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Certified Lactation Course Exam/85 Complete Questions and Answers
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Certified Lactation Course Exam/85 CompleteQuestions and Answers
weaning - -the addition of adding other foods to a diet, but not completely
stopping or ceasing breastfeeding
-when did breastfeeding rates start to initially decline (i.e. in Britain),
particularly among the wealthy population? - -16th-17th century and
through the 18th century
-which month did women historically think was the most important to
breastfeed during? - -the summer (due to food spoilage)
-what three ingredients made up the first commercial formula? (early
1800's/19th century) - --wheat flour
-cows milk
-sugar
-what was, and still is today, one of the biggest reasons why mothers quit
breastfeeding? - -mothers report not producing enough milk
-when did bottle feeding become the "new norm", thus, causing
breastfeeding rates to continue to decline? - -20th century (particularly, mid
1900's) (1950's-1970's)
-what is the WHO code? - -an attempt to prevent excessive marketing of
ABM (artificial baby milk) and to bring awareness of benefits of breastfeeding
(although this code is not law in many countries as it interferes with
marketing & freedom)
*breastfeeding education to pubic is critical!*
-what are some other breastfeeding barriers mothers have? - --sexual vs
functional aspects of breasts
-women in the workplace
-"im not producing enough milk"
-lack of support from medical profession
-where are the breasts specifically located on the body? - --between 2nd &
6th rib
-from sternum to mid axillary line
-only gland in not fully functioning at birth
*may contain hair, sweat, and oil glands
, -hypoplastic breasts - --insufficient glandular tissues
-usually only extend from 3rd to 5th rib
-typically have more spacing between breasts (1.5 inches or more)
-montgomery glands/tubercles - -"small bumps" located around areola that
become more prominent (hypertrophy) during pregnancy & are thought to
secrete substance during pregnancy/lactation & contain scent glands to help
guide infant to nipple, while also helping kill pathogens that try to enter the
body
-areola - -vary in shape & color; usually circular; become darker during
pregnancy and do not return to pre-pregnancy color
-nipple - -contain smooth muscle fibers for erectness and graspability;
normally found at 4th intercostal space that typically contain between 4-18
openings (9 on average) for milk to be expressed through during lactation
-nipple/areola complex - -thought of as one entity; both elongate up to 2-3
times resting length during breastfeeding;
areola = most sensitive part of breast
nipples = least sensitive
-everted nipples - -most common type of nipples; protrudes slightly at rest
& everts well with stimulation
-flat nipples - -soft, but pliable & graspable
-pseudo-inverted nipples - -appear to be inverted but will evert with
stimulation or compression
-retracted nipples - -type of inverted nipples that appear to be graspable
but retracts, rather than everts, with compression
-inverted nipples/nipple inversion - -retracted nipples that occur with
retracted both with rest and stimualtion
-what are some techniques for flat/inverted nipples that may help to evert
nipples? - --inverted syringe
-supple cups
-breast shells
-avent nipplette
-"pinch test" in last trimester of pregnancy
-supernumerary nipples - -"3rd nipple" or "accessory nipple" found along
line of glandular tissue
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