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CERTIFIED LACTATION COURSE EXAM
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QUESTION AND ANSWERS (LATEST
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2023_2024) SATIFACTION GUARANTEED
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what are some other breastfeeding barriers mothers have? - Answers--sexual vs
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functional aspects of breasts
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-women in the workplace
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-"im not producing enough milk"
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-lack of support from medical profession
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what are some techniques for flat/inverted nipples that may help to evert nipples? -
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Answers--inverted syringe
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-supple cups
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-breast shells
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-avent nipplette
-"pinch test" in last trimester of pregnancy
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what was, and still is today, one of the biggest reasons why mothers quit breastfeeding?
- Answers-mothers report not producing enough milk
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what three ingredients made up the first commercial formula? (early 1800's/19th
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century) - Answers--wheat flour
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-cows milk
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-sugar
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when did bottle feeding become the "new norm", thus, causing breastfeeding rates to
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continue to decline? - Answers-20th century (particularly, mid 1900's) (1950's-1970's)
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weaning - Answers-the addition of adding other foods to a diet, but not completely
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stopping or ceasing breastfeeding
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when did breastfeeding rates start to initially decline (i.e. in Britain), particularly among
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the wealthy population? - Answers-16th-17th century and through the 18th century
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which month did women historically think was the most important to breastfeed during?
- Answers-the summer (due to food spoilage)
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what is the WHO code? - Answers-an attempt to prevent excessive marketing of ABM
(artificial baby milk) and to bring awareness of benefits of breastfeeding (although this
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code is not law in many countries as it interferes with marketing & freedom)
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*breastfeeding education to pubic is critical!*
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where are the breasts specifically located on the body? - Answers--between 2nd & 6th
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-from sternum to mid axillary line
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-only gland in not fully functioning at birth
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*may contain hair, sweat, and oil glands
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hypoplastic breasts - Answers--insufficient glandular tissues
-usually only extend from 3rd to 5th rib
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-typically have more spacing between breasts (1.5 inches or more)
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1. montgomery glands/tubercles - Answers-"small bumps" located around areola
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that become more prominent (hypertrophy) during pregnancy & are thought to
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secrete substance during pregnancy/lactation & contain scent glands to help
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guide infant to nipple, while also helping kill pathogens that try to enter the body
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areola - Answers-vary in shape & color; usually circular; become darker during
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pregnancy and do not return to pre-pregnancy color
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nipple - Answers-contain smooth muscle fibers for erectness and graspability; normally
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found at 4th intercostal space that typically contain between 4-18 openings (9 on
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average) for milk to be expressed through during lactation
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nipple/areola complex - Answers-thought of as one entity; both elongate up to 2-3 times
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resting length during breastfeeding;
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areola = most sensitive part of breast
nipples = least sensitive
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everted nipples - Answers-most common type of nipples; protrudes slightly at rest &
everts well with stimulation
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flat nipples - Answers-soft, but pliable & graspable sh
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pseudo-inverted nipples - Answers-appear to be inverted but will evert with stimulation
or compression
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retracted nipples - Answers-type of inverted nipples that appear to be graspable but
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retracts, rather than everts, with compression
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inverted nipples/nipple inversion - Answers-retracted nipples that occur with retracted
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both with rest and stimualtion
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supernumerary nipples - Answers-"3rd nipple" or "accessory nipple" found along line of
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glandular tissue
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