ALPP CLC Nursing Exam||Over 350
Questions And Correct
Answers||Graded A+ Guaranteed
Pass
breast feeding: a public health priority -CORRECT ANSWER has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's in the
US
costs to prevent needless deaths -CORRECT ANSWER less than $6 billion/year
worldwide
suboptimal breastfeeding -CORRECT ANSWER accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
nursing a baby for a year or more -CORRECT ANSWER decreases by 10-15% the risk
of developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
women who do not breastfeed -CORRECT ANSWER are at greater risk for myocardial
infarction and aspects of metabolic syndrome; are at a greater risk of breast,
endometrial, and ovarian cancer
WHO and UNICEF three strategies -CORRECT ANSWER for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
breastfeeding promotion -CORRECT ANSWER focuses on advantages of
breastfeeding on a personal, community, country, or global level
breastfeeding protection -CORRECT ANSWER focuses on government, manufacturer,
and social responsibility to assure breastfeeding's ability to compete with commercial
interests; includes addressing improper marketing practices; the AAP advices not to
provide formula, company gift bags, and industry-authored handouts; in the US, state
and local breastfeeding legislation addresses breastfeeding in public, employment
issues, jury duty, family law, mothers in prison, etc.
breastfeeding support -CORRECT ANSWER focuses on the interaction of "helpers"
with family as well as program development and implementation
community expertise -CORRECT ANSWER variety of community expertise is needed to
promote, protect, and support breastfeeding
,International models -CORRECT ANSWER for integrating breastfeeding promotion,
protection, and support as well as balancing technical information, programs, and
protocols
CLC -CORRECT ANSWER nationally recognized designation awarded by the ALPP to
those who are exam eligible and pass the exam; have competenct verified
CLCs and IBCLCs -CORRECT ANSWER health professionals who provide lactation
support
why is breastfeeding so difficult? -CORRECT ANSWER 1. unrealistic expectations
2. lack of timely interventions
unrealistic expectations -CORRECT ANSWER lack of preparation for what the newborn
period would look like
lack of timely interventions -CORRECT ANSWER mother's problems at 3 to 7 days
posed as the greatest risk to stopping
breastfeeding trends -CORRECT ANSWER last 150 years or som rates have declined
international code of matketing of breastmilk substitutes (the code) -CORRECT
ANSWER an international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry which
were promoting formula feeding over breastfeeding, which in turn was leading to
dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world health
assembly
the code -CORRECT ANSWER regulates the marketing of breastmilk substitutes which
includes infant formulas, follow-on formulas, and any other food or drink, together with
feeding bottles and teats, intended for babies and young children; sets standards for the
labeling and quality of products and for how the law should be implemented and
monitored within countries
restricting marketing -CORRECT ANSWER does not mean that the products cannot be
made available, neither does it restrict parents choice; it simply aims to make sure that
their choices are made based on full, impartial information, rather than misleading,
inaccurate, or biased marketing claims
the strategy -CORRECT ANSWER is intended as a guide for action
- it identifies interventions with a proven positive impact
,- it emphasizes providing mothers and families the support they need to carry out their
crucial roles
- it explicitly defines the obligations and responsibilities in this regard of governments,
international organizations, and other concerned parties
the world breastfeeding trends initiative -CORRECT ANSWER intended to track,
assess, and monitor the implementation of the "global strategy" at the country and sub-
country level
what contributes to low rates of ebf globally? -CORRECT ANSWER - caregiver and
societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
- lack of adequate skills and support
- aggressive promotion of infant formula and other breastmilk substitutes
- inadequate maternity/paternity leave legislation
- workplace policies
- lack of knowledge about dangers of not exclusively BF and proper BF techniques
how to support ebf -CORRECT ANSWER increase hospital and health system capacity
regarding baby friendly hospital initiative
-provide community based strategies including campaigns tailored to local context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
disparity of US breastfeeding trends -CORRECT ANSWER according to the CDC,
"black mothers are less likely than white to breast-feed their babies, and here's one
possible reason why: hospitals in neighborhoods with many black residents do less to
promote nursing than those in areas with more white residents"
anatomy of milk cells -CORRECT ANSWER myoepithelial cells, connective tissue,
capillaries, anteriole, venule, alveolar cells
anatomy of human breast -CORRECT ANSWER glandular tissue made up of clusters
of alveoli and small ducts, fat amongst the glandular tissue, milk ducts, areola, nipple
with several duct openings
making milk -CORRECT ANSWER messages from the breast travel through the
nervous system to the brain, then hormones travel to the breast through the blood
system
hormone pathways -CORRECT ANSWER two separate hormone pathways, pituitary
gland is important to both
prolactin levels -CORRECT ANSWER go down in between nursing and rise during
nursing
, infrequent nursing -CORRECT ANSWER leads to lower levels and less rise even with
the same amount of nipple contact
ongoing milk production -CORRECT ANSWER positively associated with suckling
within the first 2 hours after birth
initiation for mothers of preemies -CORRECT ANSWER initiation of milk expression
before one hour resulted in significantly more milk when measured on days 7 and 42
triggering oxytocin mechanism #1 -CORRECT ANSWER conditioned response -
conditioned milk ejection (let down) reflex
- was probably given too much importance in the years we didn't understand the other
mechanisms
- conditioned over time and lasts a lifetime
- is faster for women who already have one from previous breastfeeding
- to condition response.. smell, touch, hear the stimulus
triggering oxytocin mechanism #2 -CORRECT ANSWER nipple stretching, happens
with a proper latch
triggering oxytocin mechanism #3 -CORRECT ANSWER baby hand massage, each
hand movement releases oxytocin
hormones of lactation -CORRECT ANSWER have an emotional/behavioral function as
well as making and moving milk; aggression, protection, bonding & trust
milk composition -CORRECT ANSWER is complex
- each species of mammal milk is different
- milk is "species specific"
nest or cache -CORRECT ANSWER mammal species with high fat/protein and low
water content = infrequent feeds
nest = bunnies
cache = deer
carry, follow, or hibernate -CORRECT ANSWER mammal species with hither water
content milk have more frequent feeds
carry = koala
follow = elephants
hibernate = bears
our culture -CORRECT ANSWER wants us to be nesters when it comes to feeding, but
our milk composition indicates that we should be carriers
Questions And Correct
Answers||Graded A+ Guaranteed
Pass
breast feeding: a public health priority -CORRECT ANSWER has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's in the
US
costs to prevent needless deaths -CORRECT ANSWER less than $6 billion/year
worldwide
suboptimal breastfeeding -CORRECT ANSWER accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
nursing a baby for a year or more -CORRECT ANSWER decreases by 10-15% the risk
of developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
women who do not breastfeed -CORRECT ANSWER are at greater risk for myocardial
infarction and aspects of metabolic syndrome; are at a greater risk of breast,
endometrial, and ovarian cancer
WHO and UNICEF three strategies -CORRECT ANSWER for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
breastfeeding promotion -CORRECT ANSWER focuses on advantages of
breastfeeding on a personal, community, country, or global level
breastfeeding protection -CORRECT ANSWER focuses on government, manufacturer,
and social responsibility to assure breastfeeding's ability to compete with commercial
interests; includes addressing improper marketing practices; the AAP advices not to
provide formula, company gift bags, and industry-authored handouts; in the US, state
and local breastfeeding legislation addresses breastfeeding in public, employment
issues, jury duty, family law, mothers in prison, etc.
breastfeeding support -CORRECT ANSWER focuses on the interaction of "helpers"
with family as well as program development and implementation
community expertise -CORRECT ANSWER variety of community expertise is needed to
promote, protect, and support breastfeeding
,International models -CORRECT ANSWER for integrating breastfeeding promotion,
protection, and support as well as balancing technical information, programs, and
protocols
CLC -CORRECT ANSWER nationally recognized designation awarded by the ALPP to
those who are exam eligible and pass the exam; have competenct verified
CLCs and IBCLCs -CORRECT ANSWER health professionals who provide lactation
support
why is breastfeeding so difficult? -CORRECT ANSWER 1. unrealistic expectations
2. lack of timely interventions
unrealistic expectations -CORRECT ANSWER lack of preparation for what the newborn
period would look like
lack of timely interventions -CORRECT ANSWER mother's problems at 3 to 7 days
posed as the greatest risk to stopping
breastfeeding trends -CORRECT ANSWER last 150 years or som rates have declined
international code of matketing of breastmilk substitutes (the code) -CORRECT
ANSWER an international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry which
were promoting formula feeding over breastfeeding, which in turn was leading to
dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world health
assembly
the code -CORRECT ANSWER regulates the marketing of breastmilk substitutes which
includes infant formulas, follow-on formulas, and any other food or drink, together with
feeding bottles and teats, intended for babies and young children; sets standards for the
labeling and quality of products and for how the law should be implemented and
monitored within countries
restricting marketing -CORRECT ANSWER does not mean that the products cannot be
made available, neither does it restrict parents choice; it simply aims to make sure that
their choices are made based on full, impartial information, rather than misleading,
inaccurate, or biased marketing claims
the strategy -CORRECT ANSWER is intended as a guide for action
- it identifies interventions with a proven positive impact
,- it emphasizes providing mothers and families the support they need to carry out their
crucial roles
- it explicitly defines the obligations and responsibilities in this regard of governments,
international organizations, and other concerned parties
the world breastfeeding trends initiative -CORRECT ANSWER intended to track,
assess, and monitor the implementation of the "global strategy" at the country and sub-
country level
what contributes to low rates of ebf globally? -CORRECT ANSWER - caregiver and
societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
- lack of adequate skills and support
- aggressive promotion of infant formula and other breastmilk substitutes
- inadequate maternity/paternity leave legislation
- workplace policies
- lack of knowledge about dangers of not exclusively BF and proper BF techniques
how to support ebf -CORRECT ANSWER increase hospital and health system capacity
regarding baby friendly hospital initiative
-provide community based strategies including campaigns tailored to local context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
disparity of US breastfeeding trends -CORRECT ANSWER according to the CDC,
"black mothers are less likely than white to breast-feed their babies, and here's one
possible reason why: hospitals in neighborhoods with many black residents do less to
promote nursing than those in areas with more white residents"
anatomy of milk cells -CORRECT ANSWER myoepithelial cells, connective tissue,
capillaries, anteriole, venule, alveolar cells
anatomy of human breast -CORRECT ANSWER glandular tissue made up of clusters
of alveoli and small ducts, fat amongst the glandular tissue, milk ducts, areola, nipple
with several duct openings
making milk -CORRECT ANSWER messages from the breast travel through the
nervous system to the brain, then hormones travel to the breast through the blood
system
hormone pathways -CORRECT ANSWER two separate hormone pathways, pituitary
gland is important to both
prolactin levels -CORRECT ANSWER go down in between nursing and rise during
nursing
, infrequent nursing -CORRECT ANSWER leads to lower levels and less rise even with
the same amount of nipple contact
ongoing milk production -CORRECT ANSWER positively associated with suckling
within the first 2 hours after birth
initiation for mothers of preemies -CORRECT ANSWER initiation of milk expression
before one hour resulted in significantly more milk when measured on days 7 and 42
triggering oxytocin mechanism #1 -CORRECT ANSWER conditioned response -
conditioned milk ejection (let down) reflex
- was probably given too much importance in the years we didn't understand the other
mechanisms
- conditioned over time and lasts a lifetime
- is faster for women who already have one from previous breastfeeding
- to condition response.. smell, touch, hear the stimulus
triggering oxytocin mechanism #2 -CORRECT ANSWER nipple stretching, happens
with a proper latch
triggering oxytocin mechanism #3 -CORRECT ANSWER baby hand massage, each
hand movement releases oxytocin
hormones of lactation -CORRECT ANSWER have an emotional/behavioral function as
well as making and moving milk; aggression, protection, bonding & trust
milk composition -CORRECT ANSWER is complex
- each species of mammal milk is different
- milk is "species specific"
nest or cache -CORRECT ANSWER mammal species with high fat/protein and low
water content = infrequent feeds
nest = bunnies
cache = deer
carry, follow, or hibernate -CORRECT ANSWER mammal species with hither water
content milk have more frequent feeds
carry = koala
follow = elephants
hibernate = bears
our culture -CORRECT ANSWER wants us to be nesters when it comes to feeding, but
our milk composition indicates that we should be carriers
