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ALPP CLC Exam Questions With Complete Solutions
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ALPP CLC Exam Questions With Complete Solutions
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ALPP CLC Exam Questions With Complete Solutions"you shouldn't eat spicy foods when BF" Correct Answers -
many anthropologists believe that the flavors of the culture are
conveyed to the child through milk while lactating
- children are acculturated to the taste of their native foods
through BM
- longer duration of BF is associated with higher food variety at
3 years
- foods that do not taste familiar are more likely to be refused
10 steps for successful BF Correct Answers 1. have written BF
policy that is routinely communicated to all HC staff
2. train all HC staff in skills necessary to implement policy
3. inform all pregnant women about benefits and management of
BF
4. help mothers initiate BF within 1 hr of birth (key: immediate
s2s, uninterrupted and continuing until completion of first feed)
5. show mothers how to BF and how to maintain lactation, even
if they are separated from their infants
6. give infants no food or drink other than BF unless medically
indicated
7. practice "rooming-In" - allow mothers and infants to remain
together 24 hours a day (s2s and safe sleep suggestions to
improve safety have been developed)
8. encourage BF on demand, encourage responsive feeding
9. give no pacifiers or artificial nipples to BF infants
10. foster the establishment of BF support groups and refer
mothers to them on d/c from hospital or clinic
4-6 months Correct Answers distractible
,- may need to move to quieter place
- regular naps?
- separation anxiety
- night feedings?
- teething
6-9 months Correct Answers - mobile
- teething
- regular naps?
- night feedings?
- playful
- long periods of concentration
- biting: need to explore why
9-12 months Correct Answers - stand and walk
- regular mealtimes and snack nursings
- nursing before bed and naps
AAP weight loss stance in 2005 Correct Answers "weight loss
in the infant of greater than 7% from birth weight indicates
possible breastfeeding problems and requires more intensive
evaluation of breastfeeding and possible intervention to correct
problems and improve milk production and transfer"
AAP weight loss stance in 2012 Correct Answers added
"evaluate body weight gain - body weight loss no more than 7%
from birth and no further weight loss by day five: assess feeding
and consider more frequent follow-up"
AAP's policy statement on SIDS 2016 Correct Answers
"consider pacifier use at naptime and bedtime.. for breastfed
,infants, delay pacifier introduction until BF has been firmly
established"
ABM protocol #20 Correct Answers more time spent BF in
the first 48 hours is associated with less engorgement
abscess Correct Answers - pus, not milk
- as many as 60% may be positive for MRSA
- nursing on the other breast is possible
- no clear clinical consensus about nursing on breast with
abscess before of after "drainage"
- surgery may cut through ducts
- instead, drainage of breast abscess with ultra-sound technique
has been shown to be efficient and should be the first choice
according to IFPS II Correct Answers - 35% of pregnant
women said their workplace was very supportive of BF... but...
- 52% of PP women said their workplace was very supportive
- only about half of women in US are covered by the Family
Medical Leave Act
achieving a healthy inter-pregnancy interval Correct Answers
WHO recommends:
- after a live birth, the recommended interval before attempting
the next pregnancy is at least 24 months in order to reduce the
risk of adverse maternal, perinatal, and infant outcomes
adult GI hormones Correct Answers also impacted by suckling
when mother suckles her gastrin and cholecystokinin go up. this
increases the efficacy of insulin and increases the storage of
ingested nutrients
, after 1 year of lactation Correct Answers has significantly
increased fat and energy contents
after 15 months Correct Answers - part of self image
- my blanket, my carseat, my "milk"
- time to think of a public name
after 2 years Correct Answers - in the US, "closet" nursing
- normal in other cultures
- its changing!
alcohol impacts on BF Correct Answers - low level drinking
during BF is not linked with shorter BF duration or adverse
outcomes up to 12 months of age
- questions remain about the effect on the infant when mother
combines smoking and drinking, especially binge drinking
- consuming alcohol in excess of two standard drinks per day
during lactation was found to be independently associated with
shorter BF duration, even after consideration of previously
identified predictors of BF duration
alcohol when BF Correct Answers - studies show after
drinking 0.4g/kg dose of alcohol in OJ, oxytocin levels
significantly decreased but prolactin levels increased
- in another study, alcohol completely blocked the release of
oxytocin
- babies may not like the taste
- alcohol is water soluble, it passes in and out of the milk as her
blood alcohol increases, then decreases - it is NOT trapped in
milk (pumping and dumping will not remove the alcohol)
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