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Exam (elaborations)

Certified Lactation Counselor Exam Study Guide Solutions

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Certified Lactation Counselor Exam Study Guide Solutions Predominant Breastfeeding - Ans:-Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds). Breastfeeding - Ans:-Baby receives human milk, as well as other foods or fluids, including formula. Complementa...

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  • October 22, 2024
  • 67
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • IBCLC
  • IBCLC
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GraceAmelia
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Certified Lactation Counselor Exam Study Guide
Solutions


Predominant Breastfeeding - Ans:✔✔-Babies who receive breastmilk and other liquids (e.g. water,
minerals, vitamins, oral meds).


Breastfeeding - Ans:✔✔-Baby receives human milk, as well as other foods or fluids, including formula.


Complementary Feeding - Ans:✔✔-Process starts when BM alone or infant formula alone is no longer
sufficient to meet nutritional requirements of infants, therefore other foods or liquids are introduced.
Typically child is between 6-23 months


3 strategies for increasing BF initiation and duration - Ans:✔✔-Promotion, Protection, Support


Promotion - Ans:✔✔-Focuses on advantages of BF on a personal, community, country, or global level. BF
to the community.


Protection - Ans:✔✔-Focuses on government, manufacturer, and social responsibility to assure BF ability
to compete with commercial interests.


Includes state, local, an national laws regarding BF.


International Code of Marketing of Breast-milk Subsitutes - Ans:✔✔-Addresses improper marketing
practices by formula companies. It is not currently a law in the US.


What does the International Code Prohibit? - Ans:✔✔-Distributing free formula


Giving coupons for formula

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What did the AAP resolution state in regards to the International Code? - Ans:✔✔-No distributing
formula, discharge bags, industry written handouts.


Support - Ans:✔✔-Focuses on interaction of helpers with family, as well as program development and
implementation.


10 steps to successful BF - Ans:✔✔-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


Healthcare staff responsibility for working with lactating mothers include what? - Ans:✔✔-1. Training


2. Minimum of 20 hours of training


3. 3 hours of competency verification




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What are the indications for providing supplementation other than breast milk? - Ans:✔✔-1. Medical
condition


2. Parents request after being informed of consequences


Protocol for calculating Baby's daily needs - Ans:✔✔-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? - Ans:✔✔-Hydration (elimination patterns)


Body weight (no more than 7% loss)


Observe Feeding


Maternal or infant issues


What is a CLC? - Ans:✔✔-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? - Ans:✔✔-4, some yellow by day 4.


When should a baby be back to birth weight? - Ans:✔✔-12-14 days post birth


How much weight should a baby gain daily? - Ans:✔✔-Approximately 1 ounce


Why do women supplement with formula when there is no medical need? - Ans:✔✔-1. Lack of
preparation for what the newborn period would be like.


2. Lack of timely interventions


Alveoli - Ans:✔✔-Small glands in the breast that produce milk



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FIRST PUBLISH OCTOBER 2024




At-Breast Supplementer - Ans:✔✔-a device that allows a supplement to be given while a baby is actively
nursing at the breast,


ex: Supplement Nursing System


Atopy - Ans:✔✔-hypersensitive or allergic state involving an inherited predisposition


What is the BFHI Baby Friendly Hospital Initiative - Ans:✔✔-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 - Ans:✔✔-an orange-yellow pigment formed in the liver by the breakdown of hemoglobin and
excreted in bile.


CCK (cholecystokinin) - Ans:✔✔-Hormone that regulates the emptying of the gallbladder and secretion
of enzymes by the pancreas.


Colostrum - Ans:✔✔-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 - Ans:✔✔-Classification system for anklyloglossia (tongue-tie)


Dancer Hand Position - Ans:✔✔-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 - Ans:✔✔-found in the walls of the alveoli, simple squamous epithelial cells, main sites of
gas exchange




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