Certified Lactation Counselor Exam Questions With Correct Answers
8 views 0 purchase
Course
Certified lactation counselor
Institution
Certified Lactation Counselor
Certified Lactation Counselor Exam
Questions With Correct Answers
Predominant Breastfeeding - answerBabies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding - answerBaby receives human milk, as well as other foods or fluids, including
formula.
...
Certified Lactation Counselor Exam
Questions With Correct Answers
Predominant Breastfeeding - answer✔Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding - answer✔Baby receives human milk, as well as other foods or fluids, including
formula.
Complementary Feeding - answer✔Process starts when BM alone or infant formula alone is no
longer sufficient to meet nutritional requirements of infants, therefore other foods or liquids are
introduced. Typically child is between 6-23 months
3 strategies for increasing BF initiation and duration - answer✔Promotion, Protection, Support
Promotion - answer✔Focuses on advantages of BF on a personal, community, country, or global
level. BF to the community.
Protection - answer✔Focuses on government, manufacturer, and social responsibility to assure
BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - answer✔Addresses improper
marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? - answer✔Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - answer✔No
distributing formula, discharge bags, industry written handouts.
Support - answer✔Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - answer✔1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
Healthcare staff responsibility for working with lactating mothers include what? - answer✔1.
Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - answer✔1.
Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - answer✔Baby's weight x 2.5 (2.7 or 3.0 if Baby
needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - answer✔Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - answer✔Nationally recognized designation awarded by the ALPP. Practice
parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - answer✔4, some yellow by day 4.
When should a baby be back to birth weight? - answer✔12-14 days post birth
How much weight should a baby gain daily? - answer✔Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - answer✔1. Lack of
preparation for what the newborn period would be like.
2. Lack of timely interventions
Alveoli - answer✔Small glands in the breast that produce milk
Atopy - answer✔hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - answer✔Initiative by UNICEF and WHO
(1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - answer✔an orange-yellow pigment formed in the liver by the breakdown of
hemoglobin and excreted in bile.
CCK (cholecystokinin) - answer✔Hormone that regulates the emptying of the gallbladder and
secretion of enzymes by the pancreas.
Colostrum - answer✔Thick, milky fluid secreted by the breast during pregnancy and during the
first days after birth before lactation begins. Causes a laxative effect which helps the baby pass
meconium.
Coryllos type - answer✔Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position - answer✔Technique used to support Baby's chin and mother's breast. Use
Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells - answer✔found in the walls of the alveoli, simple squamous epithelial cells, main
sites of gas exchange
myoepithelial cells - answer✔contract in response to stimulation by sympathetic nervous system
and squeeze milk up the duct
Montgomery glands - answer✔Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - answer✔-Fat is mixed throughout the
breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - answer✔Prolactin and Oxytocin
What produces colostrum? - answer✔Progesterone in the receptor sites
What produces more mature milk? - answer✔Prolactin in the receptor sites
What happened when infants suckled in the first 2 hours of birth? - answer✔Ingested
significantly more milk on day 4
What happened to mother of preemies who initiated milk expression within 1 hour of birth? -
answer✔Had significantly more milk when measured on days 7 and 42. Better to stimulate
breasts throughout the day right after birth to continue to stimulate production.
Oxytocin - answer✔A hormone released by the posterior pituitary that stimulates uterine
contractions during childbirth and milk ejection during breastfeeding.
What 3 things can trigger Oxytocin? - answer✔1. Conditioned response
2. Nipple stretching
3. Hand massage
Conditioned Response from Milk Ejection (Let down) - answer✔-Example- Mother lets down
when not near baby, but hears a baby cry.
-Conditioned over time
-Faster for women who have BF in the past
-To condition the response can use any sense-smell, touch, sound
Nipple stretching - answer✔Only happens with a proper latch
Hand massage: Baby - answer✔When we allow babies to be more hands on they can help
control flow rate by how they massage the breast.
How many triggers does Oxytocin have? Can it be triggered by stress. - answer✔3 triggers. Yes.
What is hormone is triggered by stimulation? - answer✔Prolactin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brightstars. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
