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IBCLC EXAM Maternal Pathology Actual Questions and Answers Verified by Expert |
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IBCLC EXAM Maternal Pathology Actual Questions and Answers Verified by Expert |
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IBCLC EXAM Maternal Pathology Actual Questions andAnswers Verified by Expert | 2024-2025
Diabetes - answer>>>gestational vs type 1/type 2 preexisting
metabolic disorder caused by body's inability to make enough insulin or to use the insulin that
is available
Infants likely to be macrosomic, have shoulder dystocia, c/section delivery.
In utero elevated maternal glucose+elevated fetal glucose and insulin=macrosomia.
Postpartum: elevated infant fetal insulin=hypoglycemia=supplementation.
mother at risk for thyroiditis
-lactogenesis likely delayed: mother's body and breasts compete for available insulin. less milk
volume and less likely to fully breastfeed.
-frequent feeding
-insulin safe for use during lactation
-mother needs calories, carbs, protein during lactation
-mother more likely to have infections: yeast, mastitis, etc
-gradual weaning to help balance blood sugars
Thyroid disease - answer>>>hypothyroidism: deficiency in thyroid
hyperthyroidism: overactive thyroid
-hypothyroidism has association with low milk supply if not corrected
, Postpartum thyroiditis - answer>>>abnormal levels of TSH, fluctuates between hypo and
hyperthyroidism
-postpartum thyroiditis resolves 1 year postpartum
Cystic fibrosis - answer>>>Inherited disease of the exocrine system, causing normal secretions
to become thick and sticky
breastfeeding recommended
Phenylketonuria - answer>>>Mother would need special PKU diet
breastfeeding recommended if mother has PKU, if infant has PKU is possible that infant may
not be able to breastfeed exclusively as breastmilk has phenylalenine in it
Rheumatoid arthritis/ Lupus - answer>>>painful autoimmune diseases, affecting joints
-women with lupus are at risk for preeclampsia and premature deliveries
-elevated prolactin levels, higher risk for raynaulds
-support and rest, partial breastfeeding, mindful of medications
Spinal cord injury - answer>>>irreversible damage to spinal cord d/t trauma or tumor
-spinal cord injury above T6 may affect milk production
-may be affected by decreased sympathetic nervous system feedback to pituitary resulting in
decreased prolactin secretion
-may need assistance positioning, latching, and holding baby at breast
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