IBCLC Practice Exam 2026 – All-in-One Guide to Excelling in Your Lactation Consultant Certification!

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In the context of medications and breastfeeding, what does a low molecular weight generally imply?

Lower risk of transfer to breast milk

A low molecular weight in the context of medications and breastfeeding typically indicates a lower risk of transfer to breast milk. This is because smaller molecules can be more easily absorbed and metabolized by the body, having less likelihood of crossing the barriers into breast milk when compared to larger molecules.

Additionally, the mechanism involves the principles of drug diffusion and the characteristics of the breast tissue itself, which tend to favor the passage of smaller molecules. As a result, medications with low molecular weight are often associated with minimal transfer to breast milk, thus potentially reducing exposure to breastfeeding infants.

It’s important for lactation consultants and healthcare professionals to understand this principle when advising breastfeeding mothers on medication use, as it can guide safe treatment options during lactation. The other options do not accurately reflect the pharmacokinetics involved in medication transfer related to molecular weight.

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Higher risk of transfer to breast milk

No relation to risk

Always safe to use

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