Certified Breastfeeding Counselor Practice Exam 2025 – Comprehensive Test Prep

Infants with hyperbilirubinemia should be managed by monitoring their appearance and dehydration during breastfeeding. Hyperbilirubinemia, also known as jaundice, can occur in newborns when there is an excess of bilirubin in the blood. Monitoring the infant's appearance, such as the color of the skin and eyes, is important to assess the severity of jaundice. Dehydration can also worsen jaundice, so it is crucial to ensure that the infant is adequately hydrated through breastfeeding. Therefore, the correct answer is to monitor appearance and dehydration.

It is important not to decrease feeding frequency for infants with hyperbilirubinemia as this can lead to dehydration. Delaying breastfeeding until bilirubin levels normalize is not recommended as breastfeeding provides essential nutrients and hydration for the newborn. Implementing strict feeding schedules may hinder the infant's ability to feed on demand, which is important for establishing breastfeeding and ensuring adequate milk supply.