Certified Lactation Consultant Exam QUESTIONS AND ANSWERS ALL CORRECT

Certified Lactation Consultant Exam QUESTIONS AND ANSWERS ALL CORRECT The World Health Organization and UNICEF have set out three strategies needed for increasing breastfeeding initiation and duration in every country. What are the 3 strategies? Correct answerBreastfeeding Promotion Breastfeeding Protection Breastfeeding Support Focuses on advantages of breastfeeding on a personal (personal connection), community, country (amount spent on healthcare), or global level (waste from formula & formula products) Focuses on the good "advantages" of breastfeeding Correct answerBreastfeeding Promotion Focuses on government, manufacturer, and social responsibility to assure breast feeding's ability to compete with commercial interests. Includes addressing improper marketing practices Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison, etc.. Correct answerBreastfeeding Protection Focuses on the interaction of "helpers" with family as well as program development and implementation Correct answerBreastfeeding Support Women how do not breastfeed are at a greater risk for what diseases? Correct answerMyocardial infarction Metabolic syndrome Coronary artery disease Stroke DMII HTN Hyperlipidemia Cardiovascular disease Breast, endometrial, and ovarian cancer Reason #1 why women do not exclusively breastfeed Correct answerUnrealistic expectations from society about motherhood. Along with lack of preparation for what the newborn period would be like. Reason #2 why women do not exclusively breastfeed Correct answerLack of timely interventions. Mother's problems at 3-7 days posed the greatest risk for stopping which is when they are home from the hospital and alone with no support. The fastest drop-off is in the first 10 days following discharge from the hospital The International Code of Marketing of Breast milk Substitutions Correct answerAn international health policy framework to regulate the marketing of breast milk substitutes in order to protect breastfeeding. It was written in response to the marketing activities of the infant feeding industry which were promoting formula feeding over breastfeeding, which in turn was leading to a dramatic increase in maternal and infant morbidity and mortality. What does "The Code" do? Correct answerRegulates the marketing of breast milk substitutes which includes infant formulas and any other food or drink, together with feeding bottles, and teats, intended for babies and young children. Sets standards for the labeling and quality of products and for how the law should be implemented and monitored within countries. Aims to make sure that parental choices on feeding are based on full, impartial information, rather than misleading, inaccurate or biased marketing claims. The Global Strategy for Infant & Young Child Feeding Correct answerIs intended as a guide for action; it identifies interventions with a proven positive impact, it emphasizes providing mothers and families the support they need to carry out their crucial roles, and it explicitly defines the obligations and responsibilities in this regard of governments, international organizations, and other concerned parties. What contributes to low rates of exclusive breastfeeding globally? Correct answerCaregiver and societal beliefs favoring mixed feedings (believing that breast milk is not enough or that babies actions/issues are related to the breast milk/breastfeeding) Hospital and healthcare practices and policies that are not supportive of breastfeeding Lack of adequate skilled support Aggressive promotion of infant formula and other breast milk substitutes rather than promoting support for breastfeeding Inadequate maternity and paternity leave legislation and other workplace policies Lack of knowledge about the dangers of not exclusively breastfeeding and of proper breastfeeding techniques How to support exclusive breastfeeding Correct answerIncrease hospital and health system capacity including revitalizing, expanding, and institutionalizing the baby-friendly hospital initiative in health systems Provide community based strategies including communication campaigns tailored to the local context Strengthen the monitoring, enforcement, and legislation related to "The Code" and subsequent resolutions. Enact at least 6 months paid maternity leave Invest in training and capacity building in breastfeeding protection, promotion, and support What is the role of the pituitary glade in milk making? Correct answerMessages from certain stimulation travels through the breast to the pituitary gland which triggers it to produce prolactin and oxytocin which are two hormones needed to make milk. How in prolactin produced? Correct answerBreast stimulation Nipple stimulation (makes the most) What is the first way oxytocin can be triggered? Correct answerConditioned response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes with the association of smell, touch, sounds of baby at the breast. Also occurs on babies end with knowing what to do when placed at the breast. What is the second way oxytocin can be triggered? Correct answerNipple stretching that occurs with a proper latch What is a third way oxytocin can be triggered? Correct answerBaby hand massage What does prolactin do? Correct answerEnters receptor sites in the milk making cells and helps produce breastmilk What does oxytocin do? Correct answerAllows for the milk to move from the milk making cells and through the nipple with "contractions" that squeeze the cells and the ducts. Preterm milk Correct answerAppears to