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CERTIFIED LACTATION COUNSELOR TEST WITH QUESTIONS AND ANSWERS
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CERTIFIED LACTATION COUNSELOR TEST WITH QUESTIONS AND ANSWERS
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CERTIFIED LACTATIONCOUNSELOR TEST WITH
QUESTIONS AND
ANSWERS
PredominantvBreastfeedingv-vcorrectvanswer-
Babiesvwhovreceivevbreastmilkvandvothervliquidsv(e.g.vwater,vminerals,vvitamins,voral
vmeds).
Breastfeedingv-vcorrectvanswer-
Babyvreceivesvhumanvmilk,vasvwellvasvothervfoodsvorvfluids,vincludingvformula.
ComplementaryvFeedingv-vcorrectvanswer-
ProcessvstartsvwhenvBMvalonevorvinfantvformulavalonevisvnovlongervsufficientvtovmee
tvnutritionalvrequirementsvofvinfants,vthereforevothervfoodsvorvliquidsvarevintroduced.v
Typicallyvchildvisvbetweenv6-23vmonths
3vstrategiesvforvincreasingvBFvinitiationvandvdurationv-vcorrectvanswer-
Promotion,vProtection,vSupport
Promotionv-vcorrectvanswer-
FocusesvonvadvantagesvofvBFvonvavpersonal,vcommunity,vcountry,vorvglobalvlevel.vB
Fvtovthevcommunity.
,Protectionv-vcorrectvanswer-
Focusesvonvgovernment,vmanufacturer,vandvsocialvresponsibilityvtovassurevBFvabilit
yvtovcompetevwithvcommercialvinterests.
Includesvstate,vlocal,vanvnationalvlawsvregardingvBF.
InternationalvCodevofvMarketingvofvBreast-milkvSubsitutesv-vcorrectvanswer-
Addressesvimpropervmarketingvpracticesvbyvformulavcompanies.vItvisvnotvcurrentlyva
vlawvinvthevUS.
WhatvdoesvthevInternationalvCodevProhibit?v-vcorrectvanswer-
Distributingvfreevformula
Givingvcouponsvforvformula
WhatvdidvthevAAPvresolutionvstatevinvregardsvtovthevInternationalvCode?v-
vcorrectvanswer-Novdistributingvformula,vdischargevbags,vindustryvwrittenvhandouts.
Supportv-vcorrectvanswer-
Focusesvonvinteractionvofvhelpersvwithvfamily,vasvwellvasvprogramvdevelopmentvandv
implementation.
10vstepsvtovsuccessfulvBFv-vcorrectvanswer-
1.vWrittenvBFvpolicy.vSkinvtovSkinvimmediatelyvaftervbirth.
2.vTrainvhealthcarevstaff
3.vInformvpregnantvwomenvaboutvbenefitsvandvmanagementvofvBF
4.vHelpvallvmothersvinitiatevBFvwithinv1vhourvaftervbirth
5.vShowvmother'svhowvtovBFvandvmaintainvlactation
6.vExclusivevbreastvmilkvonly
7.vPracticevroomingvinv24vhoursvavday
8.vEncouragevBFvonvdemand
9.vNovartificialvteatsvorvpacifiers
10.vEstablishmentvofvBFvsupportvgroups
Healthcarevstaffvresponsibilityvforvworkingvwithvlactatingvmothersvincludevwhat?v-
vcorrectvanswer-1.vTraining
2.vMinimumvofv20vhoursvofvtraining
3.v3vhoursvofvcompetencyvverification
Whatvarevthevindicationsvforvprovidingvsupplementationvothervthanvbreastvmilk?v-
vcorrectvanswer-1.vMedicalvcondition
2.vParentsvrequestvaftervbeingvinformedvofvconsequences
ProtocolvforvcalculatingvBaby'svdailyvneedsv-vcorrectvanswer-
Baby'svweightvxv2.5v(2.7vorv3.0vifvBabyvneedsvtovcatchvupvweight)v=vdailyvounces.vP
CPvdecidesvwhatvthevmultipliervis!!!
Whatvshouldvbevassessedv3-5vdaysvaftervbirthvbyvPCP?v-vcorrectvanswer-
Hydrationv(eliminationvpatterns)
Bodyvweightv(novmorevthanv7%vloss)
ObservevFeeding
,Maternalvorvinfantvissues
WhatvisvavCLC?v-vcorrectvanswer-
NationallyvrecognizedvdesignationvawardedvbyvthevALPP.vPracticevparametersvarevd
esignatedvbyvprofessionalvscopevofvpractice.
Howvmanyvstoolsvpervdayvshouldvavbreastvfedvnewbornvhave?v-vcorrectvanswer-
4,vsomevyellowvbyvdayv4.
Whenvshouldvavbabyvbevbackvtovbirthvweight?v-vcorrectvanswer-12-
14vdaysvpostvbirth
Howvmuchvweightvshouldvavbabyvgainvdaily?v-vcorrectvanswer-
Approximatelyv1vounce
Whyvdovwomenvsupplementvwithvformulavwhenvtherevisvnovmedicalvneed?v-
vcorrectvanswer-1.vLackvofvpreparationvforvwhatvthevnewbornvperiodvwouldvbevlike.
2.vLackvofvtimelyvinterventions
Alveoliv-vcorrectvanswer-Smallvglandsvinvthevbreastvthatvproducevmilk
At-BreastvSupplementerv-vcorrectvanswer-
avdevicevthatvallowsvavsupplementvtovbevgivenvwhilevavbabyvisvactivelyvnursingvatvth
evbreast,
ex:vSupplementvNursingvSystem
Atopyv-vcorrectvanswer-
hypersensitivevorvallergicvstatevinvolvingvanvinheritedvpredisposition
WhatvisvthevBFHIvBabyvFriendlyvHospitalvInitiativev-vcorrectvanswer-
InitiativevbyvUNICEFvandvWHOv(1991)vtovsupportvbreastfeedingvinvhospitalsvandvma
ternityvcenters.v"Thev10vSteps".
Unicef.vBaby-FriendlyvHospitalvInitiative.vAvailablevonline:vhttp://www.unicef.org/
programme/breastfeeding/baby.htm.
Bilirubinv-vcorrectvanswer-anvorange-
yellowvpigmentvformedvinvthevlivervbyvthevbreakdownvofvhemoglobinvandvexcretedvin
vbile.
CCKv(cholecystokinin)v-vcorrectvanswer-
Hormonevthatvregulatesvthevemptyingvofvthevgallbladdervandvsecretionvofvenzymesvb
yvthevpancreas.
Colostrumv-vcorrectvanswer-
Thick,vmilkyvfluidvsecretedvbyvthevbreastvduringvpregnancyvandvduringvthevfirstvdaysv
aftervbirthvbeforevlactationvbegins.vCausesvavlaxativeveffectvwhichvhelpsvthevbabyvpa
ssvmeconium.
Coryllosvtypev-vcorrectvanswer-Classificationvsystemvforvanklyloglossiav(tongue-tie)
, DancervHandvPositionv-vcorrectvanswer-
TechniquevusedvtovsupportvBaby'svchinvandvmother'svbreast.vUsevThumbvandvindex
vfingervundervchin,vremainingv3vfingersvtovsupportvbreast.
AlveolarvCellsv-vcorrectvanswer-
foundvinvthevwallsvofvthevalveoli,vsimplevsquamousvepithelialvcells,vmainvsitesvofvgas
vexchange
myoepithelialvcellsv-vcorrectvanswer-
contractvinvresponsevtovstimulationvbyvsympatheticvnervousvsystemvandvsqueezevmil
kvupvthevduct
Montgomeryvglandsv-vcorrectvanswer-Bumpsvonvbreastsv(Lookvlikevgoosebumps)
Producevavuniquevblendvofvmilkvandvsebumv(skinvoil)
Modernvstudyvofvthevstructurevofvthevbreastvrevealsvwhat?v-vcorrectvanswer--
Fatvisvmixedvthroughoutvthevbreast
-Unevenvspacingvofvthevducts
-3-5vfunctioningvnipplevporesv(Mayvhavev5-9,vbutvnotvallvwork)
-Novlactiferousvsinus
Whatvarevthev2vhormonesvpathwaysvthatvcontrolvlactation?v-vcorrectvanswer-
ProlactinvandvOxytocin
Prolactinv(4vdetailsvrelatedvtovmilkvproduction)v-vcorrectvanswer-
1.visvtriggeredvbyvtouchv(pregnantvandvnonvpregnantvwomen).vHighervlevelsvwhenvst
imulatingvbreast/nipplesvvsvbreastvalone.
2.vLengtheningvtimevbetweenvfeedingvleadsvtovlowervbaselinevlevels.v(Weaning)
3.vlevelsvgovdownvbetweenvnursingsvandvrisevduringvnursing.v
4.vInfrequentvnursingvleadsvtovloweringvofvthisvhormone
Averagevnumbervofvfeedsvinvavday?v-vcorrectvanswer-8-12
Whatvproducesvcolostrum?v-vcorrectvanswer-Progesteronevinvthevreceptorvsites
Whatvproducesvmorevmaturevmilk?v-vcorrectvanswer-Prolactinvinvthevreceptorvsites
Whatvhappenedvwhenvinfantsvsuckledvinvthevfirstv2vhoursvofvbirth?v-vcorrectvanswer-
Ingestedvsignificantlyvmorevmilkvonvdayv4
Whatvhappenedvtovmothervofvpreemiesvwhovinitiatedvmilkvexpressionvwithinv1vhourvo
fvbirth?v-vcorrectvanswer-
Hadvsignificantlyvmorevmilkvwhenvmeasuredvonvdaysv7vandv42.vBettervtovstimulatevb
reastsvthroughoutvthevdayvrightvaftervbirthvtovcontinuevtovstimulatevproduction.
Oxytocinv-vcorrectvanswer-
Avhormonevreleasedvbyvthevposteriorvpituitaryvthatvstimulatesvuterinevcontractionsvd
uringvchildbirthvandvmilkvejectionvduringvbreastfeeding.
Whatv3vthingsvcanvtriggervOxytocin?v-vcorrectvanswer-1.vConditionedvresponse
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