Certified Lactation Counselor/ 396 Q&A/ A+ Score Solutions. Terms like:
Protocol for calculating Baby's daily needs - Answer: Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth b...
Certified Lactation Counselor/ 396 Q&A/ A+
Score Solutions.
Protocol for calculating Baby's daily needs - Answer: Baby's weight x 2.5 (2.7 or
3.0 if Baby needs to catch up weight) = daily ounces. PCP decides what the
multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - Answer: Hydration
(elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - Answer: Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
,How many stools per day should a breast fed newborn have? - Answer: 4, some
yellow by day 4.
When should a baby be back to birth weight? - Answer: 12-14 days post birth
How much weight should a baby gain daily? - Answer: Approximately 1 ounce
Why do women supplement with formula when there is no medical need? -
Answer: 1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
Alveoli - Answer: Small glands in the breast that produce milk
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
What is the BFHI Baby Friendly Hospital Initiative - Answer: Initiative by UNICEF
and WHO (1991) to support breastfeeding in hospitals and maternity centers.
"The 10 Steps".
,Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - Answer: an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
CCK (cholecystokinin) - Answer: Hormone that regulates the emptying of the
gallbladder and secretion of enzymes by the pancreas.
Colostrum - Answer: Thick, milky fluid secreted by the breast during pregnancy
and during the first days after birth before lactation begins. Causes a laxative
effect which helps the baby pass meconium.
Coryllos type - Answer: Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position - Answer: Technique used to support Baby's chin and
mother's breast. Use Thumb and index finger under chin, remaining 3 fingers to
support breast.
Alveolar Cells - Answer: found in the walls of the alveoli, simple squamous
epithelial cells, main sites of gas exchange
myoepithelial cells - Answer: contract in response to stimulation by sympathetic
nervous system and squeeze milk up the duct
, Montgomery glands - Answer: Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - Answer: -Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - Answer: Prolactin
and Oxytocin
Prolactin (4 details related to milk production) - Answer: 1. is triggered by touch
(pregnant and non pregnant women). Higher levels when stimulating
breast/nipples vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels. (Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
Average number of feeds in a day? - Answer: 8-12
What produces colostrum? - Answer: Progesterone in the receptor sites
What produces more mature milk? - Answer: Prolactin in the receptor sites
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