Question 6 of 11
(demo test)
Product Demo for IBLCE Exam Review
-
-
Permission of M Hewey Brooks Association -
Permission of M Hewey Brooks Association
During a consult, a mother of a just weaned 12 month old shows you her right breast, complaining of this red, itchy, scaly rash which started on her nipple. It is only on one breast and she is unsure when it started. The most important recommendation you could make to her is:
-
This is a picture of Paget's disease, a rare form of breast cancer which appears as a unilateral, well demarcated, red, scaly plaque involving the nipple/areola. 60% of the time there is an underlying breast mass. The parent should see a health care provider for diagnosis and treatment immediately, making a wait and see approach inaccurate.
It is not in the IBCLCs scope of practice to diagnose conditions or prescribe medications, which makes the eczema diagnosis and hydrocortisone recommendation additionally inaccurate.
Wambach writes "Although breastfeeding lowers the risk of developing breast cancer, it does not prevent the rare woman from having a cancerous lump in her breast while she is breastfeeding". (Wambach 2016 p 347-348; Wambach 2021 pp 303-304). Additionally, lactation consultants should seek to validate and not dismiss parent concerns.
