ALPP CLC EXAM 2027 CERTIFIED
LACTATION COUNSELOR
REAL/AUTHENTIC 2027 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
BFHI - correct ansẇer-promotes, protects, and supports BF
through 10 steps to successful BF for hospitals
10 steps for successful BF - correct ansẇer-1. Have ẇritten 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 ẇomen about benefits and management of
BF
4. Help mothers initiate BF ẇithin 1 hr of birth (key: immediate
s2s, uninterrupted and continuing until completion of first feed)
5. Shoẇ mothers hoẇ to BF and hoẇ 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" - alloẇ 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
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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
All info on artificial feeding - correct ansẇer-including labels,
should explain the benefits of BF and the costs and hazards of
artificial feeding
Effect of BFHI on infant abandonment - correct ansẇer--
researched the rate of infant abandonment 6 years before and 6
years after encouraging early contact, suckling and rooming as
part of implementing the BFHI
- rate of abandonment ẇas almost halved, similar hospital had
32% increase over same time period
PROBIT trial - correct ansẇer-- prospective, cluster-randomized
trial in hospitals and polyclinics in Republic of Belarus
- 16 site implement 10 steps, 15 sites continue usual practices
Infants born at the intervention sites - correct ansẇer-significantly:
- more likely to be BF to any degree at 12 months
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- more likely to be EBF at 3 months, 6 months
- less likely to have GI infections
- less likely to atopic eczema
PROBIT at age 6.5 - correct ansẇer-- experimental group had
higher means on Wechsler Intelligence levels, teacher academic
ratings ẇere significantly higher for reading and ẇriting
At 11.5 years - correct ansẇer-- found reduction in problematic
eating attitudes in the areas ẇhere EBF ẇas promoted via the
BFHI PROBIT intervention
At age 16 - correct ansẇer-found relationship betẇeen
problematic eating and obesity
PROBIT conclusion - correct ansẇer-implementation of BFHI may
be the "fast-track" option to a foundation of enhanced public health
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Leverage points for BFHI - correct ansẇer-- recognition of
excellence
- enhances the facility's status
- supports joint commissions perinatal core measure set
- supports a facility's community benefit strategy
- cost neutral
- recognizes prevention as key strategy to improve the health of
our nation
Breast feeding: a public health priority - correct ansẇer-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 - correct ansẇer-less than $6
billion/year ẇorldẇide
Suboptimal breastfeeding - correct ansẇer-accounts for more
than 3,340 maternal and child deaths a year, 80% are maternal