Standards of of practice for CBC
- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding?
-Experience, ph...
PCE Certified Breastfeeding Counselor Exam
Standards of of practice for CBC - correct answer- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding? - correct answer-
Experience, philosophy, credentials
What are responsibilities of staff? - correct answer-Provide education and foster environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes - correct answer-No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - correct answer-Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats -Support groups
Where is milk produced? - correct answerAlveoli
How is milk ejected into ducts from alveoli? aka let down - correct answerMyoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin increases Different stages of breast development - correct answer- embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated. Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop? - correct answer40 days
What happens to estrogen and progesterone during pregnancy and birth? - correct answerIncrease during pregnancy, decreases after birth. Helps development of lobes.
Signs of letdown? - correct answerTingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat - correct answerMammary gland tissue that extends to axillary area, connected to milk ducts. = Swollen armpits and mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they lactate? - correct answerDiagonal line from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank? - correct answerDifficulty w/ latch. Nipple shield may help. Short shank= retraction w/ stimulation
Hypoplasia, what is it? - correct answerUnderdevelopment, insufficient glandular tissue. No changes during pregnancy, insufficient milk.
What is breast milk composed of? - correct answer- Fats: higher in mature milk and evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA, kills bacteria
Carbs: Lactose, makes up alories/ energy. Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom. Minerals: Calcium, phosphorus, magnesium, not affected by diet. -Mostly water
How is preterm milk different? - correct answerHigher in protein and immune factors
Which component of breast milk is most variable? - correct answerLipids
What component of human milk is destroyed by freezing? - correct answerMacrophages
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