IBCLC Practice Test 12

Lactation consultation note — infant aged 10 weeks

Reason for visit: The parent returns to a full-time office job in 2 weeks, working 8:00–17:00 with a 40-minute commute each way. The infant will attend a child-care centre near home.

Feeding history: Exclusively breastfed, about 9 feeds in 24 hours, including 2 at night. Weight gain follows the 50th percentile. The parent has expressed milk twice, using a manual pump, and obtained about 30 mL each time. No milk is stored.

Workplace: The manager has offered "a break when you need one." A private room with a lock and a power outlet is available, and there is a shared refrigerator in the staff kitchen.

Parent's words: "My sister says I'll have to switch to formula, but I want to give only my milk for at least six months. I've thought it through and I'm sure about that. I just don't know how I'll manage it." Goal reviewed and confirmed with the IBCLC earlier in this visit.