PCE CERTIFIED BREASTFEEDING
COUNSELOR EXAM ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
How long after cessation of breast feeding does milk
production ( involution ) stop ? - -
....ANSWER...Approximately 40 days
What are the common signs of milk " let down " ? -
....ANSWER...Tingling , warmth , fullness , dripping
and contractions
How is preterm milk different than term milk ? - -
....ANSWER...It is higher in protein and immune
factors ( because the body KNOWS this is what the
preemie needs ! )
What component of breast milk is the most variable ? -
....ANSWER...Lipids
What component of human milk is destroyed by
freezing ? - ....ANSWER...Macrophages
When is the side - lying position helpful ? -
....ANSWER...In moms that are sleepy or have
,lacerations / repairs that put pressure and cause
discomfort on the perineal area
What position is centered around the infant
attaching themselves to the breast ? -
- ....ANSWER...The laid back position ( aka the
biological position )
When is the Australian / Saddle position helpful ? -
....ANSWER...When moms are experiencing active let -
down
What is the dancer hand ? - ....ANSWER...Mom would
have hand below the breast in a " U " shape ; this is
good for infants who need good jaw support
What are signs of milk transfer ? -
....ANSWER...Swallowing - harsh " Ca " sound ; air
from nose felt , neck movement visualized
What are the stool transition colors ? -
....ANSWER...Black to green to yellow
What can affect a hc professionals presentation about
breastfeeding ? - ....ANSWER...Experience ,
philosophy , credentials
What are responsibilities of staff ? -
....ANSWER...Provide education and foster
environment -Baby friendly practices -Evidence based
knowledge - Help preterms w / moms milk or donor -
,Culturally and developmentally sensitive -WHO growth
charts -Legislation
International code of marketing substitutes -
....ANSWER...-No advertising -No free sample -
Scientific info Not law but should be use
Baby friendly 10 steps - ....ANSWER...-- Written policy
-Proper training -Proper education -Initiation w in 1 hr -
Maintain lactation even if separated -Breastmilk only
unless medically required -Rooming in -Cue feeding ,
8-12x -No artificial teats -Support groups
Where is milk produced ? - ....ANSWER...Alveoli
How is milk ejected into ducts from alveoli ? aka let
down - ....ANSWER...Myoepitheal cells encase the
aveoli , contract in response to oxytocin . In response to
sucking oxytocin increases
Different stages of breast development -
....ANSWER...embryogenesis : Mammary gland while
embryo
- Mammogenesis : @ puberty , estrogen influences
growth of ducts and buds
-Lactogensesis 1 : Fullness and tenderness while
pregnant . Ducts stimulated .
Lactogenesis 2 : Secretory activation when placenta out
. D / t increase of prolactin when progestrone decreases
.
, Lactogenesis 3 : Milk removal =production .
Infant sucking- oxytocin = let down .
How long after cessation of breast feeding does milk
production stop ? - - ....ANSWER...40 days
What happens to estrogen and progesterone during
pregnancy and birth ? - ....ANSWER...Increase during
pregnancy , decreases after birth Helps development of
lobes .
Signs of letdown ? - ....ANSWER...Tingling , warmth ,
fullness , dripping , contractions
Accessory tissue : Where are they found ? -
....ANSWER...Diagonal line from axilla to groin area .
Can lactate and undergo malignant change .
Flat / inverted nipples : possible issues and solutions ?
What is short shank ? - ....ANSWER...Difficulty w /
latch . Nipple shield may help . Short shank- retraction
w / stimulation
Hypoplasia , what is it ? -
....ANSWER...Underdevelopment , insufficient
glandular tissue . No changes during pregnancy ,
insufficient milk .
What is breast milk composed of ? - ....ANSWER...Fats
: higher in mature milk and evenings -Protein : Casein-
COUNSELOR EXAM ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
How long after cessation of breast feeding does milk
production ( involution ) stop ? - -
....ANSWER...Approximately 40 days
What are the common signs of milk " let down " ? -
....ANSWER...Tingling , warmth , fullness , dripping
and contractions
How is preterm milk different than term milk ? - -
....ANSWER...It is higher in protein and immune
factors ( because the body KNOWS this is what the
preemie needs ! )
What component of breast milk is the most variable ? -
....ANSWER...Lipids
What component of human milk is destroyed by
freezing ? - ....ANSWER...Macrophages
When is the side - lying position helpful ? -
....ANSWER...In moms that are sleepy or have
,lacerations / repairs that put pressure and cause
discomfort on the perineal area
What position is centered around the infant
attaching themselves to the breast ? -
- ....ANSWER...The laid back position ( aka the
biological position )
When is the Australian / Saddle position helpful ? -
....ANSWER...When moms are experiencing active let -
down
What is the dancer hand ? - ....ANSWER...Mom would
have hand below the breast in a " U " shape ; this is
good for infants who need good jaw support
What are signs of milk transfer ? -
....ANSWER...Swallowing - harsh " Ca " sound ; air
from nose felt , neck movement visualized
What are the stool transition colors ? -
....ANSWER...Black to green to yellow
What can affect a hc professionals presentation about
breastfeeding ? - ....ANSWER...Experience ,
philosophy , credentials
What are responsibilities of staff ? -
....ANSWER...Provide education and foster
environment -Baby friendly practices -Evidence based
knowledge - Help preterms w / moms milk or donor -
,Culturally and developmentally sensitive -WHO growth
charts -Legislation
International code of marketing substitutes -
....ANSWER...-No advertising -No free sample -
Scientific info Not law but should be use
Baby friendly 10 steps - ....ANSWER...-- Written policy
-Proper training -Proper education -Initiation w in 1 hr -
Maintain lactation even if separated -Breastmilk only
unless medically required -Rooming in -Cue feeding ,
8-12x -No artificial teats -Support groups
Where is milk produced ? - ....ANSWER...Alveoli
How is milk ejected into ducts from alveoli ? aka let
down - ....ANSWER...Myoepitheal cells encase the
aveoli , contract in response to oxytocin . In response to
sucking oxytocin increases
Different stages of breast development -
....ANSWER...embryogenesis : Mammary gland while
embryo
- Mammogenesis : @ puberty , estrogen influences
growth of ducts and buds
-Lactogensesis 1 : Fullness and tenderness while
pregnant . Ducts stimulated .
Lactogenesis 2 : Secretory activation when placenta out
. D / t increase of prolactin when progestrone decreases
.
, Lactogenesis 3 : Milk removal =production .
Infant sucking- oxytocin = let down .
How long after cessation of breast feeding does milk
production stop ? - - ....ANSWER...40 days
What happens to estrogen and progesterone during
pregnancy and birth ? - ....ANSWER...Increase during
pregnancy , decreases after birth Helps development of
lobes .
Signs of letdown ? - ....ANSWER...Tingling , warmth ,
fullness , dripping , contractions
Accessory tissue : Where are they found ? -
....ANSWER...Diagonal line from axilla to groin area .
Can lactate and undergo malignant change .
Flat / inverted nipples : possible issues and solutions ?
What is short shank ? - ....ANSWER...Difficulty w /
latch . Nipple shield may help . Short shank- retraction
w / stimulation
Hypoplasia , what is it ? -
....ANSWER...Underdevelopment , insufficient
glandular tissue . No changes during pregnancy ,
insufficient milk .
What is breast milk composed of ? - ....ANSWER...Fats
: higher in mature milk and evenings -Protein : Casein-
