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CLC A Grade Exam | Questions with Complete Solutions| Verified Answers
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CLC A Grade Exam | Questions withComplete Solutions| Verified Answers
What is a third way oxytocin can be triggered? - ✔Baby hand massage
What does prolactin do? - ✔Enters receptor sites in the milk making cells and helps
produce breastmilk
What does oxytocin do? - ✔Allows for the milk to move from the milk making cells
and through the nipple with "contractions" that squeeze the cells and the ducts.
Preterm milk - ✔Appears to have different composition for the first 5-7 weeks after
delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not matter
if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - ✔After one year of lactation the milk expressed has significantly
increased fat and energy contents, compared with milk expressed by women who have been
lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because
the composition of the milk changes
Breast milk composition changes... - ✔Over the course of lactation
Within the day there are variations on the composition of milk
Within a feeding
By the way it is taken during a feeding
,and also between feedings
Fat content in breast milk - ✔Longer times in between feedings made for a lower fat content
but faster feedings made for a higher fat content where as feedings lasting longer than 30
mins made for a lower fat content
Breastfed babies can regulate far intake quickly and thus mothers should be encouraged
to practice baby led feeding
Maximum fat levels were obtained 30 mins post-feed
1 breast or 2? - ✔There is no difference in baby's net far intake according to the number
of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2
whatever they want
Lactogenesis 1/Secretory Differentiation - ✔Production of colostrum from the
placental hormones (progesterone)
When placenta delivers the progesterone levels drop to allow for prolactin to take its place in
the milk making cells
Lactogenesis 2/Secretory Activation - ✔Begins when progesterone leaves the cells
and prolactin enters the receptor sites
Milk will be a mix of colostrum and mature milk
Lactogenesis 3/Galactopoesis - ✔Long term production of mature milk
Need frequent removal of milk and frequent nipple stimulation to continuously produce milk
How does pH of the gut effect babies - ✔Gut pH of breastfed babies is higher than those who
are formula fed or even mixed fed. Higher pH means less harmful bacteria is able to grow which
helps have less issues with diarrhea
, How does iron effect baby's gut - ✔Low iron in the gut is good, breastmilk has relativly
low iron content
Tons of different bacteria thrives on excess iron so having to much can cause issues
How does the presence of lactobacillus bifidus effect baby's gut - ✔Presence of bifidus factor
in breast milk promotes the growth of lactobacillus bifidus which helps maintain the low pH
and crowd out the harmful bacteria
How does the presence of SIgA antibodies effect baby's gut - ✔Antibodies such as SIgA bind
to microbes in the baby's intestinal tract and prevent them from being absorbed into the rest
of the body. Mothers IgA has been found to protect against the development of necrotizing
enterocolitis in preterm infants
Weight loss in breastfed infant - ✔No more than 7% weight loss from with birth weight and
no more weight loss by day 5 and should be back to birth weight by 2 weeks
Weight loss greater than 7% from birth weight indicates a possible breastfeeding problem and
requires more intensive evaluation of breastfeeding and possibly intervention (not
supplementation!) to correct problems and improve milk production and transfer
What causes infants to loos weight in the first postpartum days - ✔Labor medications
More intrapartum fluids are given, they have more fluid to loss which is a normal process
No labor prior to a c-section, maybe they weren't ready to be born
How do I know my baby is getting enough milk? - ✔One wet diaper for how old the baby is
(however this can be skewed by the diuresing process and is not a good indicator of adequate
hydration)
4 wets on day 4 and each day after
Multiple poops each day that change in consistency and color
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