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Certified Lactation Counselor Exam Study Guide Solutions 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. Comple...

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  • November 10, 2024
  • 65
  • 2024/2025
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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED




Certified Lactation Counselor Exam Study

Guide Solutions


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


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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


4. Help all mothers initiate BF within 1 hour after birth


5. Show mother's how to BF and maintain lactation


6. Exclusive breast milk only


7. Practice rooming in 24 hours a day


8. Encourage BF on demand


9. No artificial teats or pacifiers


10. Establishment of BF support groups


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


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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




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At-Breast Supplementer - ANSWER✔✔-a device that allows a supplement to be given while a baby is

actively nursing at the breast,


ex: Supplement Nursing System


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




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