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Certified Lactation Counselor All Verified Questions with Complete Solution
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Certified Lactation Counselor All Verified Questions with Complete Solution
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CertifiedLactation
Counselor
Predominant
Breastfeeding
-
correct
answer-Babies
who
receive
breastmilk
and
other
liquids
(e.g.
water,
minerals,
vitamins,
oral
meds).
Breastfeeding
-
correct
answer-Baby
receives
human
milk,
as
well
as
other
foods
or
fluids,
including
formula.
Complementary
Feeding
-
correct
answer-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
-
correct
answer-Promotion,
Protection,
Support
Promotion
-
correct
answer-Focuses
on
advantages
of
BF
on
a
personal,
community,
country,
or
global
level.
BF
to
the
community.
Protection
-
correct
answer-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
answer-Addresses
improper
marketing
practices
by
formula
companies.
It
is
not
currently
a
law
in
the
US.
What
does
the
International
Code
Prohibit?
-
correct
answer-Distributing
free
formula
Giving
coupons
for
formula
What
did
the
AAP
resolution
state
in
regards
to
the
International
Code?
-
correct
answer-No
distributing
formula,
discharge
bags,
industry
written
handouts.
Support
-
correct
answer-Focuses
on
interaction
of
helpers
with
family,
as
well
as
program
development
and
implementation.
10
steps
to
successful
BF
-
correct
answer-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
answer-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
answer-1.
Medical
condition
2.
Parents
request
after
being
informed
of
consequences
Protocol
for
calculating
Baby's
daily
needs
-
correct
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?
-
correct
answer-Hydration
(elimination
patterns)
Body
weight
(no
more
than
7%
loss)
Observe
Feeding
Maternal
or
infant
issues
What
is
a
CLC?
-
correct
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?
-
correct
answer-4,
some
yellow
by
day
4.
When
should
a
baby
be
back
to
birth
weight?
-
correct
answer-12-14
days
post
birth
How
much
weight
should
a
baby
gain
daily?
-
correct
answer-Approximately
1
ounce
Why
do
women
supplement
with
formula
when
there
is
no
medical
need?
-
correct
answer-1.
Lack
of
preparation
for
what
the
newborn
period
would
be
like.
2.
Lack
of
timely
interventions
Alveoli
-
correct
answer-Small
glands
in
the
breast
that
produce
milk
At-Breast
Supplementer
-
correct
answer-a
device
that
allows
a
supplement
to
be
given
while
a
baby
is
actively
nursing
at
the
breast,
ex:
Supplement
Nursing
System
Atopy
-
correct
answer-hypersensitive
or
allergic
state
involving
an
inherited
predisposition
What
is
the
BFHI
Baby
Friendly
Hospital
Initiative
-
correct
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
-
correct
answer-an
orange-yellow
pigment
formed
in
the
liver
by
the
breakdown
of
hemoglobin
and
excreted
in
bile. CCK
(cholecystokinin)
-
correct
answer-Hormone
that
regulates
the
emptying
of
the
gallbladder
and
secretion
of
enzymes
by
the
pancreas.
Colostrum
-
correct
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
-
correct
answer-Classification
system
for
anklyloglossia
(tongue-tie)
Dancer
Hand
Position
-
correct
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
-
correct
answer-found
in
the
walls
of
the
alveoli,
simple
squamous
epithelial
cells,
main
sites
of
gas
exchange
myoepithelial
cells
-
correct
answer-contract
in
response
to
stimulation
by
sympathetic
nervous
system
and
squeeze
milk
up
the
duct
Montgomery
glands
-
correct
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?
-
correct
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?
-
correct
answer-Prolactin
and
Oxytocin
Prolactin
(4
details
related
to
milk
production)
-
correct
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?
-
correct
answer-8-12
What
produces
colostrum?
-
correct
answer-Progesterone
in
the
receptor
sites
What
produces
more
mature
milk?
-
correct
answer-Prolactin
in
the
receptor
sites
What
happened
when
infants
suckled
in
the
first
2
hours
of
birth?
-
correct
answer-Ingested
significantly
more
milk
on
day
4 What
happened
to
mother
of
preemies
who
initiated
milk
expression
within
1
hour
of
birth?
-
correct
answer-Had
significantly
more
milk
when
measured
on
days
7
and
42.
Better
to
stimulate
breasts
throughout
the
day
right
after
birth
to
continue
to
stimulate
production.
Oxytocin
-
correct
answer-A
hormone
released
by
the
posterior
pituitary
that
stimulates
uterine
contractions
during
childbirth
and
milk
ejection
during
breastfeeding.
What
3
things
can
trigger
Oxytocin?
-
correct
answer-1.
Conditioned
response
2.
Nipple
stretching
3.
Hand
massage
Conditioned
Response
from
Milk
Ejection
(Let
down)
-
correct
answer--Example-
Mother
lets
down
when
not
near
baby,
but
hears
a
baby
cry.
-Conditioned
over
time
-Faster
for
women
who
have
BF
in
the
past
-To
condition
the
response
can
use
any
sense-smell,
touch,
sound
Nipple
stretching
-
correct
answer-Only
happens
with
a
proper
latch
Hand
massage:
Baby
-
correct
answer-When
we
allow
babies
to
be
more
hands
on
they
can
help
control
flow
rate
by
how
they
massage
the
breast.
How
many
triggers
does
Oxytocin
have?
Can
it
be
triggered
by
stress.
-
correct
answer-3
triggers.
Yes.
What
is
hormone
is
triggered
by
stimulation?
-
correct
answer-Prolactin
What
3
emotional/behavioral
function
do
the
hormones
of
lactation
have
besides
making
milk?
-
correct
answer-1.
Aggression
2.
Protection
3.
Bonding/trust
What
is
special
about
the
composition
of
milk?
-
correct
answer-1.
Mammal
species
with
higher
water
content
milk
feed
more
frequently.
2.
Prolactin
triggers
production
of
lactose
in
the
mammary
cells.
What
are
the
different
care
patterns
of
mammalian
mother's
and
their
babies?
-
correct
answer-1.
Nest
(eg.
puppies,
cats)
OR
cache
(deer,
rabbit)
2.
Carry
(monkey),
follow
(giraffe,
bison),
or
hibernate
(bear)
What
kind
of
milk
has
the
highest
lactose
of
all
mammalian
milk?
-
correct
answer-Human
milk:
high
in
water,
low
in
protein
and
fat.
When
does
paracellular
transport
occur?
-
correct
answer-1.
In
the
first
few
days
after
birth
2.
Mother
with
low
prolactin
levels
When
are
cells
not
plump?
-
correct
answer-During
paracellular
transport
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