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CLC Test/114 Questions and Answers
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CLC Test/114 Questions and Answers___ and ___ is one of the most powerful steps in influencing breastfeeding
outcomes - -Skin to skin in 1st hour and encouraging early feeding
-___ is a common complication of inadequate milk transfer during
breastfeeding in the US - -Hypernatremia (high sodium)
-___ is the most readily acknowledged advantage of breastfeeding - -Less
diarrhea
-___ was associated with every aspect of poor latch - -Pain
-5 main categories of characteristic ways to know by Mary Belenky &
colleagues - -1. Silence
2. Receivers of Knowledge
3. Subjective Knowing
4. Procedural Knowing
5. Constructed Knowing
-AAP: All breastfeeding newborn infants should be seen by pediatrician at __
to __ days of age, which is within ___ to ___ hours after discharge from
hospital - -3 to 5 days; 48-72 hours
-Abscess - -pus not milk; as many as 60% may be positive for MRSA;
nursing on other breast possible
-At one month, the frequency of exclusive breastfeeding as well as
behaviors that promote breastfeeding was significantly higher in the
research group that received a ___ - -doula
-Babies born ___ and ___ had double the odds of supplementation compared
to babies born during the day - -night & early morning (10 pm-9 am)
-Breastfeeding and feeding breastmilk are NOT advisable if an infant has ___
- -been diagnosed with galactosemia, MOB with HIV, MOB with human T-cell
lymphotrophic virus type I or type II, mother using an elicit street drug (PCP,
cocaine), MOB with suspected or confirmed Ebola virus
-Breastfeeding and feeding breastmilk should temporarily be stopped when
___ - -MOB with untreated brucellosis, MOB on certain medications, MOB
undergoing diagnostic imagining with radiopharmaceuticals, MOB with active
herpes simplex virus infection with lesions present on breast
-Breastfeeding counseling goals - -1. Family concerns heard and valued
, 2. Baby feels heard and valued
3. Counselor elicits "the whole story" before offering feedback or intervention
4. Adults, baby, and counselor are fully involved in problem solving
5. Safety is always the primary focus
6. Technology and gadgets are used very carefully
-Breastfeeding promotion focuses on ___ - -advantages of breastfeeding on
a personal, community, country, or global level
-Breastfeeding protection focuses on ___ - -government, manufacturer, and
social responsibility to assure breastfeeding's ability to compete with
commercial interestes
-Breastfeeding support focuses on ___ - -the interaction of "helpers" with
family as well as program development and implementation
-Candida Albicans/Yeast/Thrush - -Causes pain for mother and baby
May be visible or not
MOB w/ itchy, flaky, shiny skin
Nystatin ointment
Cleaning/replacing yeast vectors
-Characteristics of oversupply - -Rapid weight gain
Unsettled baby, especially after feedings
Recurrent plugged ducts and mastitis
Painful feedings
Voluminous stools, often green and shiny
-Clogs - -may appear at nipple tip as a "bleb" Small white spots on the face
of the nipple that look like milk-filled blisters; described as stabbing, pinpoint
pain; may exit when treated as clogs; may need to be lanced by PCP
-Clogs - -palpable lumps of milk within the lumen or duct system, usually
not visible
Treatment: find out cause, massage/warmth/double nursing
-Common mastitis - -can be non-infective or infective; fever, ill feeling,
redness, pain, one inflamed breast; medication intervention needed
(NSAIDS); can still nurse
-Concern w/breast surgery or injury - -damage to nerves and/or ducts
-Concern with breast implants - -storage capacity reduction
-Concern with flat or inverted nipples? - -Will the hormones function
optimally? Prolactin- nipple stroking. Oxytocin- nipple stretching
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