CLC ACTUAL EXAM WITH QUESTIONS
AND 100% VERIFIED ANSWERS. GRADED
A+. LATEST UPDATE. REAL EXAM.
NEW!
Can woman with implants/ breast reduction breast feed? - ANS✔✔-Yes do not
know impact until trying, just because colostrum not sure if will get normal milk
-colustrum is pregnancy hormone induced, need nerves for rest of milk
Can a baby latch with inverted nipple? - ANS✔✔-Yes baby can form teat,
although thing about the need for nipple stroking (prolactin) and nipple
stretching (oxytocin)
3 classification of inverted nipples - ANS✔✔-grade 1- easily pulled out by breast
pump or nursing, at reast look inverted
grade 2 can be pulled out but dont maintain their projection
grade 3 difficult or impossible to pull out
path of messages to make milk - ANS✔✔-message to breast-to nervous system -
to brain- to hormones to travel to breast- then to blood stream
what cells make milk - ANS✔✔-alveolar cells
alveolar cells are what?
what are they surrounded by - ANS✔✔-layer of cells with milk inside, surrounded
by myoepitheal cells
Myoepitheal cells will contract when what hits them - ANS✔✔-oxytocin
,Goldsmith sign - ANS✔✔-baby will only nurse on one breast, try nursing on the
one breast then without moving baby move to other breast
cutoff for hypoglycemia, symptoms - ANS✔✔-40m cyanosis, apnea,
hypothermia, poor body tone, lethargy, seizures
hypoglycemia occurs commonly in what babies? - ANS✔✔-SGA, LGA, diabetic
mother, late preterm
What can give for low blood sugar and can still nurse? - ANS✔✔-gel in cheek,
can still breastfeed
What is jaundice caused by? - ANS✔✔-uncongugated bilirubin (waste product of
hemoglobin breakdown taken up by the liver, it is converted by the enzyme into
uncongugated bilirubin), recycling problem, baby's liver enzymes and intestines
are immature and took a while to get out of baby's system, can cross blood
brain barried, damage brain, spinal cord and become kerniicterus, bilirubin
encelopothy, CP, dental impairements, mental retardation, death
Kernicterus - ANS✔✔-severe jaundice, untreated too long, is a type of brain
damage, can cause CP and hearing loss
what is considered late preterm? - ANS✔✔-34-35/6
early term babies - ANS✔✔-37-38/6
how might preterm and early term babies struggle with breastfeeding? -
ANS✔✔-less alert, less stamina, greater difficulty latching, issues transfering
milk
PIBBS - ANS✔✔-preterm infant breastfeeding behavior scale
what breastfeeding technique is good for hypotonic like down syndrome -
ANS✔✔-dancer breastfeeding position
, breastfeeding with cleft lip or palate - ANS✔✔-making a seal/vaccum the
challenge, use alternitive massage, mother nipple point to intact part of palate,
mother keep up coordinate with baby suck and swallow
Does breastfeeding lower cases of otitis media? - ANS✔✔-yes
What can you do right away to increase milk volume? - ANS✔✔-hand expression
within 1 hour of birth, express in proximity to infant, double stimulation (send x3
messages to brain), collect milk on one breast while nursing on other
Power pumping - ANS✔✔-for a day or 2 might increase volume, pump 5 min,
pause 5 min, pump 5 min
What is protocolitis?
When might it occur? - ANS✔✔-rectal bleeding may occur in exclusively
breastfeeding- cows milk protein allergy, standard treamtent offending protein
from mothers diet (cows milk, corn, soy, milk, egg and chocolate), resolution of
visible rectal bleeding took place 72-96 hrs in most babies
Why is it important to support calcium needs in breastfeeding? - ANS✔✔-
breastmilk calcium is met by renal calcium conservation and lost of bone (3-9%
decrease in bone density during lactation) but gain after weaning
how much alcohol per kg is safe for breastfeeding mother - ANS✔✔-0.5 g of
alcohol per kg
9 stages of skin to skin - ANS✔✔-1. birth cry 2. relaxation 3. Awakening 4.
activity 5. rest 6. crawling/sliding
7. famerilization
8. suckling 9. sleeping
WBTi - ANS✔✔-World breastfeeding trends initative-assists countries to assess
the status and benchmark progress of the global strategy for infant and young
child
