PCE Certified Breastfeeding
Counselor Exam
Standards of of practice for CBC - ANSWER-- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding? - ANSWER--Experience,
philosophy, credentials
What are responsibilities of staff? - ANSWER--Provide education and foster environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes - ANSWER--No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - ANSWER--Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced? - ANSWER-Alveoli
How is milk ejected into ducts from alveoli? aka let down - ANSWER-Myoepitheal cells encase the
aveoli, contract in response to oxytocin. In response to sucking oxytocin increases
Different stages of breast development - ANSWER-- embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone
decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop? - ANSWER-40 days
Counselor Exam
Standards of of practice for CBC - ANSWER-- Help families define and achieve goals
-Problem solving: Assessment, plan, implementation, evaluation
-Education and counseling
-Professionalism
-Legal considerations
What can affect a hc professionals presentation about breastfeeding? - ANSWER--Experience,
philosophy, credentials
What are responsibilities of staff? - ANSWER--Provide education and foster environment
-Baby friendly practices
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensitive
-WHO growth charts
-Legislation
International code of marketing substitutes - ANSWER--No advertising
-No free sample
- Scientific info
Not law but should be use
Baby friendly 10 steps - ANSWER--Written policy
-Proper training
-Proper education
-Initiation w/in 1 hr
-Maintain lactation even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
-No artificial teats
-Support groups
Where is milk produced? - ANSWER-Alveoli
How is milk ejected into ducts from alveoli? aka let down - ANSWER-Myoepitheal cells encase the
aveoli, contract in response to oxytocin. In response to sucking oxytocin increases
Different stages of breast development - ANSWER-- embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated.
Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone
decreases.
Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down.
How long after cessation of breast feeding does milk production stop? - ANSWER-40 days
