Exam (elaborations)
PCE Certified Breastfeeding Counselor Exam (1)
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PCE Certified Breastfeeding Counselor Exam (1)
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PCE Certified Breastfeeding Counselor ExamStandards of of practice for CBC - ANS-- 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? - ANS--Experience,
philosophy, credentials
What are responsibilities of staff? - ANS--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 - ANS--No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - ANS--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? - ANS-Alveoli
How is milk ejected into ducts from alveoli? aka let down - ANS-Myoepitheal cells encase the
aveoli, contract in response to oxytocin. In response to sucking oxytocin increases
Different stages of breast development - ANS-- 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? - ANS-40 days
What happens to estrogen and progesterone during pregnancy and birth? - ANS-Increase
during pregnancy, decreases after birth. Helps development of lobes.
Signs of letdown? - ANS-Tingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat - ANS-Mammary 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? - ANS-Diagonal line from axilla to
groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank? - ANS-Difficulty w/
latch. Nipple shield may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it? - ANS-Underdevelopment, insufficient glandular tissue. No changes
during pregnancy, insufficient milk.
What is breast milk composed of? - ANS-- 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? - ANS-Higher in protein and immune factors
Which component of breast milk is most variable? - ANS-Lipids
What component of human milk is destroyed by freezing? - ANS-Macrophages
B R E A S T assessment - ANS-Body position, responses, emotional bonding, anatomy,
suckling, time swallowed
When is side lying helpful? - ANS-Sleepy, lacerations
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