IBCLC Exam QUESTIONS With VERIFIED 100% ANSWERS (A+ GUARANTEED)

which vitamin deficiencies are most likely in a breastfeeding mother - ANSWER Mothers who get 2200 calories per day may need extra calcium, zinc, magnesium, thiamin (vitamin B1), vitamin B-6 & vitamin E. Name the 4 fat soluble vitamins - ANSWER Vitamins A, D, E, and K are fat-soluble vitamins. They are present in foods containing fats. The body absorbs these vitamins as it does dietary fats. They do not dissolve in water. What are the 4 intrinsic muscles of the tongue? - ANSWER superior longitudinal muscle of the tongue. inferior longitudinal muscle of the tongue. transverse muscle of the tongue. vertical muscle of the tongue What are the 4 extrinsic muscles of the tongue? - ANSWER P: palatoglossus. S: styloglossus. G: genioglossus. H: hyoglossus. When are the levels of secretory IgA (sIgA) highest in human milk? - ANSWER Secretory IgA is biggest in the first 25 hours, with levels up to 15 times higher than at any other stage of lactation. Intent to treat - ANSWER This research design allocates participants to groups according to a planned intervention. Bromocriptine - ANSWER A drug that has been used to suppress lactation Symptoms of Candida (yeast) infection - ANSWER Burning pain Stabbing pain Non-stabbing pain Shiny skin Flaky skin Fetal Alcohol Syndrome Signs - ANSWER Appearance-thin upper lip, flat space under nose, small eyes Slower growth Feeding difficulties Why may a late preterm infant consistently fall asleep at the breast? - ANSWER His suck has low intraoral pressure (vacuum) due to gestational age Babinski reflex - ANSWER Flare toes when sole of foot is stimulated Why do drugs pass more easily into milk during the colostral phase of lactation? - ANSWER Because the intracellular spaces between lactocytes are small. With closure of the intercellular spaces, the transfer of maternal medications is greatly reduced. The most influential maternal factors that affect relative oral absorption and plasma levels of medication are: - ANSWER Maternal plasma levels Molecular weight of the medication Oral bioavailability of the medication in mother and infant Protein binding of medication glucose and galactose - ANSWER The two sugars that make up the disaccharide that is Lactose Human - ANSWER The milk of this mammal has the highest amount of lactose The lactocytes in the breast tissue - ANSWER Where is the lactose in human milk found? Lactose - ANSWER The most stable component of mature milk Lactase - ANSWER The enzyme that breaks down lactose Calcium - ANSWER The lactose in human milk helps absorb this 200 - ANSWER The amount of HMO's that have been identified in human milk In the lactocytes in the breast tissue - ANSWER The HMO's in human milk are made here HMO's (Human Milk Oligosaccharides) - ANSWER -Serve as prebiotics for the "good" bacteria in the baby's gut -Act as a decoy receptors to prevent pathogens from attaching to the infant's mucosal surfaces -Team up with good bacteria to produce sialic acid that helps grow the infant's brain Prebiotic - ANSWER Compound in food that induces the growth or activity of beneficial bacteria in the gut microbiome HMO's - ANSWER These are believed to protect premature infant's from necrotizing enterocolitis (NEC) Carbohydrates found in human milk - ANSWER -Lactose -Oligosaccharides -Glycoconjugates .9% - ANSWER Total protein in mature milk Human milk - ANSWER Contains the lowest amount of protein of all mammalian milk The numerous functions of the protein in human milk - ANSWER -Provide essential amino acids for growth -Provide protection against infection -Carriers for hormones and vitamins -Provide enzymatic and other biological activities Cholecystokinin - ANSWER A hormone that helps digestion and provides a feeling of fullness, well-being and sleepiness Leptin - ANSWER Hormone that regulates appetite, food intake and energy metabolism. Also, may lower a breastfeeding baby's risk of childhood obesity Melatonin - ANSWER The hormone that promotes sleep and digestion. It's secreted in breast milk in circadian rhythm. It's barely detected in the daytime but roses in the evening, peaking at 3am