CLC Exam 2024 Latest Questions and Answers (Verified
by Expert)
The International Code
addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs
Protect, promote & Support-want all to be equal
Levels of evidence based pyramid
top - bottom: 1.Metanalysis &systemic reviews 2. Single randomized controlled studies
3. Cohort studies 4. Case Controlled Studies 5. Case Studies
When is greatest risk of stopping breastfeeding?
3-7 days (after going home from hospital)
Top reasons people stop breastfeeding
baby won't latch, breast pain/soreness, work/school
Russ Labs Marketing Survey
survey 1965-2001 formula company tracking breastfeeding goals
Races in Order most likely to BF
spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding
WHO and UNICEF developed this global strategy to focus world attention on impact of
feeding practices on the nutritional status, growth, development and health and thus the
survival of infants and young children.
World Breastfeeding trends innitive
help track how they are doing on global outcomes
innocenti ospitale -florence
BF orphan babies increased rate of survival-today UNICEF child resource nutrition
center
path of messages to make milk
,message to breast-to nervous system -to brain- to hormones to travel to breast- then to
blood stream
what cells make milk
alveolar cells
alveolar cells are what?
what are they surrounded by
layer of cells with milk inside, surrounded by myoepitheal cells
Myoepitheal cells will contract when what hits them
oxytocin
Are the ducts in breast evenly spaced?
No varies woman to woman
How many nipple pores each breast?
3-5
Milk is ____ &_____ from sebaceous gland
antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from?
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for?
Milk production
What is the passage of prolactin being produced
baby suckles- message to nervous system tells brain to secrete prolacin in blood- then
tranverse into mother body into milk cells where milk is produced
When doe humans have prolactin in them
all the time (non pregnant, non lactating breast and nipples increase level of prolactin
when touched)
Prolactin levels go _____ in between nursing and _____ during nursing.
down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount
of contact.
infrequent
, If infants do no have frequent times at breast first few days prolactin will be _____
and sites will ____ be primed and receptor sites will start to ______ _______.
low, not, start shutting down
What is in receptor site during pregnancy?
Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the
receptor sites?
progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and
they are open briefly, what goes inside to set site for lactation?
Prolactin
If prolactin is not set during first few hours after birth-
there will be fewer sites and cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after
birth
2
For mothers with preemies initation of milk expression before _______ hours
resulted in significantly more milk by day 7
one
What hormone T3, T4, T5
Oxytocin
When oxytocin hits myoepitheal cells what happens?
They start retracting
Oxytocin helps ducts to ______ in size and lumen to get ______
increase, smaller
What triggers oxytocin?
1. conditioned response (repeated stimuli over time) 2. Nipple Stretching (happens with
proper latch- oxytocin levels goes up and down with suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand movement releases
oxytocin
Where is oxytocin and prolactin excreted?
by Expert)
The International Code
addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs
Protect, promote & Support-want all to be equal
Levels of evidence based pyramid
top - bottom: 1.Metanalysis &systemic reviews 2. Single randomized controlled studies
3. Cohort studies 4. Case Controlled Studies 5. Case Studies
When is greatest risk of stopping breastfeeding?
3-7 days (after going home from hospital)
Top reasons people stop breastfeeding
baby won't latch, breast pain/soreness, work/school
Russ Labs Marketing Survey
survey 1965-2001 formula company tracking breastfeeding goals
Races in Order most likely to BF
spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding
WHO and UNICEF developed this global strategy to focus world attention on impact of
feeding practices on the nutritional status, growth, development and health and thus the
survival of infants and young children.
World Breastfeeding trends innitive
help track how they are doing on global outcomes
innocenti ospitale -florence
BF orphan babies increased rate of survival-today UNICEF child resource nutrition
center
path of messages to make milk
,message to breast-to nervous system -to brain- to hormones to travel to breast- then to
blood stream
what cells make milk
alveolar cells
alveolar cells are what?
what are they surrounded by
layer of cells with milk inside, surrounded by myoepitheal cells
Myoepitheal cells will contract when what hits them
oxytocin
Are the ducts in breast evenly spaced?
No varies woman to woman
How many nipple pores each breast?
3-5
Milk is ____ &_____ from sebaceous gland
antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from?
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for?
Milk production
What is the passage of prolactin being produced
baby suckles- message to nervous system tells brain to secrete prolacin in blood- then
tranverse into mother body into milk cells where milk is produced
When doe humans have prolactin in them
all the time (non pregnant, non lactating breast and nipples increase level of prolactin
when touched)
Prolactin levels go _____ in between nursing and _____ during nursing.
down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount
of contact.
infrequent
, If infants do no have frequent times at breast first few days prolactin will be _____
and sites will ____ be primed and receptor sites will start to ______ _______.
low, not, start shutting down
What is in receptor site during pregnancy?
Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the
receptor sites?
progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and
they are open briefly, what goes inside to set site for lactation?
Prolactin
If prolactin is not set during first few hours after birth-
there will be fewer sites and cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after
birth
2
For mothers with preemies initation of milk expression before _______ hours
resulted in significantly more milk by day 7
one
What hormone T3, T4, T5
Oxytocin
When oxytocin hits myoepitheal cells what happens?
They start retracting
Oxytocin helps ducts to ______ in size and lumen to get ______
increase, smaller
What triggers oxytocin?
1. conditioned response (repeated stimuli over time) 2. Nipple Stretching (happens with
proper latch- oxytocin levels goes up and down with suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand movement releases
oxytocin
Where is oxytocin and prolactin excreted?
