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IBCLC Exam Prep | Quizzes with 100% Verified Answers
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IBCLC Exam Prep | Quizzes with 100% Verified Answers
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IBCLC Exam Prep | Quizzes with 100%Verified Answers
hormones the prepare the breasts during pregnancy - ✔✔- estrogen
-progesterone
-human placental lactogen
Which hormones prevent milk secretion during pregnancy? - ✔✔- estrogen
-progesterone
- placental lactogen (the prolactin inhibiting hormone)
Relactation - ✔✔- pumping and massage alone can make this happen in women who have
lactated before
signs and symptoms of hypoglycemia - ✔✔- poor suck
- lethargy
- refuse to feed
-jitteriness
- high pitched cry
- rapid breathing
- seizures
-exaggerated reflexes
conditions/interventions associated with hypoglycemia - ✔✔- maternal diabetes
-(smaller twin)
-LGA (>90th percentile)
,-SGA (<2500g)
-postasphyxia
-postmaturity
-cold stress
-sepsis
-hypertonic glucose infusion during labor
warning signs of inadequate intake (voids and stools) - ✔✔- scant concentrated urine
- brick dust urine after 2 days
- no urination
- <4 stools per day after day 3
- stools have not turned yellow by day 6
baby behavior with inadequate milk intake - ✔✔- lethargy
- extreme fretfulness (never content after feedings)
- no latching
- no audible swallowing after 96 hours
if mom is not making enough milk, these maternal signs will occur: - ✔✔-more intense nipple
soreness (if previously present)
- sudden onset of nipple soreness
- clinical engorged (making feeding even more difficult)
Step 1 of BFHI - ✔✔write an evidence based bf policy that is reviewed by a committee each
year. a system must be in place to insure adherence
Step 2 of BFHI - ✔✔Educating practitioners and staff so they can adhere to bf policy
, Step 3 of BFHI - ✔✔Educate PG moms of benefits and BFing management
Step 4 of BFHI - ✔✔-skin to skin care after birth
- delay procedures til after first feeding
- keep mom and baby skin to skin during routine procedures (apgar, temperature,
immunizations, blood draws, listening to baby's heart beat, foot printing, eye ointment)
Step 5 of BFHI - ✔✔- if mom and baby must be separated, teach mom how to get and keep
her milk supply
Step 6 of BFHI - ✔✔nothing besides breast milk unless medically indicated
Step 7 of BFHI - ✔✔rooming in 24 hours per day
Step 8 of BFHI - ✔✔encourage BF on cue
Step 9 of BFHI - ✔✔no artificial nipples
Step 10 of BFHI - ✔✔establish follow up safe guards in community so that BFing can be
supported after discharge
How much milk should a mother of twins make? - ✔✔54oz per 24 hours.
What should a mother a multiples do with her expressed milk? - ✔✔feed it to the baby right
away instead of freezing it for later
proper voiding and stooling on day 4 post partum - ✔✔- voiding: at least 6 per day
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