Exam (elaborations)
IBCLC Exam #1|338 Q’s and A’s
- Course
- Institution
IBCLC Exam #1|338 Q’s and A’s
[Show more]
Seller
Follow
Victorious23
Reviews received
Content preview
IBCLC Exam #1|338 Q’s and A’sWhat week gestation does the breast begin to develop in utero? - -*4th*
week of gestation
-Where does the primitive milk streak develop - -Bilaterally from the axilla
to the groin
-By the 5th week gestation the milk streak becomes what? - -Mammary Milk
Ridge (or milk line)
-Thickening and inward growth into the chest wall continues during what
weeks gestation? - -*7-8* weeks gestation
-Between weeks 12 and 16 gestation specialized cells differentiate into
what? - -Smooth muscles of the nipple and areola
-What forms the mammary pit? - -Lactiferous ducts and their branches open
into a shallow epithelial depression
-What failure creates an inverted nipple? - -When the Mammary pit fails to
elevate
-What is witches milk? - -After birth, a neonate's mammary tissue (under
the influence of maternal hormones) might recreate colostral like fluid
-At what age do the primary and secondary ducts grow and divide and form
the terminal end buds that become the alveoli? - -10-12 years old (puberty)
-When does *complete* development of mammary function occur? - -During
pregnancy
-What is superficial fiscia? - -Fibrous tissue beneath the skin
-Where is the breast located? - -In the superficial fascia between the *2nd
rib and 6th ICS*
-What are the two major divisions of the breast? - -Parenchyma and Stroma
-What makes up the Parenchyma? - -Ducts, lobes, and aveoli
-What are alveoli? - -Small sacs where milk is secreted
-What makes up the Stroma? - -Connective and fat tissue, blood vessels,
nerves, and lymphatics.
, -What is Cooper's Ligament? - -Suspensory ligament that are the fibrous
connections between the inner side of the breast skin and pectoral muscles.
Help to shape the breasts
-What does the nipple contain? - -15-25 milk ducts, smooth muscle fibers,
sebaceous and apocrine sweat glands, and dense innervations of sensory
nerve endings
-How many milk ducts does the nipple contain? - -15-25
-What are Montgomery Tubercles? - -Sebaceous glands in the areola
surrounding the nipple
-What do the Montgomery Tubercles secrete? - -*Oily secretions* (lipoid
fluid) to keep the areola and the nipple lubricated and protected
-What 2 arteries supply blood to the breast (60% / 30%)? - -Internal
mammary artery (60%) and lateral thoracic artery (30%)
-Where does the lymphatic system of the breast drain excess fluids from
tissue space, bacteria and cast off cells? - -Auxiliary lymph node
-Where do the nerves of the breast branch from? - -4th, 5th, and 6th
intercostal nerve
-What nerve supplies the greatest amount of *sensation* to the areola? - -
*4th* intercostal nerve
-What part of the breast is most sensitive? - -The areola followed by the
general skin of the breast, and then the nipple which is least sensitive.
-What percent of breast milk is *carbohydrates*? - -Approximately 7%
-What are the six infant behavioral "states" - -*Crying*
*Active alert*=fussy
*Quiet alert*=ready to play
*Drowsy*= irreg. breathing, heavy eyes
*Active sleep*= eye movement under lids, twitching
*Quiet sleep*= reg resp. relaxed, diff. to wake
-Milk components that protect the infant/lactating breast actively bind
______, preventing their passage through the permeable infant _____ _____ - -
pathogens
gut mucosa
, -How does the infant get the antibodies produced by mom? - -antibodies
are produced in moms blood, targeted *SIgA* which is transported across the
mammary secretory cells and released in the milk.
-What is sIgA? - -Immunoglobulin A is an antibody that coats mucosal
surfaces to prevent adherence and penetration by pathogens
-What are the most common food allergies? - -1. Cow's milk protein
2. Eggs
3. Peanuts
4. Tree nuts
5. Fish
6. Shellfish
7. Soy
8. Wheat
-What are the common symptoms of food allergies? - -1. Eczema
2. Hives
3. Digestive or respiratory problems (e.g. mucus or blood in the stool)
-The infant uses their _____ to draw in the nipple and ____ it in the mouth - -
Lips
Stabilize
-Weak lip tone is also called? - -*Hypotonic lips* result in the inability to seal
lips around the breast impacting the amount of suction created
-What is a sucking blister? What are 2 things it can be caused by? - -friction
abrasions resulting from *retracted lips or a labial frenulum* that restricts
the lips from flanging
-What does weak lip tone look like? - -Milk spilling, smacking sound
(breaking suction), infant tires faster due to increased work of the feedings
even though they aren't efficient feedings
-Things to look for when assessing the lips: - -Seal
Tone
Stretchy labial frenulum
No breaks in suction
No milk spilling
-What do fat deposits in the cheeks help provide? - -*structural support* to
stabilize nipple in the mouth
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now