Certified Lactation Counselo Exam QuestionsandAnswers. __________________ increases and _____________________ decreases in babies while suckling. - ANSWER-Gastrin, somatostatin
.3 strategies for increasing BF initiation and duration - ANSWER-Promotion, Protection, Support
.10 steps to successful BF - ANSWER-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
.AAP recommendations for BF observation in hospital - ANSWER-Formal eval/documentation by trained staff at least once per shift
Assess latch, position, transfer, exams
.Abscess - ANSWER-Full of pus, not milk
May be MRSA +
Nursing other breast can still be possible
May not be visible; deep in breast
Ultrasound-guided technique to drain is safe and efficient; should be first choice (though may need to be repeated) .Alcohol and lactation - ANSWER--Oxytocin decreases while prolactin increases
-Oxytocin release can easily be blocked
-Is water soluble, so it passes in and out of milk as it does blood. Pump and dump won’t speed up process.
.All mammals have ____________________________ in their milk - ANSWER-lactose
.Allergy vs. intolerance - ANSWER--Allergy is a full-body response: eczema, asthma, skin eruptions, etc
-Intolerance is discomfort is a specific location: gas, colic
.Alveolar Cells - ANSWER-found in the walls of the alveoli, simple squamous epithelial cells, main sites of gas exchange
.Alveoli - ANSWER-Small glands in the breast that produce milk
.Are mother’s GI hormones impacted by sucking and skin contact? - ANSWER-Yes, it activates the parasympathetic nervous system. Increases in gastrin, CCK, and insulin have been observed.
.At-Breast Supplementer - ANSWER-a device that allows a supplement to be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
.Atopy - ANSWER-hypersensitive or allergic state involving an inherited predisposition
.Average number of feeds in a day? - ANSWER-8-12
.Baby poop on days 1-2, 2-3, and 4+ - ANSWER-Meconium, greenish transitional, yellow/seedy .Baby suckle causes a signal to go through the - ANSWER-Thoracic/intercostal nerves (T3-T5)
.Benefits of BF-SIDS - ANSWER-EBF at 1 month, decreased SIDS rate 50% & after
2months +, BF has protective effect against
.Benefits of BM for premies - ANSWER-faster brain maturation
rapid maturation in intestinal barrier function
significantly lower odds of incidence of NEC & death
.Benefits of donor milk - ANSWER--Preventative
-Cost Effective
-Safe
.Benefits of rooming-in - ANSWER--Feeding cues more easily observed
-Babies are held STS more
-Fed at their “best” times
-Learning happens together
.BF and Environmental Contaminants - ANSWER-Toxic exposure occurs in utero, minimally through milk.
Some populations are at risk use to agriculture or occupational exposure.
.BF and Food flavors - ANSWER--Food flavors pass through milk
-Longer duration of BF, higher food variety at 3 years
.BF initiation rates in the early 1970s - ANSWER-25% (all time low)
.BF initiation trends by decade - ANSWER-Lowest rates- early 1970s Increased from early 70s to early 80s
Dropped between early 80s to early 90s
Increased again in 1990s
.Biggest intervention time during the first 1000 days - ANSWER-Labor and birth- about a 30-hour window
.Bilirubin - ANSWER-an orange-yellow pigment formed in the liver by the breakdown of hemoglobin and excreted in bile.
.Blebs - ANSWER--Small white spots on the face of the nipple (looks like a milk filled blister)
-One duct opening is covered
-Stabbing pin point pen
-May exit when treated as clogs
-May require lancing
.Breast Anatomy - ANSWER-
.Breast augmentation incision most related to milk insufficiency - ANSWER-Peri-areolar (signs: perfectly round areola, jagged line from bottom of areola)
.Breast development during menstruation - ANSWER-- Estrogen: Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
.Breast reduction techniques related to BF struggles - ANSWER-Free-nipple graft (nipple entirely removed), pedicle technique, anchor incision- straight line down from areola
.Breastfed baby growth patterns - ANSWER-Consistent across the world
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