CLC Test Module 2
Exam Questions
and Correct
Answers Graded
A+
Denning [Date] [Course title]
, What microbiota framework was found to be doubled in colicky babies? - Answer: Proteobacteria (
What 5 things negatively effect milk production? - Answer: 1. Long spaces between feedings
2. Long, slow feedings
3. Excessive pressure in breast
4. Breast surgery/injury
5. Suboptimal breast anatomy
Describe normal full breasts compared to engorged breasts? - Answer: Normal: soft to touch, rounder,
fuller, firmer, heavier, mother feels well, normal body temp, breast may be hot to attract baby, baby can
grasp nipple.
Engorged: Hard breast, normal temp, mom is uncomfortable, breast is hot and shiny, nipple is difficult
for baby to grasp.
What is the best solution for engorged breasts? Breast pump or water? - Answer: Water! can allow
myoepithelial cells to contract and let milk spurt out. Breast pumping can cause capillaries to errupt
because there's so much pressure on the breasts.
What can cause pressure that leads to engorged breasts? - Answer: Secretory activation-lactogenesis II,
too much milk left in breast, missed feedings, restrictive bras and clothing, breast implants (less room
for milk storage).
What are the concerns for breast surgery or injury on milk production? - Answer: damage to nerves
and/or ducts
What should you look for if you suspect breast surgery? - Answer: defined area where color changes
from areola to breast. If areola is completely round (unusual), if skin tone stands out between areaola to
breast (surgery), if it fades, no breast surgery.
Describe the nipple graft and how it could negatively impact BF? - Answer: Areaola and nipple were
completely cut off. This cut connections to ducts, circulatory system, nerves, etc. Nerves may grow back,
but we have no way of ensuring. These ducts have been disconnected at one point-not the best for BF.
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