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Certified Lactation Course Exam Questions and Answers Graded A+
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Certified Lactation Course Exam Questions and Answers Graded A+
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Certified Lactation Course Exam Questions and Answers GradedA+
what are some techniques for flat/inverted nipples that may help to evert nipples? - ✔✔-inverted
syringe
-supple cups
-breast shells
-avent nipplette
-"pinch test" in last trimester of pregnancy
supernumerary nipples - ✔✔"3rd nipple" or "accessory nipple" found along line of glandular tissue
what is breast tissue composed of? - ✔✔2/3 glandular
tissue 1/3 adipose tissue
suspensory ligaments - ✔✔aka cooper's ligaments;
heavy fibrous bands that divide adipose and glandular tissue of breasts into segments
describe breast innervation - ✔✔breasts and areola are high innervated by 4th-6th intercostal nerves
(greatest amount of innervation from 4th intercostal nerve) to bring sensation from behind from spine
along ribs to chest and breasts
how to properly perform breast assessment: - ✔✔-examine bilaterally at same time
-observe shape, size, symmetry, elasticity
-look for bumps, edema, engorgement, scars, anything abnormal
what are the internal features of the breasts? - ✔✔-4 sections called quadrants
-lactocytes (cells that make milk) fill each alveoli --> alveoli fill lobes of breasts --> lobes surround areola
of breasts --> breast milk secreted into lumen of alveolus --> from center of alveolus, milk moves into
,small channel (ductile) (many of these, delicate) --> each ductile drains into large lactiferous or
mammary duct --> ducts terminate at the nipple
**AKA: lactocytes --> alevoli --> small ductile --> mammary duct --> larger mammary ducts -->
nipple opening
what is the "foundation" of milk production? - ✔✔lactocytes (milk producing cells)
what is witch's milk? - ✔✔breast buds/neonatal engorgement in full term infants that may be
mistaken for baby acne; self resolve by 4 weeks pp
why is it critical to ask mothers about breast changes during pregnancy when completing an assessment
- ✔✔different hormones cause breast changes during pregnancy which are critical in assisting with
breastfeeding in the pp period;
examples:
-estrogen: cause ductile system to proliferate
-progesterone: promotes and increases the size of breast lobes and alveoli
-serum prolactin: nipple growth
-serum placental lactogen: areolar growth
, Lactogenesis I - ✔✔occurs between 16-20 weeks of pregnancy until milk surges, or comes in, after birth
breast size increases
differentiation between alveolar cells into secretory cells occur
hormone prolactin stimulates mammary secretory epithelial cells to produce milk
*endocrine (hormonal) control*
Lactogenesis II - ✔✔occurs between PP day 3-8 where there is a rapid increase in milk volume for 2-
5 days, then abruptly levels off; this is the onset of copious milk supply
triggered by rapid drop in progesterone levels after placenta is delivered
will feel fullness and warmth in breasts
*now switches from endocrine to autocrine control*
galactopoiesis - ✔✔maintenance of the established milk production under autocrine control
works on a supply & demand basis
breasts will decrease slightly by 6-9 months pp
involution - ✔✔the process of weaning slowly over 3 months or longer when FIL (feedback inhibitors
of lactation) in breastmilk suppress lactation if milk is not removed from the breasts
describe colostrum - ✔✔-"first milk"
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