Certified Lactation Counselor (CLC) Study Guide With Complete Solution. AAP - American Academy of Pediatrics ABM - Academy of Breastfeeding Medicine AGA - Appropriate for gestational age. Alveoli - Small glands in the breast that produce breast milk. Amenorrhea - The absence of menstruation. Aysemmetric latch - Optimal attachment to the breast, where the babies lips are not centered in relationship to the areola, but rather vertically off centered, with the babies chin and lower lip closer to the edge of the areola and the babies upper lip. Atopy - And allergy for which there is a genetic predisposition, such as asthma, eczema, or rhinitis. (BFHI) Baby Friendly Hospital Initiative - The UNICEF baby friendly hospital initiative, an international program recognizing hospitals and birth centers that implement the 10 steps to successful breastfeeding. Bilirubin - The byproduct of the breakdown of the hemoglobin portion of red blood cells. Bilirubin Encephalopathy - Damage to the brain and central nervous system related to hyperbilirubinemia (Jau ndice); Also known as "Kernicterus." Milk Bleb - A firm, small, white spot near the nipple pore opening containing accumulated milk solids. Also referred to as a milk blister. Block Feeding - A pattern of feeding: used to deal with an over -abundant milk supply. In block feeding, the mother offers the baby only one breast for one, two, or three feedings to generate mild local pressure to slow down milk production. Then she offers the other breast for another block of time. Blocked Duct - A condition in wh ich milk from one part of the breast does not flow well and forms a lump of solidified milk that blocks the milk duct. Brachial Plexus Injury - Decreased movement or sensation in the arm caused by injury to the bundle of nerves passing through the shoulde r area. This may be caused during birth by pressure to the shoulder area. Bradycardia - Slow heart rate, less than 100 bpm in an infant. Breast Abscess - An area in the breast that feels hot and painful and is full of fluid. Typically resulting from unresolved mastitis. Breast Compression - A hands -on method used during nursing or pumping to increase the flow of milk. The mother gently sne ezes, or compresses gently, her breast. Typically used when milk flow stops or slows, to increase milk flow again. Also called "alternate massage." Breastmilk Jaundice - Jaundice occurring in the breast fed infant after 10 -14 days of life. The cause of br eastmilk jaundice is unknown and the incident is less than 1%. Brucellosis - Bacterial infection from contact with animals carrying the Brucella bacteria. Infection causes an undulating fever that spikes in waves. Candida - A family of parasitic fungi oc curring especially in the mouth, vagina, and intestinal tract. They are usually benign but can become pathogenic and include the caustive agent (candida albicans) of thrush. Caput Succedaneum - Swelling of the soft tissues of a newborn baby's scalp that d evelops as a baby travels through the birth canal. CDC - Centers for Disease Control and Prevention Cephalohematoma - A lump that rises on the head of a newborn with an hours of birth due to bleeding beneath the bones of the skull. Chorioamniotis - Inflammation of the fetal membrane due to infection. Cleft Lip and/or Palate - A congenital birth defect causing a division or opening in the roof of the mouth and/or split in the lip. Cyanosis - A bluish discoloration of the skin and mucous membranes. Colo strum - The first milk, produced in the breast by the seventh month of pregnancy. It is thick, sticky, and clear to yellowish in color; is high in protein and vitamin A; causes a laxative effect, thus, helping the baby to pass meconium stools. Immunoglobul ins (mostly IgA) In colostrum provide an anti -infection protection to the baby and their gut microbiome. Contraindication - A condition or factor that makes something in advisable. Craniofacial - Involving the head and skull. Cooper's Ligaments - The tr iangular -shaped ligaments underlying the breasts. Cytomegalovirus - A virus of the herpes family that is relatively harmless and adults but can cause severe systemic infection in infants, particularly those born premature. Dehydration Signs - Symptoms include, but are not limited to the following: Dry or sticky mouth, low or no urine output, concentrated urine that appears dark yellow, non -
production of tears, sunken eyes, markedly sunken fontanelles in an infant, lethargic or coma (severe). Diabetes Mellitus - A group of diseases in which the body has difficulty managing stable blood sugar. Discordant Twins - Twin pairs with a marked difference in size at birth. Discrepancy Breasts - A condition in which a woman's breast are markedly different in size and/or shape. This is associated with potential milk supply problems. Also called "asymmetric "breasts. Down Syndrome - A congenital condition characterized by moderate to severe mental retardation *[textbook definition]*. A lso called trisomy 21. Dyad - A group of two. In lactation terms, usually refers to a nursing mother and baby. Duarte Galactosemia - A variant of galactosemia with generally milder complications. EBF - Exclusively breastfed. ELBW (Acronym) - Extremely low birth weight. An infant with a birth weight less than <1,000 grams (2.2 pounds). Failure to Thrive (FTT) - A serious condition in which baby's growth is inadequate and requires medical evaluation. Engorgement - Swelling in the breast that blocks milk flow; caused by inadequate or infrequent milk removal the breast(s). Breasts will be hot to the touch, painful and will look tight and shiny. With severe engorgement, milk production may stop. With inadequate drainage, clogs and/or mastitis can occur. Everted Nipple - A nipple that turns outward when stimulated. Exclusive Breastmilk Feeding (EBMF) - A term used by The Joint Commission (2011) to describe those babies who are receiving only human milk. Feeding Cues - Infant behavior that indicates an interest in eating, including rapid eye movement, movement of hands near the face and mouth (sucking hands and fingers), rooting and seeking motions (turning head side to side while gaping).
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