CLC Exam 2024_ Which hormone(s) drive the production of transitional
milk and where do they come from? - CORRECT ANSWER-
Progesterone - left from the placenta and is rapidly dropping ( Updated
Correct Questions and Answers ) 100% A+ Graded
Which milk is higher in calories - hand expressed milk or pumped milk? - CORRECT
ANSWER-Hand expressed milk
Define: Exclusive breastfeeding - CORRECT ANSWER-Infant receives only mother's milk as
its food source, from 0-6 months
What is the only absolute infant contraindication to breastfeeding? - CORRECT ANSWER-
galactosemia
Can infants with PKU breastfeed? - CORRECT ANSWER-Yes, but they need formula
supplementation
Define: Complementary feeding - CORRECT ANSWER-Receiving both human milk and
solids/semisolids. From 6-23 months
9 stages of the first hour after birth - CORRECT ANSWER-1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest (interspersed throughout)
6. Crawling
7. Familiarization
8. Suckling
9. Sleeping
Is crying an early or late feeding cute? - CORRECT ANSWER-Late
Clenched hands are a sign that baby... - CORRECT ANSWER-... is hungry!
When is the fastest drop-off point when people stop breastfeeding? - CORRECT ANSWER-In
the first 10 days after discharge from hospital
, What triggers oxytocin pathway to milk production? - CORRECT ANSWER-1. Conditioned let-
down reflex (smell, touch, sound)
2. Nipple stretching
3. Baby hand massage
What are the two hormone pathways for milk production? - CORRECT ANSWER-Oxytocin and
Prolactin
How does fat, protein and water content affect the frequency of feedings between different
mammal species? - CORRECT ANSWER-High fat, high protein, low water = infrequent feeds
High water = more frequent feeds
When does Lactogenesis II start? - CORRECT ANSWER-complete delivery of the placenta
How does preterm milk differ from term milk? - CORRECT ANSWER-Generally higher in
protein, fat and electrolytes
How long does preterm milk production last? - CORRECT ANSWER-5-7 weeks
Which has higher fat content: hindmilk or foremilk? - CORRECT ANSWER-Neither. Some say
hindmilk is highest in fat - but this is not supported by research and shouldn't be a part of
counseling
Which hormone(s) drive the production of colostrum and where do they come from? -
CORRECT ANSWER-Progesterone from the placenta
Which hormone(s) drive the production of transitional milk and where do they come from? -
CORRECT ANSWER-Progesterone - left from the placenta and is rapidly dropping
Prolactin - generally already circulating, not yet being released by nipple stimulation
Which hormone(s) drive the production of mature milk and where do they come from? -
CORRECT ANSWER-Prolactin - comes from nipple stimulation in feeding
Describe paracellular vs transcellular pathways - CORRECT ANSWER-Paracellular: during
progesterone-driven lactogenesis, there is free flow of blood/nutrients/etc between milk cells,
increased permeability to some drugs
milk and where do they come from? - CORRECT ANSWER-
Progesterone - left from the placenta and is rapidly dropping ( Updated
Correct Questions and Answers ) 100% A+ Graded
Which milk is higher in calories - hand expressed milk or pumped milk? - CORRECT
ANSWER-Hand expressed milk
Define: Exclusive breastfeeding - CORRECT ANSWER-Infant receives only mother's milk as
its food source, from 0-6 months
What is the only absolute infant contraindication to breastfeeding? - CORRECT ANSWER-
galactosemia
Can infants with PKU breastfeed? - CORRECT ANSWER-Yes, but they need formula
supplementation
Define: Complementary feeding - CORRECT ANSWER-Receiving both human milk and
solids/semisolids. From 6-23 months
9 stages of the first hour after birth - CORRECT ANSWER-1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest (interspersed throughout)
6. Crawling
7. Familiarization
8. Suckling
9. Sleeping
Is crying an early or late feeding cute? - CORRECT ANSWER-Late
Clenched hands are a sign that baby... - CORRECT ANSWER-... is hungry!
When is the fastest drop-off point when people stop breastfeeding? - CORRECT ANSWER-In
the first 10 days after discharge from hospital
, What triggers oxytocin pathway to milk production? - CORRECT ANSWER-1. Conditioned let-
down reflex (smell, touch, sound)
2. Nipple stretching
3. Baby hand massage
What are the two hormone pathways for milk production? - CORRECT ANSWER-Oxytocin and
Prolactin
How does fat, protein and water content affect the frequency of feedings between different
mammal species? - CORRECT ANSWER-High fat, high protein, low water = infrequent feeds
High water = more frequent feeds
When does Lactogenesis II start? - CORRECT ANSWER-complete delivery of the placenta
How does preterm milk differ from term milk? - CORRECT ANSWER-Generally higher in
protein, fat and electrolytes
How long does preterm milk production last? - CORRECT ANSWER-5-7 weeks
Which has higher fat content: hindmilk or foremilk? - CORRECT ANSWER-Neither. Some say
hindmilk is highest in fat - but this is not supported by research and shouldn't be a part of
counseling
Which hormone(s) drive the production of colostrum and where do they come from? -
CORRECT ANSWER-Progesterone from the placenta
Which hormone(s) drive the production of transitional milk and where do they come from? -
CORRECT ANSWER-Progesterone - left from the placenta and is rapidly dropping
Prolactin - generally already circulating, not yet being released by nipple stimulation
Which hormone(s) drive the production of mature milk and where do they come from? -
CORRECT ANSWER-Prolactin - comes from nipple stimulation in feeding
Describe paracellular vs transcellular pathways - CORRECT ANSWER-Paracellular: during
progesterone-driven lactogenesis, there is free flow of blood/nutrients/etc between milk cells,
increased permeability to some drugs
