IBCLC - Certification Equipment and Technology Flashcards

Which breast pump type is recommended for establishing milk supply in mothers of premature or hospitalized infants?

Answer: Hospital-grade double electric pump

Hospital-grade double electric pumps provide the frequency and suction needed to establish and maintain milk supply when direct breastfeeding is not possible.

What is the primary purpose of a nipple shield in lactation management?

Answer: To facilitate latch when there are latch difficulties or flat/inverted nipples

Nipple shields are thin silicone devices placed over the nipple and areola to assist latch in cases of flat nipples, prematurity, or latch aversion.

When fitting a breast pump flange, which measurement determines the correct flange size?

Answer: Nipple diameter at the base

Correct flange size is based on the nipple diameter at the base, typically fitting 2-3mm larger than the nipple for comfortable, effective expression.

A mother reports decreased milk output despite regular pumping sessions. What pump-related factor should the IBCLC assess first?

Answer: Flange size and fit

Incorrect flange size is one of the most common reasons for decreased milk output, as poor fit reduces stimulation and milk removal efficiency.

Which device delivers supplemental milk to an infant at the breast to encourage suckling while also providing nutrition?

Answer: Supplemental nursing system (SNS)

A supplemental nursing system delivers supplemental milk through a thin tube at the nipple, rewarding suckling while maintaining breast stimulation.

Breast shells are primarily used for which of the following purposes?

Answer: Collecting leaking milk and helping to evert flat or inverted nipples between feedings

Breast shells protect the nipple between feedings, can collect leaking milk, and some types apply gentle pressure to help evert flat or inverted nipples.