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CERTIFIED LACTATION CONSULTANT EXAM (5).docx

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CERTIFIED LACTATION CONSULTANT
2024 EXAM/CLC EXAM AND PRACTICE
QUESTIONS 450 QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS /ALL
IN ONE DOCUMENT/ ALREADY GRADED
A+


CERTIFIED LACTATION CONSULTANT EXAM 2024




what are the two major hormone of lactation? Where are they
secreted from? - ...ANSWER....oxytocin and prolactin,
pituitary gland

Prolactin is the hormone responsible for? -
...ANSWER....Milk production

What is the passage of prolactin being produced -
...ANSWER....baby suckles- message to nervous system tells
brain to secrete prolacin in blood- then tranverse into mother
body into milk cells where milk is produced

When doe humans have prolactin in them - ...ANSWER....all
the time (non pregnant, non lactating breast and nipples
increase level of prolactin when touched)


What is in receptor site during pregnancy? -
...ANSWER....Progesterone

,When placenta leaves the body, the body responds by pushing
out of the receptor sites? - ...ANSWER....progesterone

When placenta is pushed out of body, progesterone leaves
the receptor sites and they are open briefly, what goes inside
to set site for lactation? - ...ANSWER. Prolactin

If prolactin is not set during first few hours after birth- -
...ANSWER....there will be fewer sites and cause issues with
milk supply

Ongoing milk supply is associated with suckling within first
hours after birth - ...ANSWER....2

For mothers with preemies initation of milk expression before
hours resulted in significantly more milk by day 7 -
...ANSWER....one

What hormone T3, T4, T5 - ...ANSWER....Oxytocin

When oxytocin hits myoepitheal cells what happens? -
...ANSWER....They start retracting

Oxytocin helps ducts to in size and lumen to get
- ...ANSWER....increase, smaller

What triggers oxytocin? - ...ANSWER....1. conditioned
response (repeated stimuli over time) 2. Nipple Stretching
(happens with proper latch- oxytocin levels goes up and down
with suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand
movement releases oxytocin

,how might preterm and early term babies struggle with
breastfeeding? - ...ANSWER....less alert, less stamina, greater
difficulty latching, issues transfering milk

PIBBS - ...ANSWER....preterm infant breastfeeding behavior
scale

what breastfeeding technique is good for hypotonic like down
syndrome - ...ANSWER....dancer breastfeeding position

breastfeeding with cleft lip or palate - ...ANSWER....making a
seal/vaccum the challenge, use alternitive massage, mother
nipple point to intact part of palate, mother keep up coordinate
with baby suck and swallow

Does breastfeeding lower cases of otitis media? -
...ANSWER....yes

What can you do right away to increase milk volume? -
...ANSWER....hand expression within 1 hour of birth, express in
proximity to infant, double stimulation (send x3 messages to
brain), collect milk on one breast while nursing on other

Power pumping - ...ANSWER....for a day or 2 might increase
volume, pump 5 min, pause 5 min, pump 5 min

What is protocolitis?
When might it occur? - ...ANSWER....rectal bleeding may
occur in exclusively breastfeeding- cows milk protein allergy,
standard treamtent offending protein from mothers diet (cows
milk, corn, soy, milk, egg and chocolate), resolution of visible
rectal bleeding took place 72-96 hrs in most babies

, Why is it important to support calcium needs in
breastfeeding? - ...ANSWER....breastmilk calcium is met by
renal calcium conservation and lost of bone (3-9% decrease
in bone density during lactation) but gain after weaning

how much alcohol per kg is safe for breastfeeding mother -
...ANSWER....0.5 g of alcohol per kg

9 stages of skin to skin - ...ANSWER....1. birth cry 2.
relaxation 3. Awakening 4. activity 5. rest 6. crawling/sliding
7. famerilization
8. suckling 9. sleeping


breastfeeding considerations at 4-6 months -
...ANSWER....easily distractible, may need to be quieter
place, seperation anxiety, sore nipple can happen as teething
and saliva changes and new enzymes

Complementary feeding - ...ANSWER....refers to anything
other than breastmilk and infant formula-both solids and
liquids, when milk no longer sufficient to meet nutritional
requirements


Where is oxytocin and prolactin excreted? -
...ANSWER....pituitary gland

is excreted from posterior pituitary? -
...ANSWER....Oxytocin

is excreted from anterior pituitary? -
...ANSWER....Prolactin

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