International Board of Certified Lactation Consultant (IBCLC) Practice Exam

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If a mother has active herpes lesions on one breast, what is the recommended action for breastfeeding?

  1. Pump and dump from the affected side and feed from the unaffected side

  2. Breastfeed from both sides with caution

  3. Stop breastfeeding entirely

  4. Pump from both sides and discard the milk

The correct answer is: Pump and dump from the affected side and feed from the unaffected side

When a mother has active herpes lesions on one breast, the recommended action is to pump and dump from the affected side while continuing to feed from the unaffected side. This approach minimizes the risk of transmitting the herpes virus to the infant through direct contact with the lesions. By exclusively using the unaffected breast for breastfeeding, the infant can continue to receive the benefits of breast milk, which includes essential nutrients and antibodies for optimal growth and immune support. Pumping from the affected side allows the mother to maintain her milk supply while ensuring that the milk is not given to the infant until it is safe to do so. After the lesions have healed and the mother receives clearance from a healthcare provider, she can resume breastfeeding from the affected breast. While maintaining safety, this strategy preserves the breastfeeding relationship and provides the best nutrition for the baby, aligning with best practices in lactation support.