CLC EXAM STUDY SET QUESTIONS AND ANSWERS
LATEST 2024 AND 100% VERIFIED
Leading cause of infant death
Diarrhea & Pneumonia
First 1,000 Days breakdown
From conception into second year
270 days- pregnancy
180 days- infancy
550 days- toddlerhood
Biggest intervention time during the first 1000 days
Labor and birth- about a 30-hour window
Women are 2.5x more likely to breastfeed when the following is in place:
Protection, promotion, and support
Example of Protection
State law on breast-feeding in public
Example of Promotion
Breast-feeding costs less
Example of Support
La leche league leader
Top reasons breastfeeding is so difficult
Unrealistic expectations from birth to breastfeeding
Lack of prep for realities of newborn period
Lack of timely interventions
Most common times of early weaning
,Fastest drop-off is 10 days post-discharge
Problems in day 3-7 pose biggest risk to quitting
Top reasons for quitting breastfeeding
Low milk (week 1, week 4-6)
Nipple/breast pain (1-3 weeks)
"Baby won't latch" (1-3 weeks)
Work/school (7-12 weeks)
When did formula first appear on shelves?
Around 1910
When was "The Code" created?
1981
What does "The Code" do?
Regulates marketing of formula
Sets standards for labeling/quality of products
It is voluntary- the US does not abide by it
What is the WBTi?
The World Breastfeeding Trends Initiative
Tracks, assesses, monitors implementation of global strategy
Causes of low EBF rate globally
Beliefs about mixed feedings
Lack of hospital/healthcare support
Formula promotion
Lack of family leave policies
Lack of knowledge of dangers of not EBF
Lack of knowledge of BF techniques
BF initiation trends by decade
Lowest rates- early 1970s
Increased from early 70s to early 80s
Dropped between early 80s to early 90s
Increased again in 1990s
BF initiation rates in the early 1970s
, 25% (all time low)
What do Montgomery glands do?
Secrete lubricating fluid on nipples & areola
Oxytocin is produced by
posterior pituitary gland
Prolactin is produced by
anterior pituitary gland
Hormone that increases with frequent nipple stimulation
Prolactin
Elevated prolactin levels close this
Paracellular pathway
Baby suckle causes a signal to go through the
Thoracic/intercostal nerves (T3-T5)
Nerves 3 4 5 that enervate (drain) the breast
Thoracic
The nipple is at which thoracic/intercostal nerve?
T4
Two babies nurse the same number of cumulative minutes in a day. Baby A
nurses 10x for 14 min/session. Baby B nurses 7x for 20min/session. Which baby
is more likely to gain sufficient weight?
Baby A. Feeding more frequently promotes better weight gain and increased prolactin in
mom.
Hormone released with nipple stretching
Oxytocin
Hormone released with nipple stroking
Prolactin
Lactation hormone temporarily affected by extreme stress (adrenaline)
Oxytocin
Lactation hormone not affected by extreme stress
Prolactin
LATEST 2024 AND 100% VERIFIED
Leading cause of infant death
Diarrhea & Pneumonia
First 1,000 Days breakdown
From conception into second year
270 days- pregnancy
180 days- infancy
550 days- toddlerhood
Biggest intervention time during the first 1000 days
Labor and birth- about a 30-hour window
Women are 2.5x more likely to breastfeed when the following is in place:
Protection, promotion, and support
Example of Protection
State law on breast-feeding in public
Example of Promotion
Breast-feeding costs less
Example of Support
La leche league leader
Top reasons breastfeeding is so difficult
Unrealistic expectations from birth to breastfeeding
Lack of prep for realities of newborn period
Lack of timely interventions
Most common times of early weaning
,Fastest drop-off is 10 days post-discharge
Problems in day 3-7 pose biggest risk to quitting
Top reasons for quitting breastfeeding
Low milk (week 1, week 4-6)
Nipple/breast pain (1-3 weeks)
"Baby won't latch" (1-3 weeks)
Work/school (7-12 weeks)
When did formula first appear on shelves?
Around 1910
When was "The Code" created?
1981
What does "The Code" do?
Regulates marketing of formula
Sets standards for labeling/quality of products
It is voluntary- the US does not abide by it
What is the WBTi?
The World Breastfeeding Trends Initiative
Tracks, assesses, monitors implementation of global strategy
Causes of low EBF rate globally
Beliefs about mixed feedings
Lack of hospital/healthcare support
Formula promotion
Lack of family leave policies
Lack of knowledge of dangers of not EBF
Lack of knowledge of BF techniques
BF initiation trends by decade
Lowest rates- early 1970s
Increased from early 70s to early 80s
Dropped between early 80s to early 90s
Increased again in 1990s
BF initiation rates in the early 1970s
, 25% (all time low)
What do Montgomery glands do?
Secrete lubricating fluid on nipples & areola
Oxytocin is produced by
posterior pituitary gland
Prolactin is produced by
anterior pituitary gland
Hormone that increases with frequent nipple stimulation
Prolactin
Elevated prolactin levels close this
Paracellular pathway
Baby suckle causes a signal to go through the
Thoracic/intercostal nerves (T3-T5)
Nerves 3 4 5 that enervate (drain) the breast
Thoracic
The nipple is at which thoracic/intercostal nerve?
T4
Two babies nurse the same number of cumulative minutes in a day. Baby A
nurses 10x for 14 min/session. Baby B nurses 7x for 20min/session. Which baby
is more likely to gain sufficient weight?
Baby A. Feeding more frequently promotes better weight gain and increased prolactin in
mom.
Hormone released with nipple stretching
Oxytocin
Hormone released with nipple stroking
Prolactin
Lactation hormone temporarily affected by extreme stress (adrenaline)
Oxytocin
Lactation hormone not affected by extreme stress
Prolactin
