CERTIFIED LACTATION COUNSELOR UPDATED EXAM TEST
QUESTIONS AND ANSWERS SURE A+
✔✔Lactation hormone not affected by extreme stress - ✔✔Prolactin
✔✔Oxytocin causes _____________________________ cells to contract, along with
the uterus, and ducts expend as milk ejects - ✔✔Myoepithelial
✔✔Protein content of human milk - ✔✔1.2%
✔✔Fat content of human milk - ✔✔3.8%
✔✔Carb content of human milk - ✔✔7%
✔✔Water content of human milk - ✔✔87.6%
✔✔Human milk has one of the highest ___________________ contents of all mammal
milks - ✔✔Lactose
✔✔Prolactin triggers production of lactose in __________________________ -
✔✔mammary cells
✔✔How does lactose form fluid milk? - ✔✔It draws in water
✔✔Why is lactose essential? - ✔✔It provides driving osmotic force behind fluid
formation of milk
✔✔All mammals have ____________________________ in their milk - ✔✔lactose
✔✔Colostrum is high or low in lactose? - ✔✔Low
✔✔Milk composition after a year of lactation - ✔✔Increased fat and energy; milk volume
stays constant but composition changes
✔✔What is another term for secretory differentiation? - ✔✔Lactogenesis I
✔✔What is another term for secretory activation? - ✔✔Lactogenesis II
✔✔What is another term for galactopoesis? - ✔✔Lactogenesis III
✔✔When does lactogenesis I occur? - ✔✔16 weeks gestation until placenta is fully
delivered
, ✔✔How is colostrum produced? - ✔✔Under the influence of placental hormones
✔✔What happens when the placenta is delivered? - ✔✔Progesterone sharply drops
✔✔What hormones are in receptor sites in early lactation? - ✔✔Progesterone and
prolactin
✔✔What hormone is secreted when the stomach stretches and signals to mobilize
enzymes? - ✔✔Gastrin
✔✔What hormone signals to secrete bile to emulsify fat? - ✔✔Cholecystokinin (CCK)
✔✔When these hormones are released, results in glucose-induced insulin release;
exerts growth promoting effects in gut - ✔✔Gastrin, CCK
✔✔Which hormone inhibits GI secretion and motility? (Stress hormone) -
✔✔Somatostatin
✔✔__________________ increases and _____________________ decreases in
babies while suckling. - ✔✔Gastrin, somatostatin
✔✔When baby suckles, the _____________________ nervous system is activated -
✔✔parasympathetic (vagal)
✔✔Most babies lose weight in the first days due to _________ - ✔✔Normal diuresis
✔✔Signs that make baby appear well-fed, but may be underfed - ✔✔"Good" baby,
feeds infrequently, sleeps excessively, sucks a lot at the breast (but may not actually be
swallowing).
✔✔Neonatal weight loss risks - ✔✔Labor medications used
Extra intrapartum fluids
No labor prior to a CS
✔✔Signs of dehydration in a baby - ✔✔-Fontanel is sunken
-Loose skin
-Lack of stools
✔✔Top prenatal BF class topics - ✔✔Skin to skin
Rooming in
Hunger cues
Cue-based feeds
Where to get BF support locally
QUESTIONS AND ANSWERS SURE A+
✔✔Lactation hormone not affected by extreme stress - ✔✔Prolactin
✔✔Oxytocin causes _____________________________ cells to contract, along with
the uterus, and ducts expend as milk ejects - ✔✔Myoepithelial
✔✔Protein content of human milk - ✔✔1.2%
✔✔Fat content of human milk - ✔✔3.8%
✔✔Carb content of human milk - ✔✔7%
✔✔Water content of human milk - ✔✔87.6%
✔✔Human milk has one of the highest ___________________ contents of all mammal
milks - ✔✔Lactose
✔✔Prolactin triggers production of lactose in __________________________ -
✔✔mammary cells
✔✔How does lactose form fluid milk? - ✔✔It draws in water
✔✔Why is lactose essential? - ✔✔It provides driving osmotic force behind fluid
formation of milk
✔✔All mammals have ____________________________ in their milk - ✔✔lactose
✔✔Colostrum is high or low in lactose? - ✔✔Low
✔✔Milk composition after a year of lactation - ✔✔Increased fat and energy; milk volume
stays constant but composition changes
✔✔What is another term for secretory differentiation? - ✔✔Lactogenesis I
✔✔What is another term for secretory activation? - ✔✔Lactogenesis II
✔✔What is another term for galactopoesis? - ✔✔Lactogenesis III
✔✔When does lactogenesis I occur? - ✔✔16 weeks gestation until placenta is fully
delivered
, ✔✔How is colostrum produced? - ✔✔Under the influence of placental hormones
✔✔What happens when the placenta is delivered? - ✔✔Progesterone sharply drops
✔✔What hormones are in receptor sites in early lactation? - ✔✔Progesterone and
prolactin
✔✔What hormone is secreted when the stomach stretches and signals to mobilize
enzymes? - ✔✔Gastrin
✔✔What hormone signals to secrete bile to emulsify fat? - ✔✔Cholecystokinin (CCK)
✔✔When these hormones are released, results in glucose-induced insulin release;
exerts growth promoting effects in gut - ✔✔Gastrin, CCK
✔✔Which hormone inhibits GI secretion and motility? (Stress hormone) -
✔✔Somatostatin
✔✔__________________ increases and _____________________ decreases in
babies while suckling. - ✔✔Gastrin, somatostatin
✔✔When baby suckles, the _____________________ nervous system is activated -
✔✔parasympathetic (vagal)
✔✔Most babies lose weight in the first days due to _________ - ✔✔Normal diuresis
✔✔Signs that make baby appear well-fed, but may be underfed - ✔✔"Good" baby,
feeds infrequently, sleeps excessively, sucks a lot at the breast (but may not actually be
swallowing).
✔✔Neonatal weight loss risks - ✔✔Labor medications used
Extra intrapartum fluids
No labor prior to a CS
✔✔Signs of dehydration in a baby - ✔✔-Fontanel is sunken
-Loose skin
-Lack of stools
✔✔Top prenatal BF class topics - ✔✔Skin to skin
Rooming in
Hunger cues
Cue-based feeds
Where to get BF support locally
