COUNSELOR AUTHENTIC PROCTORED
EXAM WITH GRADED ANSWERS
WHO and UNICEF three strategies - answer-
for increased breastfeeding initiation and
duration in every country: promotion,
protection, and support
breast feeding: a public health priority -
answer-has been recognized as a public health
priority in tropical climates since the 1930's,
but not until the 1990's in the US
costs to prevent needless deaths - answer-less
than $6 billion/year worldwide
suboptimal breastfeeding - answer-accounts
for more than 3,340 maternal and child deaths
a year, 80% are maternal
,nursing a baby for a year or more - answer-
decreases by 10-15% the risk of developing
hypertension, diabetes, hyperlipidemia, and
cardiovascular disease
women who do not breastfeed - answer-are at
greater risk for myocardial infarction and
aspects of metabolic syndrome; are at a greater
risk of breast, endometrial, and ovarian cancer
breastfeeding promotion - answer-focuses on
advantages of breastfeeding on a personal,
community, country, or global level
breastfeeding protection - answer-focuses on
government, manufacturer, and social
responsibility to assure breastfeeding's ability
to compete with commercial interests;
includes addressing improper marketing
,practices; the AAP advices not to provide
formula, company gift bags, and industry-
authored handouts; in the US, state and local
breastfeeding legislation addresses
breastfeeding in public, employment issues,
jury duty, family law, mothers in prison, etc.
breastfeeding support - answer-focuses on the
interaction of "helpers" with family as well as
program development and implementation
community expertise - answer-variety of
community expertise is needed to promote,
protect, and support breastfeeding
International models - answer-for integrating
breastfeeding promotion, protection, and
support as well as balancing technical
information, programs, and protocols
, CLC - answer-nationally recognized
designation awarded by the ALPP to those
who are exam eligible and pass the exam; have
competenct verified
CLCs and IBCLCs - answer-health
professionals who provide lactation support
why is breastfeeding so difficult? - answer-1.
unrealistic expectations
2. lack of timely interventions
unrealistic expectations - answer-lack of
preparation for what the newborn period
would look like
lack of timely interventions - answer-mother's
problems at 3 to 7 days posed as the greatest
risk to stopping