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CLC Exam study for Exams | Questions Verified Answers
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CLC Exam study for Exams | QuestionsVerified Answers
The code
Intended to protect and promote BF thru adequate info on appropriate feeding and
regulate marketing of BM subs
BF benefits for mom
Decrease risk of diabetes, heart disease, breast/endo/ovarian cancer,
hypertension, hyperlipidemia
Size of breasts = amount of milk
MYTH
Making milk
Messages from the breast travel thru nervous system to the brain, then hormones travel to the
breast thru the blood stream
How many hormone pathways are there
2, pituitary is important to both
2 milk hormones
Prolactin & oxytocin
Prolactin
Causes milk production, levels rise during nursing and decreases between feedings.
Nipple STROKING
Oxytocin
Causes milk EXIT, projection. "Letdown" Nipple STRETCHING
Mechanisms to trigger oxytocin
1- conditions response/milk ejection "letdown"- related to smell, touch, hearing
2- nipple stretching- happens with proper latch
3- baby hand massage
All mammal milk -
Contains lactose and is species specific
,Mammal milk with ^ fat/protein
Has low water, less feeds.
Vice versa - ^water, less fat = more feeds
Group 1
Nest or cache
Group 2
Carry, follow, hibernate
Human milk is ideal fuel for _____ growth
Brain
Lactogenesis 1
secretory differentiation, during pregnancy, colostrum
Lactogenesis 2
Secretory activiation- complete delivery of placenta, rapid drop in progesterone,
transitional milk
Lactogenesis 3
Lactation(galactopoesis), prolactin from nip stimulation, frequent milk removal, mature milk
Fore vs hindmilk
Fore - milk @ beginning of feed
Hind - milk @ end of feed
No data on day differentiation
Preterm milk higher in ____, __ and ____ compared to mature milk
protein, fat and electrolytes
Preterm milk has a different composition when?
For the first 5-7 weeks after delivery dependent on gestational age at delivery
After one year of lactation, milk has LESS fat and energy - T/F
False! Has MORE
How does diarrhea protect babies from diarrhea?
BM makes the fit more acidic, less iron (bacteria ❤ iron), antibodies, WBC, absence
of contaminants (formula, etc.)
, Can BF babies regulate their fat intake
Yes, that's why mothers are encouraged to practice 'baby led feeding', there's no difference
in baby's fat intake according to # of feedings. It's all based on baby
Less ______ is the most readily acknowledged advantage of BF
Diarrhea - causes 86% LBW infant deaths
Gastronomy and cholecystokinin promote _____
Glucose induced insulin release and growth promoting effects in the gut
Somatastatin prevents ___
GI secretion, motility in the GI tract , release of most GI hormones &
cellular growth/proliferation in the gut
What increases gastric & decreases somatostatin in babies?
Species own milk, decreased stress, suckling babies, touch, wellness
When mother suckles, her Gastrin and cholecystokinin go up, which increases ___
insulin efficacy and storage of ingested nutrients
Drinking enough water?
MYTH
Not getting enough sleep ?
MYTH
Exercising too much?
MYTH
How do we assure adequate milk supply?
Feed 10-12x/day, understanding how BF works, appropriate BF assessment, BF support
Does it make a difference is mom is undernourished?
Nope.
How is it possible for humans to make milk with such a small amount of energy?
Maternal plasma prolactin concentration increases under negative energy
Large fat reserves from pregnancy
Feeding cues
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