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Iblce Practice.

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Exam of 8 pages for the course IBCLC at IBCLC (Iblce Practice.)

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Iblce Practice

While breastfeeding, when does the peak volume of the infant intra-oral vacuum occur?
- ANS-When the posterior tongue and soft palate are at the lowest point.

The withdrawal of what hormone is the trigger that initiates lactogenesis II? -
ANS-Progesterone

On average, how long does it take for an undisturbed baby to find the breast and self
attach. - ANS-60 mins

What would be the cause of thick, clear discharge from nipples during pregnancy? -
ANS-Rising prolactin levels

Compared to her non-pregnant state, the lactating mother's basal metabolic rate is ... -
ANS-The same.

What is the average, full term, newborn infant's stomach capacity at birth? -
ANS-5-20ml

A mother who has a retained placenta will have a poor initiation of lactation because of
what? - ANS-Progesterone levels have remained elevated.

What hormone has the greatest effect on the ductal-lobular alveolar growth of the breast
during pregnancy? - ANS-Human placental lactogen

What is the primary function of the small whey protein known as the Feedback Inhibitor
of Lactation? - ANS-Provides a negative feedback mechanism controlling the rate of
milk synthesis.

What effect does the increasing serum prolactin have on the breasts during pregnancy?
- ANS-Initiates functional activity including formation of colostrum.

What situation calls for the dancer hold? - ANS-Helping infants with low neuromuscular
tone.

A baby controls the flow of breastmilk by... - ANS-Compressing the tip of the nipple with
his tongue.

, Anthropologically, what is the minimum natural age of complete weaning from the
breast? - ANS-2.5 years

Stimulation of the lower branch of the 4th intercostal nerve causes a nerve impulse that
results in oxytocin being released from the posterior pituitary gland. - ANS-Milk ejection
reflex.

Breastmilk protein that has anti-inflammatory properties and causes the walls of certain
bacteria to split. It's concentration in breastmilk increases from about 6mos. -
ANS-Lysozyme

Cytotoxic to parasites such as giardia lamblia and entamoeba histolytica. - ANS-Fatty
acids

Specific to tumor cells - ANS-HAMLET

Human Alpha-lactalbumin Made Lethal to Tumor Cells - ANS-HAMLET - Fatty acid

This hold is helpful for infants who have down syndrome and are hypotonic. - ANS-The
dancer hold

Present throughout lactation. Concentration highest in colostrum. Provides targeted,
specific protection to whatever the mom and baby come in contact with. - ANS-IgA

A-lactalbumin, lactoferrin, secretory immunoglobulin (IgA), and lysozyme are all... -
ANS-Proteins in breastmilk.

What is the best type of formula for an infant who requires supplementation whose
family has a strong history of asthma. - ANS-Casein hydrolysate artificial infant milk. P

What does a galactogogue do? - ANS-Increases the prolactin in the mother's milk
stream.

Lactose intolerance is most prevalent in... - ANS-Adults

Iron binding protein - ANS-Lactoferrin

A young baby's mouth is filled by his tongue, making mouth breathing difficult, though
possible if the nose is blocked. This makes them... - ANS-Nose breathers.

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