHL-24-P14 The support of extended-family members for breastfeeding usually:

Increases as the child grows into his or her second year because they can see his or her good health.
Stays about the same, but family members help less with household chores.
Wanes after solids are introduced and is minimal after about 12 months.
Moves from initial support to encouragement of weaning by about 6 months.

P-IBCLC BFHL-24-P15 Adolescent mothers in the United States typically breastfeed at lower rates than adult women principally because they:

Never even consider breastfeeding.
May not know of programs that promote breastfeeding to pregnant teens.
Associate breastfeeding with maternal weight gain and loss of their figure.
Think that breastfeeding will be both painful and embarrassing.

P-IBCLC BFHL-24-P16 The strongest predictor of who will initiate and continue breastfeeding is:

Easily everted nipples.
Infant weight at birth—the higher the weight, the longer the duration of breastfeeding.
Strength of maternal intention to breastfeed.
Higher socioeconomic status.

P-IBCLC BFHL-24-P17 A lactation consultant who believes that a client is being physically abused has an obligation to:

Counsel the mother about how to increase her safety and that of her infant.
Overlook evidence of abuse and try to make breastfeeding the bright part of the mother’s life.
Report her observations to child-protection authorities.
Sympathize but only give breastfeeding advice.

P-IBCLC BFHL-24-P18 The addition of a baby to a family nearly always ________ family stress, because _________.

Decreases / caring for the infant brings the family together.
Increases / the baby requires that the family develop new relationships.
Decreases / parents have the best reason for declining outside requests that impinge on family time.
Increases / the well-being of the baby, rather than themselves, becomes the principal focus.

P-IBCLC BFHL-24-P19 For a lactation consultant, working with a woman who has been physically or sexually abused is _______________.

Likely to occur, because about 25% of women report rape or other physical violence by an intimate partner; some of these women will breastfeed.
Unlikely to occur, because such a small percentage of women have been affected.
Unlikely to occur, because women who have been sexually abused commonly do not breastfeed (or do so only very briefly).
Likely to occur, despite the small percentage (about 8%) of women affected; women who report physical violence by an intimate partner may still seek the advantages of breastfeeding for their infant.

P-IBCLC BFHL-24-P20 Mothers who feed their infants manufactured baby milk typically are:

Middle- to high-income.
In their mid-twenties at birth of first child.
Married to the baby’s father.
Highly educated.

P-IBCLC BFHL-24-P21 Which of the following is a common characteristic of low-income women who breastfeed?

Left school before the 12th grade.
Began prenatal care in the third trimester.
Married to the baby’s father, who supports breastfeeding.
If the paternal grandmother breastfed.

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P-IBCLC BFHL-24

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