Complete; CLC- Certified Lactation Counselor/
Consultant Exam And Certified Breastfeeding
Counselor- CBC| All Questions With Complete
Solutions/ Study Guide| Rated A+
Predominant Breastfeeding - ANSWERBabies who receive breastmilk and other
liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - ANSWERBaby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding - ANSWERChild is between 6-23 months receiving both
human milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - ANSWERPromotion,
Protection, Support
Promotion - ANSWERFocuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection - ANSWERFocuses on government, manufacturer, and social responsibility
to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - ANSWERAddresses
improper marketing practices by formula companies. It is not currently a law in the
US.
What does the International Code Prohibit? - ANSWERDistributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - ANSWERNo
distributing formula, discharge bags, industry written handouts.
Support - ANSWERFocuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - ANSWER1. Written BF policy. Skin to Skin immediately
after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
,8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include what? -
ANSWER1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? -
ANSWER1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - ANSWERBaby's weight x 2.5 (2.7 or 3.0 if
Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - ANSWERHydration
(elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - ANSWERNationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - ANSWER4, some
yellow by day 4.
When should a baby be back to birth weight? - ANSWER12-14 days post birth
How much weight should a baby gain daily? - ANSWERApproximately 1 ounce
Why do women supplement with formula when there is no medical need? -
ANSWER1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - ANSWER3-7 days post D/C.
Alveoli - ANSWERSmall glands in the breast that produce milk
At-Breast Supplementer - ANSWERSNS system
Atopy - ANSWERhypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - ANSWERInitiative by UNICEF and
WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10
Steps".
, Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - ANSWERan orange-yellow pigment formed in the liver by the breakdown
of hemoglobin and excreted in bile.
CCK (cholecystokinin) - ANSWERHormone that regulates the emptying of the
gallbladder and secretion of enzymes by the pancreas.
Colostrum - ANSWERthin, milky fluid secreted by the breast during pregnancy and
during the first days after birth before lactation begins. Causes a laxative effect which
helps the baby pass meconium.
Complementary feeding - ANSWERProcess starts when BM alone or infant formula
alone is no longer sufficient to meet nutritional requirements of infants, therefore
other foods or liquids are introduced.
Coryllos type - ANSWERClassification system for anklyloglossia
Dancer Hand Position - ANSWERTechnique used to support Baby's chin and mother's
breast. Use Thumb and index finger under chin, remaining 3 fingers to support
breast.
Alveolar Cells - ANSWERfound in the walls of the alveoli, simple squamous epithelial
cells, main sites of gas exchange
myoepithelial cells - ANSWERcontract in response to stimulation by sympathetic
nervous system and squeeze milk up the duct
Montgomery glands - ANSWERBumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - ANSWER-Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - ANSWERProlactin and
Oxytocin
Prolactin (4 details related to milk production) - ANSWER1. is triggered by touch
(pregnant and non pregnant women). Higher levels when stimulating breast/nipples
vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels. (Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
Consultant Exam And Certified Breastfeeding
Counselor- CBC| All Questions With Complete
Solutions/ Study Guide| Rated A+
Predominant Breastfeeding - ANSWERBabies who receive breastmilk and other
liquids (e.g. water, minerals, vitamins, oral meds).
Breastfeeding - ANSWERBaby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding - ANSWERChild is between 6-23 months receiving both
human milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - ANSWERPromotion,
Protection, Support
Promotion - ANSWERFocuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection - ANSWERFocuses on government, manufacturer, and social responsibility
to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - ANSWERAddresses
improper marketing practices by formula companies. It is not currently a law in the
US.
What does the International Code Prohibit? - ANSWERDistributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? - ANSWERNo
distributing formula, discharge bags, industry written handouts.
Support - ANSWERFocuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - ANSWER1. Written BF policy. Skin to Skin immediately
after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
,8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include what? -
ANSWER1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? -
ANSWER1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - ANSWERBaby's weight x 2.5 (2.7 or 3.0 if
Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - ANSWERHydration
(elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - ANSWERNationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - ANSWER4, some
yellow by day 4.
When should a baby be back to birth weight? - ANSWER12-14 days post birth
How much weight should a baby gain daily? - ANSWERApproximately 1 ounce
Why do women supplement with formula when there is no medical need? -
ANSWER1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - ANSWER3-7 days post D/C.
Alveoli - ANSWERSmall glands in the breast that produce milk
At-Breast Supplementer - ANSWERSNS system
Atopy - ANSWERhypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - ANSWERInitiative by UNICEF and
WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10
Steps".
, Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - ANSWERan orange-yellow pigment formed in the liver by the breakdown
of hemoglobin and excreted in bile.
CCK (cholecystokinin) - ANSWERHormone that regulates the emptying of the
gallbladder and secretion of enzymes by the pancreas.
Colostrum - ANSWERthin, milky fluid secreted by the breast during pregnancy and
during the first days after birth before lactation begins. Causes a laxative effect which
helps the baby pass meconium.
Complementary feeding - ANSWERProcess starts when BM alone or infant formula
alone is no longer sufficient to meet nutritional requirements of infants, therefore
other foods or liquids are introduced.
Coryllos type - ANSWERClassification system for anklyloglossia
Dancer Hand Position - ANSWERTechnique used to support Baby's chin and mother's
breast. Use Thumb and index finger under chin, remaining 3 fingers to support
breast.
Alveolar Cells - ANSWERfound in the walls of the alveoli, simple squamous epithelial
cells, main sites of gas exchange
myoepithelial cells - ANSWERcontract in response to stimulation by sympathetic
nervous system and squeeze milk up the duct
Montgomery glands - ANSWERBumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - ANSWER-Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - ANSWERProlactin and
Oxytocin
Prolactin (4 details related to milk production) - ANSWER1. is triggered by touch
(pregnant and non pregnant women). Higher levels when stimulating breast/nipples
vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels. (Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
