Exam (elaborations)
IBCLC Exam Prep |100% Verified Quizzes with Answers
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IBCLC Exam Prep |100% Verified Quizzes with Answers
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IBCLC Exam Prep |100% Verified Quizzeswith Answers
Marked asymmetry - ✔✔Lack of parenchymal/glandular tissue on undeveloped breast
Conical Breasts/Tubular - ✔✔-Look like skinny potatoes
-Hallmark sign- WIDELY SPACED breasts
-Aereolar is often larger than the breast tissue
*** Warning sign for poor milk supply
Ptosis - ✔✔-Drooping or sagging breasts
-Very little tissue on underside
-High inframammary ridge-breast folds over onto chest
-Very little prominent veining
Secretory Differentiation - ✔✔-First stage of lactation, aka Lactogenesis 1
-Mid pregnancy 16-20 wks-2 days postpartum
-Profuse ductular and lobular proliferation
Secretory Activation - ✔✔-aka Lactogenesis II
-Day 3-8 postpartum, average day 4
-Defined as the onset of copious milk production
-Continuing levels of prolactin near 200ng/mL and fall in progesterone are necessary
Galactopoiesis - ✔✔-aka Lactogenesis III
-Switches to AUTOCRINE
,-Day 9-involution
-Ductular and lobular formation is completed
-Maintenance of established milk supply occurs because of high levels of prolactin
Involution - ✔✔40 days after last breastfeed
Oxytocin is the primary hormone involved in each of the following responses except:
a. milk ejection
b. milk synthesis
c. labor contractions
d. orgasm - ✔✔b. Milk synthesis
True or False: Oxytocin spray is not at all helpful compared to a placebo - ✔✔True
What hormone interferes with prolactin action at the alveolar cell level and helps prevent the
secretion of milk? - ✔✔PROGESTERONE. Levels fall dramatically @ birth along with surge of
prolactin, milk synthesis or secretory activation begins. By day 4, progesterone levels are down
to pre pregnancy levels.
Food allergy is described as an adverse reaction to a foreign substance, or antigen. This causes
an immunological change, a rise in.... - ✔✔IgE
The pediatrician has diagnosed a breastfeeding infant with atopic dermatitis and recommends
to the mother to eliminate dairy from her diet. Symptoms should improve within... - ✔✔48-
72 hours
Lactogenesis II is associated with - ✔✔Endocrine Control
, Proliferation of the duct system in the breast during pregnancy is primarily due to -
✔✔Estrogen
A new mother asks about breast milk storage containers, you would recommend.. - ✔✔Rigid
plastic, polypropylene bottles
The total fat content in human milk can be altered by all of the following EXCEPT
a. the interval between feedings
b. the strength of the milk ejection reflex
c. heredity
d. maternal diet - ✔✔b. The strength of the milk ejection reflex
The composition of "weaning" human milk is - ✔✔higher in fat, higher in sodium, and lower
in lactose
The proportion of proteins in mature breastmilk is approximately - ✔✔Whey 60%, Casein
40%
The major immunological factor in breastmilk is - ✔✔IgA
True or False- The smallpox vaccine, when administered to the mother, is considered safe for
the breastfed baby - ✔✔FALSE
Vegetarian mothers need a source of Vitamin B 12. Appropriate sources of Vit B 12 include -
✔✔Fortified cereals, soy milk, and nutritional yeast
The cranial nerve that controls movement of the tongue - ✔✔CN XII
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