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Exam (elaborations)

CLC Exam 2024/2025 Questions With Completed & Verified Solutions.

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  • Course
  • CLC 2024- 2025
  • Institution
  • CLC 2024- 2025

CLC Exam 2024/2025 Questions With Completed & Verified Solutions.

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  • August 9, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CLC 2024- 2025
  • CLC 2024- 2025
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LEWIS12
CLC Exam 2024

Which milk is higher in calories - hand expressed milk or pumped milk? - ANS Hand
expressed milk

Define: Exclusive breastfeeding - ANS Infant receives only mother's milk as its food
source, from 0-6 months

What is the only absolute infant contraindication to breastfeeding? - ANS galactosemia

Can infants with PKU breastfeed? - ANS Yes, but they need formula supplementation

Define: Complementary feeding - ANS Receiving both human milk and
solids/semisolids. From 6-23 months

9 stages of the first hour after birth - ANS 1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest (interspersed throughout)
6. Crawling
7. Familiarization
8. Suckling
9. Sleeping

Is crying an early or late feeding cute? - ANS Late

Clenched hands are a sign that baby... - ANS ... is hungry!

When is the fastest drop-off point when people stop breastfeeding? - ANS In the first 10
days after discharge from hospital

What triggers oxytocin pathway to milk production? - ANS 1. Conditioned let-down
reflex (smell, touch, sound)
2. Nipple stretching
3. Baby hand massage

What are the two hormone pathways for milk production? - ANS Oxytocin and Prolactin

, How does fat, protein and water content affect the frequency of feedings between
different mammal species? - ANS High fat, high protein, low water = infrequent feeds

High water = more frequent feeds

When does Lactogenesis II start? - ANS complete delivery of the placenta

How does preterm milk differ from term milk? - ANS Generally higher in protein, fat and
electrolytes

How long does preterm milk production last? - ANS 5-7 weeks

Which has higher fat content: hindmilk or foremilk? - ANS Neither. Some say hindmilk is
highest in fat - but this is not supported by research and shouldn't be a part of
counseling

Which hormone(s) drive the production of colostrum and where do they come from? -
ANS Progesterone from the placenta

Which hormone(s) drive the production of transitional milk and where do they come
from? - ANS Progesterone - left from the placenta and is rapidly dropping

Prolactin - generally already circulating, not yet being released by nipple stimulation

Which hormone(s) drive the production of mature milk and where do they come from? -
ANS Prolactin - comes from nipple stimulation in feeding

Describe paracellular vs transcellular pathways - ANS Paracellular: during
progesterone-driven lactogenesis, there is free flow of blood/nutrients/etc between milk
cells, increased permeability to some drugs

Transcellular pathway: during prolactin-driven lactogenesis, milk cells are larger with no
pathways between them, which yields more safety from substances

Name 5 instances when breastmilk composition changes - ANS 1. over the course of
entire lactation experience

2. time of day (higher caloric concentration at night)

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