Exam (elaborations) IBCLC con31

high lipid solubility - ANSWER drug property most likely to permit high passage into milk lymphocytes - ANSWER protective components of milk is destroyed by freezing 62.5°C for 30 minutes - ANSWER standard temperature and time for Holder pasteurization used in donor human milk banks is Fat levels in mother's milk are highest: - ANSWER when the breast is relatively empty. pregnant woman with many allergies asks about infant feeding. Your best response is - ANSWER A baby is never allergic to its mother's milk, but he may be sensitive to foods in the mother's diet A baby is never allergic to its mother's milk, but he may be sensitive to foods in the mother's diet - ANSWER 1.0% Which nutrient is most difficult for premature babies to digest? - ANSWER fats For optimal breastfeeding, which best describes effective positioning at breast? - ANSWER The baby's mouth is open to a wide ( 120-degree) angle. A mother was given high doses of pain-relieving drugs during labor. When the baby's cord blood is tested for the presence of drugs, none is found. The most likely explanation is: - ANSWER Pain-relieving drugs are lipid soluble and concentrate in the infant brain. A mother comes to you for help with breastfeeding her 3-week-old baby, stating, "He just doesn't seem to be able to get it right." When you observe the baby breastfeeding, you note that the baby has a highly erratic suck-swallow pattern and that he never develops a good rhythmic suckling action. Most likely to explain his sucking behavior. - ANSWER The baby's head is still quite molded. After an unmedicated labor and birth, how soon is a baby most likely to be able and ready to breastfeed? - ANSWER within the first hour A mother complains of raw, inflamed skin on both areolas. Her infant is teething, has recently started solid foods and is taking an antibiotic for strep throat. The most likely cause of this areolar irritation is - ANSWER a bacterial infection of the nipple skin. Which of the following approaches will be most helpful in assisting a breastfeeding mother who has a hearing impairment? - ANSWER Help her observe the baby's visual cues. Within the first minute or 2 of beginning a breastfeed, a 2-week-old infant gulps, coughs and chokes, then releases the breast. This incident most likely describes - ANSWER poor coordination of sucking, swallowing, and breathing superficial and easy to compress - ANSWER best describes the configuration of milk ducts in the lactating breast If a mother cannot provide her milk to her baby, the World Health Organization recommends that the next best food for her baby is - ANSWER milk of another woman citations is a primary reference or source - ANSWER Ludington-Hoe SM, Hadeed AJ, Anderson GC. Physiologic responses to skin-to-skin contact in hospitalized premature infants. J Perinatol. XI,(1):19-24. Which drug property results in more transfer of the drug into mother's milk? - ANSWER lipid solubility mucosal defense system - ANSWER The mother's secretory immune system provides targeted protection pasteurizing donor human milk - ANSWER no change in secretory IgA 24 weeks - ANSWER gestational age that the swallowing reflex first appears gestational age does the swallowing reflex first appear - ANSWER postpartum depressio