CERTIFIED LACTATION CONSULTANT (CLC) Q&A EXAM 300+ QUESTIONS AND CORRECT ANSWERS

CERTIFIED LACTATION CONSULTANT (CLC) Q&A EXAM 300+ QUESTIONS AND CORRECT ANSWERS what does the AAP recommend? - ANSWER -that infants be breastfed exclusively for the first 6 months of life but should continue for at least 12 months. -if infants are weaned before 12 months, they should receive iron-fortified infant formula women most likely to breastfeed - ANSWER women over 30, caucasian and well educated benefits of breast-feeding - ANSWER -contains growth factors that promote development of the brain and GI system -bacteriologically safe -has nutrients that are more easily absorbed than in formula contraindications of breastfeeding - ANSWER -galactosemia in infant -active TB -HIV -T-cell lymphotropic virus I or II -maternal chemotherapy or therapeutic radioactive isotopes -maternal use of "street drugs" Galactosemia - ANSWER not able to digest galactose- baby will die. people who have immigrated from poorer countries think that: - ANSWER formula is better US-born hispanic women: - ANSWER are less likely to initiate breast-feeding muslim and jewish cultures: - ANSWER value breastfeeding anatomy of breast - ANSWER -composed of 15 to 20 segments (lobes) embedded in fat and connective tissues -well supplied with blood what are in each lobe of the breast? - ANSWER alveoli, the milk-producing cells, surrounded by myoepithelial cells How many pores does each nipple have? - ANSWER 15 to 20 what is it that triggers the release of prolactin - ANSWER decrease in estrogen and progesterone after delivery of placenta When are prolactin levels the highest? - ANSWER during the first 10 days after birth and gradually decline but remain above baseline levels for duration of lactation oxytocin - ANSWER -other hormone essential to lactation -also responsible for contracting uterus after birth what produces oxytocin? - ANSWER the posterior pituitary prompted by the hypothalamus what reflexes is oxytocin responsible for - ANSWER -milk-ejection reflex -let-down reflex synthetic oxytocin - ANSWER pitocin what does human milk contain - ANSWER -digestive enzymes -the proteins Whey and Casein When does stage 1 of lactogenesis happen - ANSWER begins at 16 to 18 weeks of pregnancy what is produced in stage 1 of lactogenesis - ANSWER -colostrum -rich in immune globulins -high concentration of proteins and minerals -less fat than mature milk When does stage 2 of lactogenesis occur - ANSWER by day 3 to 5 when copious amounts of milk comes in to breas