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ALPP CLC Exam| Questions Verified Answers
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ALPP CLC Exam| Questions Verified Answersrestricting marketing - ✔does not mean that the products cannot be made available, neither
does it restrict parents choice; it simply aims to make sure that their choices are made based
on full, impartial information, rather than misleading, inaccurate, or biased marketing claims
the strategy - ✔is intended as a guide for action
- it identifies interventions with a proven positive impact
- it emphasizes providing mothers and families the support they need to carry out their crucial
roles
- it explicitly defines the obligations and responsibilities in this regard of
governments, international organizations, and other concerned parties
the world breastfeeding trends initiative - ✔intended to track, assess, and monitor
the implementation of the "global strategy" at the country and sub-country level
what contributes to low rates of ebf globally? - ✔- caregiver and societal beliefs
favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
- lack of adequate skills and support
- aggressive promotion of infant formula and other breastmilk substitutes
- inadequate maternity/paternity leave legislation
- workplace policies
- lack of knowledge about dangers of not exclusively BF and proper BF techniques
,how to support ebf - ✔increase hospital and health system capacity regarding baby
friendly hospital initiative
-provide community based strategies including campaigns tailored to local context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
disparity of US breastfeeding trends - ✔according to the CDC, "black mothers are less likely
than white to breast-feed their babies, and here's one possible reason why: hospitals in
neighborhoods with many black residents do less to promote nursing than those in areas with
more white residents"
anatomy of milk cells - ✔myoepithelial cells, connective tissue, capillaries, anteriole,
venule, alveolar cells
anatomy of human breast - ✔glandular tissue made up of clusters of alveoli and small
ducts, fat amongst the glandular tissue, milk ducts, areola, nipple with several duct openings
making milk - ✔messages from the breast travel through the nervous system to the
brain, then hormones travel to the breast through the blood system
hormone pathways - ✔two separate hormone pathways, pituitary gland is important to both
prolactin levels - ✔go down in between nursing and rise during nursing
infrequent nursing - ✔leads to lower levels and less rise even with the same amount of
nipple contact
, ongoing milk production - ✔positively associated with suckling within the first 2 hours
after birth
initiation for mothers of preemies - ✔initiation of milk expression before one hour resulted
in significantly more milk when measured on days 7 and 42
triggering oxytocin mechanism #1 - ✔conditioned response - conditioned milk ejection
(let down) reflex
- was probably given too much importance in the years we didn't understand the other
mechanisms
- conditioned over time and lasts a lifetime
- is faster for women who already have one from previous breastfeeding
- to condition response.. smell, touch, hear the stimulus
triggering oxytocin mechanism #2 - ✔nipple stretching, happens with a proper latch
triggering oxytocin mechanism #3 - ✔baby hand massage, each hand movement
releases oxytocin
hormones of lactation - ✔have an emotional/behavioral function as well as making
and moving milk; aggression, protection, bonding & trust
milk composition - ✔is complex
- each species of mammal milk is different
- milk is "species specific"
nest or cache - ✔mammal species with high fat/protein and low water content =
infrequent feeds
nest = bunnies
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