International Board of Certified Lactation Consultant (IBCLC) Practice Exam

Which of the following describes "misfeasance" in lactation practice?

1. Causing harm while providing appropriate care

2. Committing an illegal act

3. Failing to provide expected care standards

4. Providing care without proper consent

The correct answer is: Causing harm while providing appropriate care

Misfeasance in lactation practice refers to the situation where a healthcare provider causes harm to a patient while still providing care that is considered appropriate in nature. This means that the care was not necessarily wrong or illegal, but the execution of the care was flawed, leading to unintended negative consequences for the patient. In the context of lactation, this could manifest in various ways, such as improper technique during a breastfeeding intervention that results in pain or injury, despite the clinician using recognized standards of practice. The focus is on the manner in which care is delivered rather than the care itself being inappropriate or inadequate. Understanding misfeasance is key for lactation consultants because it highlights the importance of not only delivering care that is theoretically sound but also ensuring that the methods employed are executed competently to avoid harm. This concept underscores the necessity of adhering to best practices and continuously improving clinical skills to mitigate risks during lactation counseling and support.