Certified Lactation Counselor/ 396 Q&A/ A+ Score Solutions. Terms like:
What does the International Code Prohibit? - Answer: Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - Answer: No distributing formula, discha...
Certified Lactation Counselor/ 396 Q&A/ A+
Score Solutions.
What does the International Code Prohibit? - Answer: Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - Answer:
No distributing formula, discharge bags, industry written handouts.
Support - Answer: Focuses on interaction of helpers with family, as well as
program development and implementation.
10 steps to successful BF - Answer: 1. Written BF policy. Skin to Skin immediately
after birth.
2. Train healthcare staff
Page 1 of 71
,3. Inform pregnant women about benefits and management 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
Healthcare staff responsibility for working with lactating mothers include what? -
Answer: 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? -
Answer: 1. Medical condition
2. Parents request after being informed of consequences
Predominant Breastfeeding - Answer: Babies who receive breastmilk and other
liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - Answer: Baby receives human milk, as well as other foods or
fluids, including formula.
Page 2 of 71
,Complementary Feeding - Answer: Process starts when BM alone or infant
formula alone is no longer sufficient to meet nutritional requirements of infants,
therefore other foods or liquids are introduced. Typically, child is between 6-23
months
3 strategies for increasing BF initiation and duration - Answer: Promotion,
Protection, Support
Promotion - Answer: Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection - Answer: Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - Answer: Addresses
improper marketing practices by formula companies. It is not currently a law in
the US.
Protocol for calculating Baby's daily needs - Answer: Baby's weight x 2.5 (2.7 or
3.0 if Baby needs to catch up weight) = daily ounces. PCP decides what the
multiplier is!!!
Page 3 of 71
, What should be assessed 3-5 days after birth by PCP? - Answer: Hydration
(elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - Answer: Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - Answer: 4, some
yellow by day 4.
When should a baby be back to birth weight? - Answer: 12-14 days post birth
How much weight should a baby gain daily? - Answer: Approximately 1 ounce
Why do women supplement with formula when there is no medical need? -
Answer: 1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
Alveoli - Answer: Small glands in the breast that produce milk
At-Breast Supplementer - Answer: a device that allows a supplement to be given
while a baby is actively nursing at the breast,
ex: Supplement Nursing System
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