CERTIFIED LACTATION COUNSELOR EXAM WITH VERIFIED ANSWERS
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Course
CERTIFIED LACTATION COUNSELOR
Institution
CERTIFIED LACTATION COUNSELOR
CERTIFIED LACTATION COUNSELOR EXAM WITH VERIFIED ANSWERS
1. Predominant Breast-
feeding
Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
2. Breastfeeding Baby receives human milk, as well as other foods or
fluids, including formula.
3. Complementar...
CERTIFIED LACTATION COUNSELOR EXAM WITH VERIFIED ANSWERS
1. Predominant Breast- Babies who receive breastmilk and other liquids (e.g.
feeding water, minerals, vitamins, oral meds).
2. Breastfeeding Baby receives human milk, as well as other foods or
fluids, including formula.
3. Complementary Process starts when BM alone or infant formula
Feeding alone is no longer sufficient to meet nutritional re-
quirements of infants, therefore other foods or liq-
uids are introduced. Typically child is between 6-23
months
4. 3 strategies for in- Promotion, Protection, Support
creasing BF initiation
and duration
5. Promotion Focuses on advantages of BF on a personal, com-
munity, country, or global level. BF to the community.
6. Protection Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with
commercial interests.
Includes state, local, an national laws regarding BF.
7. International Code Addresses improper marketing practices by formula
of Marketing of companies. It is not currently a law in the US.
Breast-milk Subsi-
tutes
8. What does the In- Distributing free formula
ternational Code Pro- Giving coupons for formula
hibit?
9. What did the AAP res- No distributing formula, discharge bags, industry
olution state in re- written handouts.
gards to the Interna-
tional Code?
10. Support Focuses on interaction of helpers with family, as well
as program development and implementation.
,11. 10 steps to success- 1. Written BF policy. Skin to Skin immediately after
ful BF birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and man-
agement of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
12. Healthcare staff re- 1. Training
sponsibility for work- 2. Minimum of 20 hours of training
ing with lactat- 3. 3 hours of competency verification
ing mothers include
what?
13. What are the indi- 1. Medical condition
cations for providing 2. Parents request after being informed of conse-
supplementation oth- quences
er than breast milk?
14. Protocol for calcu- Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch
lating Baby's daily up weight) = daily ounces. PCP decides what the
needs multiplier is!!!
15. What should be as- Hydration (elimination patterns)
sessed 3-5 days after Body weight (no more than 7% loss)
birth by PCP? Observe Feeding
Maternal or infant issues
16. What is a CLC? Nationally recognized designation awarded by the
ALPP. Practice parameters are designated by profes-
sional scope of practice.
17. 4, some yellow by day 4.
, How many stools per
day should a breast
fed newborn have?
18. When should a baby 12-14 days post birth
be back to birth
weight?
19. How much weight Approximately 1 ounce
should a baby gain
daily?
20. Why do women sup- 1. Lack of preparation for what the newborn period
plement with formu- would be like.
la when there is no 2. Lack of timely interventions
medical need?
21. Alveoli Small glands in the breast that produce milk
22. At-Breast Supple- a device that allows a supplement to be given while
menter a baby is actively nursing at the breast,
ex: Supplement Nursing System
23. Atopy hypersensitive or allergic state involving an inherited
predisposition
24. What is the BFHI Initiative by UNICEF and WHO (1991) to support
Baby Friendly Hospi- breastfeeding in hospitals and maternity centers.
tal Initiative "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available
online: http://www.unicef.org/programme/breast-
feeding/baby.htm.
25. Bilirubin an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
26. CCK (cholecystokin- Hormone that regulates the emptying of the gallblad-
in) der and secretion of enzymes by the pancreas.
27. Colostrum
, Thick, milky fluid secreted by the breast during preg-
nancy and during the first days after birth before
lactation begins. Causes a laxative effect which helps
the baby pass meconium.
28. Coryllos type Classification system for anklyloglossia (tongue-tie)
29. Dancer Hand Posi- Technique used to support Baby's chin and mother's
tion breast. Use Thumb and index finger under chin, re-
maining 3 fingers to support breast.
30. Alveolar Cells found in the walls of the alveoli, simple squamous
epithelial cells, main sites of gas exchange
31. myoepithelial cells contract in response to stimulation by sympathetic
nervous system and squeeze milk up the duct
32. Montgomery glands Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
33. Modern study of -Fat is mixed throughout the breast
the structure of the -Uneven spacing of the ducts
breast reveals what? -3-5 functioning nipple pores (May have 5-9, but not
all work)
-No lactiferous sinus
34. What are the 2 hor- Prolactin and Oxytocin
mones pathways that
control lactation?
35. Prolactin (4 details 1. is triggered by touch (pregnant and non
related to milk pro- pregnant women). Higher levels when stimulating
duction) breast/nip-ples vs breast alone.
2. Lengthening time between feeding leads to lower
baseline levels. (Weaning)
3. levels go down between nursings and rise during
nursing.
4. Infrequent nursing leads to lowering of this hor-
mone
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