IBCLC EXAM DONOR MILK, BFHI, WHO CODE VERIFIED ANSWERS 100%2023/2024
Holder method - correct answer heated to 62.5C for 30 min in shaking water bath
quick cooled to 4C
standard pasteurization method used worldwide for human milk banks
Holder method kills - correct answer bacteria
viruses (incl. HIV, cytomegalovirus)
fungi
living cells
Holder method decreases these components - correct answer immunoglobulins
vitamins
cytokines
lactoferrin
lysozyme
some growth factors
Components that remain the same after Holder pasteurization - correct answer oligosaccharides
milk proteins
free fatty acids
Human milk donor requirements - correct answer non-smoker
no more than 2 oz hard liquor in 24 hrs
no medications, herbs, megavitamins
baby and mom in good health and Dr approved to donate Triple screening process of donors - correct answer questionnaire and phone interview
letter from Dr
blood test for HIV, HTLV 1 and 2, syphilis, Hep B and C
milk bank process - correct answer 1. donor milk arrives frozen
2. thawed and pooled
3. batch pasteurized
4. sample tested for pathogens
5. labeled
6. refrozen to -20C
7. shipped
What were the Innocenti Declaration targets in 1990? - correct answer 1. Appoint national bf coordinator and committee
2. Ensure maternity units practice 10 steps to successful bf
3. Implement the WHO Code
4. Enact legislation to protect working women who bf
5 core partners of WABA - correct answer ABM
IBFAN
ILCA
LLLI
Wellstart international
WABA's purpose - correct answer Generate public awareness and support of bf
World bf week aug 1-7
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