CERTIFIED LACTATION CONSULTANT (CLC)EXAM TEST Q&A

CERTIFIED LACTATION CONSULTANT (CLC)EXAM TEST Q&A What is the First 1000 Days Campaign? - ANSWER A worldwide initiative to prevent stunting and increase prevalence of breastfeeding and education How can breastfeeding prevent maternal death? - ANSWER Decreased risk for MI, stroke, and metabolic syndrome. BF decreases risk of breast and ovarian cancer, as well as cancer mortality What are the three pillars of breastfeeding? - ANSWER Protection, Promotion, Support Which pillar of BF includes assuring breastfeeding ability to compete with commercial interests and create BF-friendly legislation? - ANSWER Protection Which pillar of BF describes advantages of BF on many levels? - ANSWER Promotion Which pillar of BF is associated with interventions to increase rates of BF? - ANSWER Support What are some unrealistic expectations that moms have with breastfeeding? - ANSWER -Being a stay at home mom -Perfection immediately -Not totally prepared for a newborn At what time postpartum are issues most likely to cause a mom to stop breastfeeding? Why? - ANSWER Days 3-7 due to lack of support What are four major reasons for terminating breastfeeding? - ANSWER 1. Perception of milk supply 2. Baby won't latch 3. Pain/soreness 4. Work/school Why did breastfeeding rates drop off in the 70s? - ANSWER Promotion of formula feeding and women going to work How does race and ethnicity affect breastfeeding promotion? - ANSWER Hospitals in predominantly black neighborhoods are less likely to promote breastfeeding than in white neighborhoods How do messages from the breast cause milk to be made? - ANSWER messages travel through CNS to brain via hormone signaling triggered by breastfeeding what cells make milk? what are they surrounded by? - ANSWER Alveolar cells make milk and are surrounded by myoepithelial cells What cells squeeze milk out of alveolar cells and into duct? - ANSWER Myoepithelial cells are ducts even or unevenly spaced in the breast? - ANSWER uneven, but can congregate what is the impact of unevenly spaced ducts on breastfeeding? - ANSWER Babies get more milk in different positions When do Montgomery glands appear? - ANSWER soon in pregnancy on areolar surface What hormone is responsible for milk production? Where is it released? - ANSWER Prolactin, released from anterior pituitary What causes release/increase in prolactin? - ANSWER Nipple stimulation What is the ideal timing of feeding to increase prolactin production? - ANSWER Frequent nursing with short inter-bout interval How does immediate feeding after birth lead to better milk supply? - ANSWER It increases prolactin sites available for binding with a decrease in progesterone. This maximizes sites for prolactin binding which allows for greater milk production. Which hormone stimulates release of milk? - ANSWER Oxytocin What triggers oxytocin release? Give three - ANSWER 1. Conditioned response from previous BF experience 2. Nipple stretching 3. Baby hand massage Which lactation hormone is affected by stress? - ANSWER oxytocin