Certified Breastfeeding Counselor Exam
Questions and Answers ()
(Verified Answers)
Standards of of practice for CBC
- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding?
-Experience, philosophy, credentials
What are responsibilities of staff?
-Provide education and foster environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes
-No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps
-Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced?
Alveoli
How is milk ejected into ducts from alveoli? aka let down
Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin
increases
Different stages of breast development
, - embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone
decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop?
40 days
What happens to estrogen and progesterone during pregnancy and birth?
Increase during pregnancy, decreases after birth. Helps development of lobes.
Signs of letdown?
Tingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat
Mammary gland tissue that extends to axillary area, connected to milk ducts. = Swollen armpits and
mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they lactate?
Diagonal line from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank?
Difficulty w/ latch. Nipple shield may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it?
Underdevelopment, insufficient glandular tissue. No changes during pregnancy, insufficient milk.
What is breast milk composed of?
- Fats: higher in mature milk and evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA, kills bacteria
Carbs: Lactose, makes up alories/ energy.
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom.
Minerals: Calcium, phosphorus, magnesium, not affected by diet.
-Mostly water
How is preterm milk different?
Higher in protein and immune factors
Which component of breast milk is most variable?
Lipids
What component of human milk is destroyed by freezing?
Questions and Answers ()
(Verified Answers)
Standards of of practice for CBC
- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding?
-Experience, philosophy, credentials
What are responsibilities of staff?
-Provide education and foster environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes
-No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps
-Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced?
Alveoli
How is milk ejected into ducts from alveoli? aka let down
Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin
increases
Different stages of breast development
, - embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone
decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop?
40 days
What happens to estrogen and progesterone during pregnancy and birth?
Increase during pregnancy, decreases after birth. Helps development of lobes.
Signs of letdown?
Tingling, warmth, fullness, dripping, contractions
Tail of spence: What is it, symptoms, how to treat
Mammary gland tissue that extends to axillary area, connected to milk ducts. = Swollen armpits and
mastitis.
Treatment: Cold compress, tylenon or motrin
Accessory tissue: Where are they found? Can they lactate?
Diagonal line from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solutions? What is short shank?
Difficulty w/ latch. Nipple shield may help.
Short shank= retraction w/ stimulation
Hypoplasia, what is it?
Underdevelopment, insufficient glandular tissue. No changes during pregnancy, insufficient milk.
What is breast milk composed of?
- Fats: higher in mature milk and evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA, kills bacteria
Carbs: Lactose, makes up alories/ energy.
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom.
Minerals: Calcium, phosphorus, magnesium, not affected by diet.
-Mostly water
How is preterm milk different?
Higher in protein and immune factors
Which component of breast milk is most variable?
Lipids
What component of human milk is destroyed by freezing?
