Real Questions and Latest Questions for IBCLC exam

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Exam Code: IBCLC International Board Certified Lactation Consultant Free PDF November 2023 by team

IBCLC International Board Certified Lactation Consultant

International Board of Lactation Consultant Examiners (IBCLE)
International Board Certified Lactation Consultant® (IBCLC®)

Detailed Content Outline

A. Infant

1. Feeding behaviours at different ages

2. Food intolerances/allergies

3. Infant anatomy and anatomical/oral challenges

4. Introducing complementary foods

5. Low birth weight

6. Milk banking – formal and informal

7. Normal infant behaviours

8. Nutritional requirements - preterm

9. Preterm development and growth

10. Skin tone, muscle tone, reflexes

11. Term development and growth

12. WHO growth charts with gestational age adjustment

B. Maternal

1. Breast development and growth

2. Breast surgery

3. Composition of human milk

4. Maternal anatomical challenges

5. Maternal nutritional status

6. Nipple structure and variations

II. Physiology and Endocrinology 24

1. Diabetes

2. Infertility Issues

3. Maternal metabolic and hormonal disorders (e.g., thyroid, Polycystic Ovarian Syndrome)

4. Maternal autoimmune disorders

5. Multiples

6. Newborn hypoglycemia

7. Pregnancy and breastfeeding – tandem

8. Relactation

9. Stooling and voiding

III. Pathology 31

A. Infant

1. Allergies

2. Ankyloglossia

3. Cleft lip and palate

4. Congenital anomalies (e.g., gastrointestinal, cardiac)

5. Gastroesophageal Reflux Disease (GERD), reflux

6. Hyperbilirubinemia

7. Infant acute disease (bacterial, viral, fungal, systemic)

8. Infant neurological disabilities

9. Small for Gestational Age (SGA), Large for Gestational Age (LGA)

B. Maternal

1. Abscess

2. Milk ejection reflex dysfunction

3. Maternal acute disease (bacterial, viral, fungal, systemic)

4. Maternal chronic disease

5. Maternal disability (physical and neurological)

6. Mastitis

7. Milk supply, low or over

8. Nipple and breast conditions

9. Nipple pain and trauma

10. Post-partum hemorrhage

11. Pre-eclampsia / pregnancy induced hypertension

IV. Pharmacology and Toxicology 13

1. Alcohol and tobacco

2. Contraception

3. Drugs of abuse

4. Galactogogues

5. Gel dressings/nipple creams

6. Medication (prescription, over-the-counter, diagnostic and therapeutic procedures)

7. Medicinal Herbs

V. Psychology, Sociology, and Anthropology

1. Transition to parenthood

2. Birth practices

3. Foods to eat/avoid that affect lactation

4. Employment – returning to work

5. Family lifestyle

6. Identifying support networks

7. Maternal mental health

8. Maternal psychological/cognitive issues

9. Mother-baby relationship

10. Safe sleep

11. Weaning

12. Cultural competency

VI. Techniques 25

1. Effective milk transfer (including medically-indicated supplementation)

2. First hour

3. Latching

4. Managing supply

5. Milk expression

6. Positioning

7. Refusal of breast, bottle

8. Skin-to-skin (Kangaroo care)

9. Test-weighing

VII. Clinical Skills 35

A. Equipment and Technology

1. Feeding devices (e.g., tubes at breast, cups, syringes, teats)

2. Handling and storage of human milk

3. Nipple devices (e.g., shields, everters)

4. Pacifiers

5. Pumps

6. Scales

7. Communication technology

8. Websites

B. Education and Communication

1. Active listening

2. Anticipatory guidance

3. Care plan development and sharing

4. Documentation

5. Educating mothers and families

6. Educating professionals, peers, and student

7. Extending the duration of breastfeeding

8. Emotional support

9. Empowerment

10. Group support

C. Ethical and Legal Issues

1. Breastfeeding in public

2. Clinical competencies

3. Code of Professional Conduct (CPC)

4. Principles of confidentiality

5. WHO code –advocacy and policy

D. Research

1. Apply research in practice

2. Appraise and interpret research results

3. Use research to help develop policies and protocols

E. Public Health and Advocacy

1. Advocate for Baby-Friendly Hospital Initiative (BFHI)

2. Advocate for compliance with World Health Organization International Code of Marketing of Breast milk Substitutes (WHO Code)

3. Advocate for mother / baby in healthcare system

4. Develop breastfeeding-related policies
International Board Certified Lactation Consultant
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IBCLC International Board Certified Lactation Consultant

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International Board Certified Lectation Consultant
Question: 57
Public health efforts focus on populations and their risks. Which disorder is
associated with early and middle childhood, according to Healthy People 2020?
A. Dental caries
B. Pneumonia
C. Immunizations
D. Congenital disorders
Answer: A
Dental caries is associated with early and middle childhood, according to Healthy
People 2020. Congenital disorders occur in utero; and pneumonia is associated
with older age groups. Lastly, immunizations prevent disorders. Other disorders
that affect early childhood and middle childhood include asthma, child abuse and
neglect, obesity, and behavioral disorders.
Question: 58
The Department of Health is conducting screening tests for tuberculosis among
women of childbearing age. The results of the screening indicate that the
screening test is sensitive. What does this mean?
A. It means that the screening test is consistent over time.
B. It means that the screening test is consistent among those who perform it.
C. It means that the screening test is able to identify those with tuberculosis.
D. It means that the screening test is able to identify those without tuberculosis.
Answer: C
A test is sensitive when it is able to identify those with tuberculosis or another
disorder. A test is specific when it is able to identify those without the trait or
disorder. Consistency over time and among different testers is referred to as
Question: 59
Which of the following is an independent variable?
A. Levels of postnatal stress (relating multiple births)
B. One-to-one teaching (and the effect of this teaching on maternal attachment)
C. Perceived knowledge levels (after an educational class on latching techniques)
D. Compliance levels (after a class on the importance of completing the entire
antibiotic regimen)
Answer: B
One-to-one teaching is an example of an independent variable. For example, a
lactation consultant may provide a one-to-one teaching session to some clients and a
group class for other clients and compare the results. The researcher will then
attempt to determine if one of these two groups has higher levels of maternal
attachment. The other choices are dependent or effect variables.
Question: 60
Focus group research is an example of:
A. Quantitative research.
B. Statistical research.
C. Qualitative research.
D. Cultural research.
Answer: C
Focus group research is an example of qualitative research. The data consists of
words and patterns found in the narrative data. Quantitative research analyzes data
in terms of statistics and math.
Question: 61
The T-test and the Chi-square test help researchers to:
A. Find out if things are positively correlated.
B. Find out if things are negatively correlated.
C. Determine the mean, median, and mode.
D. Determine the statistical significance.
Answer: D
The T-test and the Chi-square test help researchers to determine the statistical
significance of research findings. Correlation coefficients are used to determine if
there is a negative or positive correlation.
Question: 62
Which ordinal position is characterized with more physical punishment than other
A. The firstborn
B. The middle children
C. The youngest child
D. The 12-year-old boy
Answer: A
The firstborn child is the child who is most often physically punished. This
ordinal position child is also more dominant and achievement-oriented than other
ordinal positions.
Question: 63
What position is the mother using when the baby is held against the mothers side
with its feet pointing back towards the chair that the mother is sitting on?
A. The football hold
B. The cross-cradle hold
C. The cradle hold
D. The sitting up hold
Answer: A
The position that the mother is using when the baby is held against the mothers
side with its feet pointing back towards the chair that the mother is sitting on is
called the football hold. The babys body is supported on the mothers forearm
while their hand is under the back of his head with the palm up.
Question: 64
The practice of holding the baby so that his or her bare chest is against that of his
or her mother or father to help to promote breastfeeding is:
A. Parent-to-baby holding.
B. Skin-to-skin holding.
C. Heart-to-heart holding.
D. Baby-to parent swaddle.
Answer: B
The practice of holding the baby so that his or her bare chest is against that of his
or her mother or father, is skin-to-skin holding. This technique helps to promote
breastfeeding. The baby can be covered with a blanket or held under the parents
clothing to keep warm during skin-to-skin holding.
Question: 65
The best way for the mother to learn how to breastfeed is to:
A. Follow the nurses suggestions only.
B. Watch other mothers breastfeed.
C. Ask a friend who has just had a baby.
D. Follow the instructions of the nurses and a lactation consultant.
Answer: D
Once the baby is born, the best way for the mother to learn how to breastfeed is to
follow the instructions of the nurse and a lactation consultant. These members of
the team have the professional expertise to teach new mothers about
breastfeeding. Friends are not always a reliable source of information.
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If you work with PDF files regularly then a PDF editor is an indispensable tool. Whether it’s part of your job, you manage PDF files for your own personal use, or you just need to complete a one-off editing task, a top editor program is an essential piece of software. Full-featured editors such as Adobe’s Acrobat Pro DC might provide all of the bells and whistles, but a free PDF editor can still offer most of the important tools of a paid service for no additional charge.

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Updated 11/02/2023: To include PDFgear as our new pick for most sophisticated free PDF editor. Read more about why we love this great new pick with a pro-level feature set in our summary below.

PDF Candy – Best free PDF editor overall


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  • Lacks a single interface, which some users may not like
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Price When Reviewed: Free

PDF Candy is the rare free PDF editor that offers a lot of the features you’d typically have to pay for. We’re talking scanning, multiple file-conversion options, and OCR functionality. While the free version has access to the expansive toolset of the paid version, you’re limited to one PDF task per hour. For unfettered access, you need to shell out $6 month.

Read our full PDF Candy review

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Price When Reviewed: Free

PDFgear is a robust free editing application with a full set of features you’d only expect to find in a paid service. Not only do you get the standard PDF editor capabilities such as edit, annotate, covert, merge, and split, but you also get more advanced functions such as compress, password protect, and E-sign. On top of all of that PDFgear includes a really interesting and unique AI co-pilot function that helps streamline your workflow by understanding and executing commands you type into a chat window. Overall, PDFgear is easily one of the best free PDF editors available.

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  • There are daily usage limits without a subscription
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Price When Reviewed: Free (Premium $7.50/mo)

Offered as both an online tool and a desktop editor, Sejda is capable of performing dozens of tasks including editing, form creation and filling, Bates stamping, file encryption, and more. If the daily usage limits are too restrictive for you, you can upgrade to the affordable paid version.

Read our full Sejda PDF editor review

Apple Preview PDF editor – Best free PDF editor for Mac users


  • Full set of PDF markup tools
  • Supports form filling
  • PDFs can be protected with passwords, encryption, and permission controls


  • Limited native sharing options
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Price When Reviewed: Built into macOS

Mac users have an excellent PDF editor built right into their operating system. Although its ostensibly a photo viewer, macOS’s Preview app is rife with PDF-editing capabilities including tools for adding text and shapes, redacting content, making freehand drawings, inserting sticky notes, and capturing your signature using your trackpad, camera, or iPhone.

Read our full Apple Preview PDF editor review

What to look for in a free PDF editor

  • Content editing: As its name indicates, a PDF editor’s primary function is to enable you to edit a document. That includes the ability to add and modify text; insert, resize, and move images; and reorganize pages in the PDF. Most free PDF editors will let you perform these tasks, though they may impose daily limits on how many you can perform or how many documents you can edit.
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  • Review and annotate: Most free PDF editors allow you to add comments and other annotations to PDF files during review. Typical annotation tools include sticky notes, shapes, and drawing markup options.
  • Signatures: Often all you need a PDF editor for is to sign a document. This used to be a premium feature only available on paid desktop editors, but more free PDF editors are allowing users to create and add electronic signatures to documents.



Is there a difference between a PDF document and a PDF form?

While there are a number of different types of PDF file formats, they all fall under the umbrella term of PDF documents. A PDF form is a type of PDF document that has editable form fields a user can fill out. Typically, parts of the document are static and can’t be changed in a PDF form. These usually include questions and instructions for those who end up filling out the form later on. In a PDF form, the content fields a user fills out are typically open to editing and can offer a list of possible answer options or can be written in freely.


Are Word files and PDF documents different?

Yes. They are two entirely different document formats. While you can export from one file format to another, they are not the same. Word file formats are usually used for word processing, editing, and making changes to text. PDF documents on the other hand, are most often utilized for viewing, sharing, and printing documents. Additionally, Word files can be read and/or written to and contain some version of the “.doc” file format. Whereas PDF files are typically read-only and contain the “.pdf” file format.


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Can I merge PDFs with a free PDF editor?

Yes, many free PDF editors such as our top pick PDF Candy, allow you to merge two or more PDFs into one. As most free PDF editors are browser-based, you will just need to open up the PDF editor application or website in your browser and click the “Merge” option. It will then ask you to add the files of all PDFs you wish to merge. Once the files have been added, just make sure that they are in the correct position and alignment you want before proceeding with the merge. Afterwards, all of your previously PDF files will be merged together into one new PDF document.


Does Google have a free PDF editor?

Yes and no. Google doesn’t provide a designated free PDF editor itself, but there are third-party Chrome extensions that you can use to help get the job done. Alternatively, you can make use of Google Drive to edit a PDF document. Simply upload the document onto your Google Drive and then select the file and right-click and select Open with > Google Docs. The file will be opened as an editable Google Docs text document. Then just make your edits and when you’re finished click File > get > PDF Document to revert it back to a PDF file.

This method is a quick and easy way to edit a simple PDF document, but be careful as Google Docs can run into formatting issues if your original document has complex visual formatting such as tables and graphs. In this case, it’s best to use a designated free or premium PDF editor.

Sun, 05 Nov 2023 12:30:00 -0600 Author: Michael Ansaldo en text/html
Best free PDF editors in 2023

The best free PDF editors let you quickly make changes to a Portable Document Format or PDF file without spending a thing. Although you won’t get all of the advanced features included with one of the best PDF editors, a free PDF editor should be able to do the trick if you want to create PDFs and make simple edits to them. 

The best free PDF editors offer basic editing and document-creation abilities. However, sometimes they toss in a few free extras. For instance, many free PDF editors let you annotate PDFS and some of them can even recognize scanned text — all at no extra cost.

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Here is a complete guide on how you can convert CAD files to PDF. CAD stands for Computer-Aided Design which contains 2D and 3D drawings and designs. A CAD file can be of several formats. However, two main CAD files formats include DWG and DXF. Now, if you want to convert any of these CAD files to PDF documents, this post will help you. In this guide, we are going to list down multiple tools that let you convert CAD to PDF. So, let us check out.

You can use a free online tool to convert CAD files to PDFs. Here are some of the best free online CAD to PDF converter tools to convert CAD files like DWG and DXF to PDF documents.

  1. CloudConvert
  2. ProfiCAD
  3. PDFConvertOnline
  4. AllinPDF
  5. AnyConv
  6. OnlineConvertFree
  7. Aconvert

1] CloudConvert

convert CAD to PDF

CloudConvert is a free file converter tool that also lets you convert CAD files to PDF documents. Using it, you can convert DWG and DXF files to PDf format. It allows you to upload your input files from your PC, Google Drive, Dropbox, or URL to convert them to PDF. You can use it to batch convert CAD to PDF as it lets you convert up to 5 files at once.

It also lets you customize various conversion options including converting all layers or not, enabling auto-zoom, and setting custom dimensions. It also lets you view the output PDF file in an interactive viewer where you can also rotate or zoom the PDF file. You can get the PDF to your PC or directly print it.

How to Convert CAD to PDF online using CloudConvert?

Here are the main steps to convert a CAD (DWG or DXF) file to PDF online using CloudConvert:

  1. Firstly, open a web browser and navigate to the CloudConvert website.
  2. Now, import one or more CAD files to it.
  3. Next, select PDF as the output format.
  4. After that, you can tap on the button present next to the output format to customize some additional conversion options.
  5. Then, press the Convert button to initiate the conversion.
  6. When the conversion is done, you will be able to view the PDF document that you can get or print.

It is a great free online CAD to PDF converter. In its free plan, it lets you perform 750 conversions per month. For more conversions, you will have to purchase the pro plan of this web service.

2] ProfiCAD

ProfiCAD is a free online CAD to PDF converter. It is a dedicated free online CAD file viewer that lets you view DWG and DXF files. Besides viewing, it also provides a feature to save the document in PDF format. You can also customize the paper format including size and orientation prior to saving the output. Apart from that, you can also preview the PDF in its built-in viewer.

How to convert CAD to PDF online using ProfiCAD

Try the below steps to convert CAD files to PD documents using ProfiCAD:

  1. Firstly, navigate to the ProfiCAD website using the link given below.
  2. Now, select and import CAD files from your PC or simply drag and drop the input files onto its interface.
  3. Next, tap on the Save as PDF button and then choose the paper format (portrait or landscape).
  4. After that, click on the OK button and then press the get button to save the output PDF document to your PC.

Liked this tool? You can try it here.

3] PDFConvertOnline

cad to pdf

PDFConvertOnline is a free online CAD to PDF converter tool. It is a basic convert that can convert a file of a maximum of 2 MB in size. You can convert the popular CAD formats including DWG and DXF files to PDF using it. It provides two conversion engines. So, in case its default engine fails, you can use its alternate engine to perform the conversion. Let us check out the steps to perform the conversion using it.

How to Convert CAD to PDF online using PDFConvertOnline?

You can follow the below steps to convert CAD to PDF online using this free web service:

  1. Firstly, move to PDFConvertOnline’s website in a web browser.
  2. After that, select the input CAD files by clicking on the Choose File button.
  3. Next, choose the Conversion Engine and select the document orientation as per your need.
  4. Now, tap on the Convert Now! button to start the CAD to PDF conversion.
  5. Once the conversion is done, get the output PDF.

It is a nice web service that lets you convert DWG and DXF CAD files to PDF format.

RELATED: Edit DWG files using free DWG Editor software for Windows.

4] AllinPDF

AllinPDF is basically a free web service that provides a variety of PDF tools. Along with several tools, it also features a CAD to PDF converter. Using it, you can convert a DWG or DXF file to PDF format. You can convert one file at a time using this tool. Besides PDF, you can also convert CAD files to various other formats including JPG, PNG, GIF, and TIFF.

How to Convert CAD to PDF online using AllinPDF?

Using the below steps to convert DWG or DXF to PDF online:

  1. First of all, navigate to its website and add the source CAD file.
  2. Now, set PDF as output format and then press the OK button.
  3. Once the conversion finishes up, you can Preview/Download the resulting PDF document.

You can use it here.

5] AnyConv

AnyConv is a free online file converter that lets you convert different types of files. Along with different file conversions, it also supports the conversion of CAD files (DWG/ DXF) to PDF format. It lets you batch convert CAD to PDF. You can upload a file of up to 100 MB in size and then convert it to PDF. Apart from CAD and PDF< it also supports different formats of images, documents, audio, video, and more files.

How to convert CAD to PDF online using AnyConv?

Here are the steps to perform CAD to PDF conversion using it:

  1. First, open AnyConv’s website in a web browser.
  2. Now, tap on the Choose File button to import one or multiple CAD files.
  3. Next, set PDF as the output format for each of the added source files.
  4. After that, click on the Convert button to start the conversion.
  5. When the conversion process is done, click on the Download .PDF button to save the output PDF to your PC.

Head over to its website to use it.

See: Best free CAD software for Windows to make modeling easier.

6] OnlineConvertFree

Another free online tool that you can try to convert CAD to PDF is OnlineConvertFree. Using it, you can convert DWG or DXF to PDF. Apart from that, it is also used for the conversion of various other file types including images, audio, archives, videos, ebooks, and many more.

Try the below steps to convert CAD to PDF online using OnlineConvertFree:

  1. First of all, go to its website in a web browser.
  2. Next, tap on the Choose File button to browse and import the source CAD file.
  3. After that, choose the output format as PDF from the drop-down options.
  4. Finally, click on the Convert button to start the conversion and then get the resulting PDF document.

Try it here.

7] Aconvert

Aconvert is one more free online CAD to PDF converter tool. This tool lets you convert only DWG files to PDF. So, if you want to convert a DXF to CAD file, choose some other converter tool from this list.

Using this free converter, you can convert multiple CAD files to PDF at a time as it supports batch file conversion. You can convert up to 10 DWG files to PDF at once with the help of this tool. Apart from locally saved files, you can also upload files from Google Drive, Dropbox, and URLs to perform the conversion.

How to convert CAD to PDF online using Aconvert?

Here are the basic steps to convert DWG CAD files to PDF online using Aconvert:

  1. Firstly, simply visit the Aconvert website in a web browser.
  2. Now, click on the Choose Files button to import one or more DWG files that you want to convert.
  3. Next, ensure that the Target Format is set to PDF.
  4. After that, press the Convert Now! button to start the batch CAD to PDF conversion process.
  5. Once the conversion is done, get the resulting PDF documents to your PC.

The maximum combined size limit per conversion on this website is 200 MB.

Hope this helps!

Can you convert a DWG file to PDF?

Yes, you can convert DWG files to PDFs. You can use a free online tool like Autodesk Viewer or AnyConv for performing DWG to PDF conversion. If you prefer a desktop application, then use free software like SolveSpace or XnConvert to convert DWG to PDF.

How do I convert a document to PDF on my computer?

If you want to convert Word, Excel, and PowerPoint documents to PDF for free on your computer, then one of the best options is Google Docs. Upload your document in Google Docs, then use the Download section in the File menu, and select the PDF document (*.pdf) option there. You can also use freeware like AVS Document Converter for a document to PDF conversion.

Now read:

cad to pdf
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The best free PDF reader options provide not only the capability to view documents but also tools for editing and collaboration, without any hidden costs. 

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