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CLC EXAM/256 QUESTIONS AND ANSWERS/FULLY SOLVED
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CLC EXAM/256 QUESTIONS AND ANSWERS/FULLYSOLVED
Predominant Breastfeeding - -Babies who receive breastmilk and other
liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - -Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding - -Child is between 6-23 months receiving both
human milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - -Promotion, Protection,
Support
Promotion - -Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection - -Focuses on government, manufacturer, and social responsibility
to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - -Addresses
improper marketing practices by formula companies. It is not currently a law
in the US.
What does the International Code Prohibit? - -Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - -No
distributing formula, discharge bags, industry written handouts.
Support - -Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - -1. Written BF policy. Skin to Skin immediately
after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
,10. Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include
what? - -1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast
milk? - -1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - -Baby's weight x 2.5 (2.7 or 3.0
if Baby needs to catch up weight) = daily ounces. PCP decides what the
multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - -Hydration
(elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - -Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - -4, some
yellow by day 4.
When should a baby be back to birth weight? - -12-14 days post birth
How much weight should a baby gain daily? - -Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - -
1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - -3-7 days post D/C.
Alveoli - -Small glands in the breast that produce milk
At-Breast Supplementer - -SNS system
Atopy - -hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - -Initiative by UNICEF and
WHO (1991) to support breastfeeding in hospitals and maternity centers.
"The 10 Steps".
, Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - -an orange-yellow pigment formed in the liver by the breakdown
of hemoglobin and excreted in bile.
CCK (cholecystokinin) - -Hormone that regulates the emptying of the
gallbladder and secretion of enzymes by the pancreas.
Colostrum - -thin, milky fluid secreted by the breast during pregnancy and
during the first days after birth before lactation begins. Causes a laxative
effect which helps the baby pass meconium.
Complementary feeding - -Process starts when BM alone or infant formula
alone is no longer sufficient to meet nutritional requirements of infants,
therefore other foods or liquids are introduced.
Coryllos type - -Classification system for anklyloglossia
Dancer Hand Position - -Technique used to support Baby's chin and mother's
breast. Use Thumb and index finger under chin, remaining 3 fingers to
support breast.
Alveolar Cells - -found in the walls of the alveoli, simple squamous epithelial
cells, main sites of gas exchange
myoepithelial cells - -contract in response to stimulation by sympathetic
nervous system and squeeze milk up the duct
Montgomery glands - -Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - --Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - -Prolactin and
Oxytocin
Prolactin (4 details related to milk production) - -1. is triggered by touch
(pregnant and non pregnant women). Higher levels when stimulating
breast/nipples vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels.
(Weaning)
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