Certified Lactation Consultant Study Guide
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Certified Lactation Consultant Study Guide - Leaderboard
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198 questions
| 🇬🇧 | 🇬🇧 |
| Is 39 weeks premature? | No (Babies born before 37 weeks are premature.) Pg. 171 |
| What does it mean to be exclusively breastfed? | Breast milk only - no other food or drink Pg. 165 |
| What percentage of weight loss in normal after birth? | 7% or less -weight loss of more than 7% indicates possible breastfeeding problems. Pg. 217 in Pocket Guide |
| After 2 weeks (regaining original birth weight), how much should a baby gain per day? | At least 1 ounce, per day Pg. 217 in Pocket Guide |
| An appropriate check-up for a breastfed newborn should include: | Asking additional questions and assessing a feeding. Pg. 217 in Pocket Guide |
| How would you calulate the daily milk requirment for a normal (within weight range) baby? (Baby is 8 lbs.) | Lbs. x 2.5 = Ounces a baby should intake per day (8 x 2.5 = 20 ounces) x 2.7-3 if baby needs to catch up on weight Pg. 199 in Pocket Guide |
| If you are focusing on governmental, manufacturer, and social responsibility to assure breastfeeding's ability to compete with commercial interests, you are doing what? | Protecting Breastfeeding Pg. 2 |
| If you are focusing on the interaction of helpers with family, as well as program development and implementation, you are ding what? | Supporting Breastfeeding Pg. 2 |
| What is prolactin? | A hormone that causes milk to be made. (MAKE THE MILK - for milk - for making milk) Pg. 10-11 |
| What is oxytocin? | A hormone that causes the milk to move. (MOOVE THE MILK) Pg. 10-11 |
| One way that fat content of milk suckled by the baby is determined is: A. The number of feedings in a 24 hour period B. The speed/efficiency with which the baby removes milk C. The amount of fat in the mother's diet D. The amount of liquid in the mother's diet | B. The speed/efficiency with which the baby removes milk (Think gravy - fat sticks (thick) to the side if slow or is more liquid if fast) Pg. 15 |
| What is Lactogensis 1? | Colostrum: -derived from placenta hormones. Begins: during mid-pregnancy Pg. 13 |
| What is Lactogensis II? | Transitional Milk: Begins - after delivery of baby and placenta Ends - when colostrum is no longer created Pg. 13 |
| What is Lactogensis III? | Mature Milk: Begins: after first drop of mature milk Pg. 13 |
| What is a paracellular transport? | The milk cells have space in between them, to allow substances to pass through. (first few days after birth) O | O | O Pg. 13 |
| What is transcellular pathway/transport? | Substances have to go through the milk cell to enter the milk. (spaces have closed - closing the paracellular transport) Takes place during later breastfeeding. OOO -> Pg. 13 |
| What does gastrin and cholecystokinin (CCK) do? | The hormones promote glucose induced insulin release and exert tropic (growth promoting) effects in the gut. CCK induces satiety (fullness), postprandial sedation and sleep. (Stores energy and makes baby sleepy.) CCK = OK (non-stress) Pg. 17-18 |
| What increases gastrin and decreases somatostatin in babies? | -Sucking -Species' own milk -Decreased stress -Wellness -Touch (CCK & Gastrin = OK (non-stress)) Pg. 17-18 |
| What does somatostatin do? | Causes stress, which will slow nutrition to baby and keep baby from growing. (S = STRESS) Pg. 17-18 |
| When undernourished mothers were supplemented with extra energy in their diet, they: A. Had babies that gained weight slightly better. B. Produced more nutritious milk. C. Had babies that gained weight significantly better. D. Responded to their infants more appropriately. | D. Responded to their infants more appropriately. (Think debunking myths.) Pg. 20 |
| Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition of the breastmilk: A. Raises the pH of the gut to a basic level B. Provides too much iron for harmful bacteria to grow C. Fosters the growth of good bacteria that crowd out other organisms D. Contains limited amounts of vitamin B13 | C. Fosters the growth of good bacteria that crowd out other organisms (Good bacteria grow (feeds) - Starves bad bacteria) Breastfed baby should have an acidic pH. Pg. 15-16 |
| What does bout mean? | The nipple is stimulated. (baby eating) Pg. 10 |
| What does inter-bout mean? | The nipple is not stimulated. (baby is at rest - not eating) Pg. 10 |
| What does weaning mean? | Lengthening the inter-bout interval. (The time at rest - not eating.) Pg. 10 |
| How frequent should human feedings be? | Continuous - on baby's cue. Pg. 13 |
| What happens if you have a lot of prolactin and not enough oxytocin? | Engorgement (Prolactin = make the milk & Oxytocin = moove the milk) Pg. 12 |
| What is foremilk? | The milk at the beginning of the a feed. (think before) Pg. 14 |
| What is hindmilk? | The milk fromt he end of a feed. (think dessert) Pg. 14 |
| What is a microbiome? | What is living in our gut. Pg. 15 |
| What is an example of protection? | State law on breastfeeding in public. Pg. 2 |
| What is an example of promotion? | Breastfeeding costs less Pg. 2 |
| What is an example of support? | La Leche League Leader Pg. 2 |
| What is the International Code of Marketing? | It restricts formula marketing practices. Pg. 2 |
| What are montgomery glands? | They secrete lubricating fluid on the areola. (Bumps around the nipple.) Pg. 9 |
| Elevated prolactin levels close what? | Paracellular pathway O|O|O (think triangles) Pg. 13 |
| What is the Cochrane Collaboration? | They conduct systematic reviews. Pg. 3 |
| What is a lactiferous sinus? | It is not in humans. (Think lucifer - not human) Pg. 8-9 |
| What is cholecystokinin (CCK)? | A GI hormone that causes fullness/sedation. (CCK = OK) Pg. 17 |
| Colostrum is produced by what? | Pregnancy hormones. Pg. 13 |
| What is anabolism? | Storing energy for growth. Pg. 17 |
| What are myoepithelial cells? | Muscle cells around the alveolus. (Think skin muscles.) Pg. 8 |
| What is an alveolus? | A cluster of alveolar cells. Alveolar cells are milk making cells. (Think like a balloon.) Pg. 8 |
| What are alveolar cells? | Cells that make milk. (Think balloon like.) Pg. 8 |
| What is a receptor site? | Cellular "lock" for a chemical "key". (Think of the triangles.) Pg. 11 |
| Baby hand massage is an example of what? | A oxytocin releasing mechanism. (Think MOOve milk.) Pg. 11 |
| What is a carbohydrate found only in mammal milk? | Lactose Pg. 12 |
| Not enough water and too much stress or exercise reducing milk supply are all examples of what? | Myths. Pg. 20 |
| What is not necessarily lower in fat content? | Foremilk. Pg. 14 |
| What is the gland that secretes lactation hormones? | Pituitary Gland Pg. 7 |
| What is new born milk called? | Colostrum. Pg. 13 |
| Human milk is composed of almost 88% __________. | Water Pg. 13 |
| What hormone is responsible for milk ejection? | Oxytocin (MOOve milk.) Pg.11 |
| Nevers that ennervate the breast 3, 4, and 5? | Thoratic. (T3-5) Pg. 8 |
| What is the number one reason mother's quite breastfeeding? | Quantity/Quality of breast milk supply. Pg. 5 |
| What hormone increases with frequent nipple stimulation? | Prolactin (Make the milk.) Pg. 11 |
| What hormone is secreted by the placenta? | Progestrone Pg. 11 & 13 |
| What promotes the release of gastrin? | Touch Pg. 17-18 |
| What is the leading cause of infant death globally? | Diarrhea Pg. 15 |
| What is complimentary feeding? | Child is older than 6 months of age and receiving bf milk and solid or semi-solid foods. Pg. 4 Pocket Guide |
| What is supplemental feeding? | Food other than breastmilk is given to an infant to replace breastmilk calories - Child is under 6 months. Pg. 173 |
| The FDA reports that A. Mothers in the US are routinely taught how to make formula safely B. Young mothers are less likely to make formula safely C. There is no consistent pattern of who does and does not make formula safely D. Safe formula preparation is highly overrated | C. There is no consistent pattern of who does and does not make formula safely Pg. 37-38 |
| Which of the following does not reduce the storage capacity of the breast? A. A push up bra B. Amount of tea mom drinks C. Breast implants D. Engorgement | B. Amount of tea mom drinks Pg. 23 |
| With Sheehan's Syndrome A. Pituitary function may be impaired permanently B. There are always retained placental fragments C. Symptoms begin in pregnancy D. The mother feels thirsty when her milk let down happens | A. Pituitary function may be impaired permanently. Pg. 26 |
| Studies on childhood obesity demonstrate that: A. Breastfed babies secrete more insulin and deposit more fat than formula-fed infants B. There is a positive relationship between longer breastfeeding duration and an increased risk of childhood obesity C. Obesity is not an issue for formula fed infants; it is an issue for breastfed babies D. There is an inverse relationship between breastfeeding duration and obesity prevalence in a large population | D. There is an inverse relationship between breastfeeding duration and obesity prevalence in a large population Pg. 42 |
| Which of the following statements is true: A. Reflux may be due to immaturity, food, or mechanics of feeding B. Reflux is only a temporary condition and causes few problems C. Breastfed babies never have reflux D. Rice cereal used to thicken formula is very effective in curing reflux | A. Reflux may be due to immaturity, food, or mechanics of feeding Pg. 38 |
| Babies who are fed formula are more likely to have which of the following outcomes? A. Less obesity B. Higher IQs C. Less diabetes D. Higher rate of SIDS | D. Higher rate of SIDS |
| It is best to use few words with this kind of "knower". | Women in Silence Pg. 32 |
| These "knowers" like to be helped by women who have had similar experiences. | Subjective Knowers P. 33 |
| This affects up to 20% of postpartum women: | Anemia Pg. 26 |
| Negative breastfeeding support can increase with this.... | Depression Pg. 31 |
| Acronym for Secretory Immunoglobulin A: | SigA Pg. 16 |
| Acronym for Polycystic Ovarian Syndrome: | PCOS Pg. 27 |
| These nipples can be drawn out easily by the baby. | Flat - Grade 1 Pg. 25 |
| What may cause a lower rise in prolactin? | Smoking P. 27 |
| These "knowers" seek information from a variety of sources. | Procedural Knowers Pgs. 33 |
| Not breastfeeding increases the risk of these types of cancers: | Breast and ovarian Pg. 27 |
| Only infant contraindication for breastfeeding | Galactosemia Pg. 43 |
| Can engorgement reduce storage capacity? | Yes Pg. 23 |
| What may delay onset of Lactogenesis II (transition milk)? | Maternal Obesity |
| What is the 3rd infant feeding hierarchy? | Banked Donor Human Milk Pg. 37 |
| What is a mother contraindication for breastfeeding? | HIV infection Pg. 43 |
| Type II inverted nipples do not retain _______. | Projection Pg. 25 |
| What is a physiologic reason for low milk supply? | Hypothyroidism Pg. 26 |
| What is a maternal benefit of BF for >1 year? | Reduction in risk of hypertension. |
| Buying milk on the internet is an example of what? | Risky behavior Pg. 37 |
| These types of "knowers" believe all authorities tell the truth. | Receivers of Knowledge Pg. 33 |