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IBCLC EXAM PREP - -Guaranteed passing score -100 Questions and An...

Exam (elaborations) Jan 8, 2026
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IBCLC EXAM PREP

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What is the MOST important function of secretory IgA in mother's milk?

  • Protects mucosal membranes
  • B)Actively destroys bacteria C)Enhances inflammation D)Suppresses infant's immune system

Answer:

A (Sec IgA is a primary antibody on mucous membranes which is respiratory and GI infections begin) Question 2: Crying is MOST likely to be:

  • distress at separation from mother
  • an indication of pain
  • infant's attempt to manipulate mother
  • stressful to the baby's physiology

Answer:

D

Question 3: Although there are many exceptions, in general, _______ of the maternal dose finds its way into the milk and, subsequently, to the baby. ***(Do not confuse this with Relative Infant Dose)

  • <1%
  • 5%

C) 10%

D) 12.5%

Answer:

A Question 4: The IBLCE Code of Professional Conduct includes:

  • Actions for the IBCLC who has engaged in substance abuse
  • How the IBCLC should dress
  • Where the IBCLC should practice

Answer:

A

Question 5: When are fat levels in mother's milk highest?

A)When the milk ejection reflex is strong B)During the night C)After the mother eats a high-fat diet D)When the breast is relatively empty

Answer:

D Question 6: According to studies of breastfed babies in an industrialized society, which of the following feeding patterns most closely approximates that of an exclusively breastfed 3-month-old baby?A)4-6 feeds per day, total 60 minutes or more B)6-8 feeds per day, total 100 minutes or more C)8-10 feeds per day, total 120 minutes or more D)10-12 feeds per day, total 140 minutes or more

Answer:

D (8-12 feeds 140-160 minutes)

Question 7: Approximately how much milk does a baby age 1-3 days obtain at the breast?A)150ml/day (5oz/day) of colostrum B)The baby gets increasing amounts each day as milk volume increases C)The baby needs a supplement until day 5 when mother's supply is sufficient D)The baby gets 750ml/day (25oz/day) from day 2 onward

Answer:

B (baby may only get around 30mls or 1 oz per day in first couple of days but increases drastically) Question 8: Plasma levels of most topical and ophthalmic preparations are virtually nil and are not likely to produce milk levels at all.

  • True
  • False

Answer:

  • True
  • Question 9: A Type 2 error is sometimes referred to as a false negative error. This is when a study concludes there is no difference even though there actually is a difference. What can lead to a Type 2 error?

  • The sample size being too big
  • The control group being too big
  • The sample size being too small
  • The control group being too small

Answer:

C Question 10: Which of the following protective components of milk is destroyed by freezing?A)Lysozyme B)Lymphocytes C)Secretory IgA D)Lactoferrin

Answer:

B

Question 11: Which component of preterm milk is proportionally higher than in term milk?

  • Protein
  • B)Lactose C)Phosphorus D)Iron

Answer:

A Question 12: What effect does cholecystokinin have on the infant when released when they are suckling?

  • Arousal
  • Satiety
  • Agitation
  • Depression

Answer:

B (and relaxation) Question 13: Researchers in a hospital were trying to figure out how to improve their breastfeeding rates. They conducted a study in the Labor and Delivery suite where one group of birthing women held their babies skin-to-skin for 20 minutes immediately after birth and another group held their babies skin-to-skin for 60 minutes after birth. All mothers had vaginal births, all were taught skin-to-skin holding the same way, and all mothers and babies were stable. Length of time breastfeeding for the first two hours of birth prior to the mother leaving the L/D suite was

studied. In this study the independent variable is:

  • Length of time breastfeeding in the labor and delivery suite
  • The number of vaginal versus cesarean births in the study
  • Length of time of skin-to-skin holding
  • Rates of hand expression

Answer:

C (independent is what is manipulated)

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