Exam) | Academy of Lactation Policy and
Practice (ALPP) | Updated Questions and Correct
Answers | Just Released
PCOS excess insulin increases production of _____, higher androgens cause acne,
excessive hair growth, wt gain and problems with ovulation and _______, possible
treatment with ---------CORRECT ANSWER-----------------androgens, lactation,
metformin
Drug that cause milk delay? ---------CORRECT ANSWER-----------------
peeudoephedrine (think pseudofed), corticosteriods, betamethason (giving to
women who will deliver before 24 weeks) if given 3-9 days before delivery can
delay lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. ---------
CORRECT ANSWER-----------------prolactin
Are nicotine patches safe during BF ---------CORRECT ANSWER-----------------refer to
healthcare provider
Cadmimum is a heavy metal found in _____ and _____ ---------CORRECT ANSWER-
----------------cigarettes and formula
,What types of formulas have more cadmimum? ---------CORRECT ANSWER-----------
------Soy based
22% of all SIDs contributed deaths can be contributed to ---------CORRECT
ANSWER-----------------maternal smoking during pregnancy
Are electronic cigarettes safe in pregnancy? ---------CORRECT ANSWER----------------
-tested by FDA some contain nicotine and carcinogens, nicotrine transfer appears
minimal
Cannabis and Breastfeeding? ---------CORRECT ANSWER-----------------passive
exposure is a concern, no safe threshold, lack of studies and high fat solubility
makes cannabis difficult to analyaze in breast milk, opinions vary
THC is still measurable in EBM ____ days after maternal marijuana use ---------
CORRECT ANSWER-----------------6
Pacifiers increase risk for ______ and _____ ---------CORRECT ANSWER----------------
-diarrhea and ear infections
,Pacifiers for preemies? ---------CORRECT ANSWER-----------------May have earlier
hospital discharge, tube fed may gain weight faster, improve physiologic and
behavioral responses and reduce the time to oral feeds, will not affect
breastfeeding for preemies
Babies that recieve additional water are at risk for? And this can cause ---------
CORRECT ANSWER-----------------Water intoxication- can cause seizures, stroke,
death
Early cessation/negative experience of breastfeeding has a increased risk of
postpartum _______ ---------CORRECT ANSWER-----------------depression
What is postpartum depression scale? ---------CORRECT ANSWER-----------------
Edinburgh Postnatal Depression Scale -EPDS
Mothers with EPDS scores greater than ____ are likely to d/c breastfeeding by
week 4-12. ---------CORRECT ANSWER-----------------12
Womans ways of knowing is by ---------CORRECT ANSWER-----------------Mary
Belenky
, What are the 5 characteristics of womans ways of knowing? ---------CORRECT
ANSWER-----------------1. Silence 2. Recievers of knowledge 3. subjective knowing
4. Procedural knowing 5. Constructive Knowing
Silence way os knowling ---------CORRECT ANSWER-----------------afraid of words,
feels powerless, depends on others, little awareness of intellectual capabilities,
having powerful person in charge ex paulette legally blonde
How do we develop relationship with person in Silence? ---------CORRECT
ANSWER-----------------Few words, short easy, comfortable, nothing to remember
advocate
Recievers of Knowledge? ---------CORRECT ANSWER-----------------Believe all
authorities tell truth, like to learn right answer and tell it to the teacher, cannot
tolerate ambiguity ex: vivian pretty woman
How to teach to receiver of knowledge? ---------CORRECT ANSWER-----------------
only show right way and have them do return demo