Certified Lactation Counselor| Certified Lactation Counselor ALPP Exam Solved 100% Correct 2024
Complementary Feeding [Correct 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 intr...
CERTIFIED LACTATION COUNSELOR| CERTIFIED LACTATION COUNSELOR ALPP EXAM Certified Lactation Counselor | Certified Lactation Counselor ALPP Exam Solved 100% Correct 2024 Predominant Breastfeeding [Correct Ans: - Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds). Breastfeeding [Correct Ans: - Baby receives human milk, as well as other foods or fluids, including formula. Complementary Feeding [Correct 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. Typ ically child is between 6 -23 months 3 strategies for increasing BF initiation and duration [Correct Ans: - Promotion, Protection, Support Promotion [Correct Ans: - Focuses on advantages of BF on a personal, community, country, or global level. BF to the community. Protection [Correct 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 [Correct Ans: - Addresses improper marketing practices by formula companies. It is not currently a law in the US. What does the International Code Prohibit? [Correct Ans: - Distributing free formula Giving coupons for formula CERTIFIED LACTATION COUNSELOR| CERTIFIED LACTATION COUNSELOR ALPP EXAM What did the AAP resolution state in regards to the International Code? [Correct Ans: - No distributing formula, discharge bags, industry written handouts. Support [Correct Ans: - Focuses on interaction of helpers with family, as well as program development and implementation. 10 steps to successful BF [Correct 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? [Correct Ans: - 1. Training 2. Minimum of 20 hours of training 3. 3 hours of competency verification What are the indications for providing supplementation other than breast milk? [Correct Ans: - 1. Medical condition 2. Parents request after being informed of consequences Protocol for calculating Baby's daily needs [Correct 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? [Correct Ans: - Hydration (eliminati on patterns) Body weight (no more than 7% loss) Observe Feeding CERTIFIED LACTATION COUNSELOR| CERTIFIED LACTATION COUNSELOR ALPP EXAM Maternal or infant issues What is a CLC? [Correct 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? [Correct Ans: - 4, some yellow by day 4. When should a baby be back to birth weight? [Correct Ans: - 12-14 days post birth How much weight should a baby gain daily? [Correct Ans: - Approximately 1 ounce Why do women supplement with formula when there is no medical need? [Correct Ans: - 1. Lack of preparation for what the newborn period would be like. 2. Lack of timely interventions Alveoli [Correct Ans: - Small glands in the breast that produce milk At-Breast Supplementer [Correct Ans: - a device that allows a supplement to be given while a baby is actively nursing at the breast, ex: Supplement Nursing System Atopy [Correct Ans: - hypersensitive or allergic state involving an inherited predisposition What is the BFHI Baby Friendly Hospital Initia tive [Correct 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 [Correct Ans: - an orange -yellow pigment formed in the liver by the breakdown of hemoglobin and excreted in bile. CERTIFIED LACTATION COUNSELOR| CERTIFIED LACTATION COUNSELOR ALPP EXAM CCK (cholecystokinin) [Correct Ans: - Hormone that regulates the emptying of the gallbladder and secretion of enzymes by the pancreas. Colostrum [Correct 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 [Correct Ans: - Classification system for anklyloglossia (tongue -tie) Dancer Hand Position [Correct 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 [Correct Ans: - found in the walls of the alveoli, simple squamous epitheli al cells, main sites of gas exchange myoepithelial cells [Correct Ans: - contract in response to stimulation by sympathetic nervous system and squeeze milk up the duct Montgomery glands [Correct Ans: - 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? [Correct Ans: - -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? [Correct Ans: - Prolactin and Oxytocin Prolactin (4 details related to milk production) [Correct Ans: - 1. is triggered by touch (pregnant and non pregnant women). Higher levels when stimulating breast/nipples vs breast a lone. 2. Lengthening time between feeding leads to lower baseline levels. (Weaning) 3. levels go down between nursings and rise during nursing.
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