CLC EXAM NEWEST ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALPP CLC EXAM STUDY GUIDE UPDATED VERSION ||ALREADY GRADED A+|| GUARANTEED PASS NEWEST VERSION

CLC EXAM NEWEST ACTUAL EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALPP CLC EXAM STUDY GUIDE UPDATED VERSION ||ALREADY GRADED A+|| GUARANTEED PASS NEWEST VERSION benefits of breastfeeding for mother - ANSWER Prevents myocardial infarction and aspects of metabolic syndrome Decreases risk of HTN, diabetes, hyperlipidemia, CVD, endometrial and ovarian cancer The Original Ten Steps to Successful Breastfeeding: Step 1 - ANSWER Have a written breast-feeding policy that is routinely communicated to all healthcare staff The Original Ten Steps to Successful Breastfeeding: Step 2 - ANSWER Train all healthcare stuff in the skills necessary to implement this policy The Original Ten Steps to Successful Breastfeeding: Step 3 - ANSWER Inform all pregnant women about the benefits and management of breast-feeding The Original Ten Steps to Successful Breastfeeding: Step 5 - ANSWER Show mothers how to breast-feed and how to maintain lactation, even if they should be separated from their infants The Original Ten Steps to Successful Breastfeeding: Step 6 - ANSWER Give newborn infants, no food or drink other than breast, milk, unless medically indicated The Original Ten Steps to Successful Breastfeeding: Step 7 - ANSWER Practice rooming in-allow mothers, an infants to remain together 24 hours a day The Original Ten Steps to Successful Breastfeeding: Step 8 - ANSWER Encourage breast-feeding on demand The Original Ten Steps to Successful Breastfeeding: Step 9 - ANSWER Give no pacifiers are artificial nipples (also called dummies or soothers) to breast-feeding infants The Original Ten Steps to Successful Breastfeeding: Step 10 - ANSWER Foster the establishment of breast-feeding, support groups and refer mothers to them on discharge from the hospital or clinic WHO & UNICEF: Three strategies to increase breastfeeding - ANSWER Promotion Protection Support What type of breast augmentation incision increases the chance of lactation insufficiency? - ANSWER Periareolar Raynaud's phenomenon (vasospasm) of the nipple - ANSWER Excruciating nipples and breast pain after nursing, or when nipple is cold or wet, always accompanied by nipple color change (waxy white, quickly transient to cyanosis blue or grey, then to raspberry pink, or white to pink), areola typically changes shape What nursing issue would Nifedipine be prescribed for? - ANSWER Raynaud's phenomenon Candida albicans, yeast, or thrush - ANSWER Burning pain during and after breast-feeding, shiny flaky, skin is visible on the nipple in areola, white patches are seen in babies mouth inside the cheeks, and on the tongue, babies diaper area may also have a rash Bleb (milk blister) - ANSWER Firm, small, white spot (bleb or duct blocked near nipple pore opening) of accumulated milk solids on nipple face Engorgement - ANSWER Swollen breasts often between days, two and four after birth, or later, if baby was born via cesarean section, can also happen in early weeks of babies, not feeling often or effectively enough how to relieve engorgement - ANSWER Increase frequency and efficiency of feedings, allow excess milk to flow out of the breast via shower or bath, baby should be allowed to nurse until he, or she comes off spontaneously, gentle expression may believe, mild analgesics can be used meconium - ANSWER first stool of the newborn Black, tarry 1-2 days of life Transition stool - ANSWER Green/brown 2-3 days of life Yellow/orange stool - ANSWER Mature breast milk stool Seedy 3-4 days of life Exclusive breastfeeding - ANSWER Infant is receiving solely mother's milk Can have added vitamins, minerals, oral medications Predominant breastfeeding - ANSWER Mother's milk and water, water-based drinks, ritual foods (teas) Breastfeeding - ANSWER Infant is receiving human milk and other foods or fluids including infant formula Complementary feeding - ANSWER Between 6-23months, receiving both human milk and solid/semisolid food Widstrom"s 9 Stages - ANSWER Stages a newborn goes through when placed skin-to-skin to prepare for feeding: 1. Birth cry 2. Relaxation 3. Awakening 4. Activity 5. Rest 6. Crawling/sliding 7. Familiarization 8. Suckling 9. Sleeping Ten Steps to Successful Breastfeeding (Revised 2018) - ANSWER 1.a. Comply with International Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly Resolutions 1.b. Have a written infant feeding policy that is routinely communicated to staff and patients 1.c. Establish ongoing monitoring and data-management systems 2. Ensure staff has sufficient knowledge, competence, and skills to support BF 3. Discuss importance and management of BF with pregnant women and families 4. Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate BF ASAP after birth 5. Support mothers to initiate and maintain BF and manage common difficulties 6. Do not provide newborns with any fluid or foods other than breastmilk unless medically indicated 7. Enable mothers and their infants to remain together and to practice rooming-in 8. Support mothers to recognize and respond to infants' cues for feeding 9. Counsel mothers on use and risk of feeding bottles, teats, and pacifiers 10. Coordinate d/c so that parents and infants have timely access to ongoing support and care Baby Friendly Hospital Initiative - ANSWER -Importance of BF -Definition of exclusive BF and recommendations to maintain the first 6 months -Risks associated with formula feeding and other breastmilk substitutes -Role of breastfeeding beyond 6 months when complementary feeding begins -BF continues to be important after 6 months Factors that discourage BF - ANSWER -Coupons, bags, free "gifts" from manufacturers of breastmilk substitutes -Advertisements on social media of substitutes as the cultural norm while BF is discouraged in public -Care providers, peers, family members who may discourage BF -Fear of pain and embarrassment -Fears about adequacy of milk supply -Fears about inadequacy of breast size or appearance Factors that affect duration of BF - ANSWER -Scheduled, delayed, or "timed" feedings -Inadequate number of feedings -Inadequate transfer of breastmilk to the baby -Inverted nipple that does not evert -Concerns about perceived inadequacy of milk production (also common reason for introduction of substitutes and weaning foods before 6 months) -Breast surgery that has damaged lactiferous ducts and/or nipple innervation or circulation -Conditions that can impact baby's ability to feed effectively (prematurity, cleft lip, or palate) Oversupply - ANSWER Signs & Symptoms: Baby often clamps down to slow flow of milk, rapid weight gain in baby, and many large explosive bowel movements, pain during feedings, baby is unsettled after feedings, and may spit-up/vomit large amounts of milk Treatment: Reclined/semi-reclined position, nursing on one breast at a time, firm but not tight bra, collect and donate extra milk Raynaud's phenomenon/vasospasm of the nipple - ANSWER Signs & Symptoms: Excruciating nipple and breast pain after nursing and at times when the nipple is cold or wet; always accompanied by nipple color change (waxy white to cyanotic blue or grey, then to raspberry pink, or white to pink), areola shape change Treatment: Ensure optimal positioning, eliminate other causes of painful nipples, warm cloth nearby to warm nipples after feeding to cool more slowly, Nifedipine prescribed