PCE Cer fied Breas eeding Counselor ques on
and answers /verified solu on
Standards of of prac ce for CBC
- Help families define and achieve goals
-Problem solving: Assessment, plan, implementa on, evalua on
-Educa on and counseling
-Professionalism
-Legal considera ons
What can affect a hc professionals presenta on about breas$eeding?
-Experience, philosophy, creden als
What are responsibili es of staff?
-Provide educa on and foster environment
-Baby friendly prac ces
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensi ve
-WHO growth charts
-Legisla on
Interna onal code of marke ng subs tutes
-No adver sing
-No free sample
- Scien fic info
Not law but should be use
Baby friendly 10 steps
-Wri0en policy
-Proper training
-Proper educa on
-Ini a on w/in 1 hr
-Maintain lacta on even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
, -No ar ficial teats
-Support groups
Where is milk produced?
Alveoli
How is milk ejected into ducts from alveoli? aka let down
Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking
oxytocin increases
Different stages of breast development
- embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts s mulated.
Lactogenesis 2: Secretory ac va on when placenta out. D/t increase of prolac n when
progestrone decreases.
Lactogenesis 3: Milk removal= produc on. Infant sucking= oxytocin= let down.
How long a>er cessa on of breast feeding does milk produc on stop?
40 days
What happens to estrogen and progesterone during pregnancy and birth?
Increase during pregnancy, decreases a>er birth. Helps development of lobes.
Signs of letdown?
Tingling, warmth, fullness, dripping, contrac ons
Tail of spence: What is it, symptoms, how to treat
Mammary gland ssue that extends to axillary area, connected to milk ducts. = Swollen
armpits and mas s.
Treatment: Cold compress, tylenon or motrin
Accessory ssue: Where are they found? Can they lactate?
Diagonal line from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solu ons? What is short shank?
Difficulty w/ latch. Nipple shield may help.
Short shank= retrac on w/ s mula on
Hypoplasia, what is it?
and answers /verified solu on
Standards of of prac ce for CBC
- Help families define and achieve goals
-Problem solving: Assessment, plan, implementa on, evalua on
-Educa on and counseling
-Professionalism
-Legal considera ons
What can affect a hc professionals presenta on about breas$eeding?
-Experience, philosophy, creden als
What are responsibili es of staff?
-Provide educa on and foster environment
-Baby friendly prac ces
-Evidence based knowledge
- Help preterms w/ moms milk or donor
-Culturally and developmentally sensi ve
-WHO growth charts
-Legisla on
Interna onal code of marke ng subs tutes
-No adver sing
-No free sample
- Scien fic info
Not law but should be use
Baby friendly 10 steps
-Wri0en policy
-Proper training
-Proper educa on
-Ini a on w/in 1 hr
-Maintain lacta on even if separated
-Breastmilk only unless medically required
-Rooming in
-Cue feeding, 8-12x
, -No ar ficial teats
-Support groups
Where is milk produced?
Alveoli
How is milk ejected into ducts from alveoli? aka let down
Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking
oxytocin increases
Different stages of breast development
- embryogenesis: Mammary gland while embryo
- Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
-Lactogensesis 1: Fullness and tenderness while pregnant. Ducts s mulated.
Lactogenesis 2: Secretory ac va on when placenta out. D/t increase of prolac n when
progestrone decreases.
Lactogenesis 3: Milk removal= produc on. Infant sucking= oxytocin= let down.
How long a>er cessa on of breast feeding does milk produc on stop?
40 days
What happens to estrogen and progesterone during pregnancy and birth?
Increase during pregnancy, decreases a>er birth. Helps development of lobes.
Signs of letdown?
Tingling, warmth, fullness, dripping, contrac ons
Tail of spence: What is it, symptoms, how to treat
Mammary gland ssue that extends to axillary area, connected to milk ducts. = Swollen
armpits and mas s.
Treatment: Cold compress, tylenon or motrin
Accessory ssue: Where are they found? Can they lactate?
Diagonal line from axilla to groin area. Can lactate and undergo malignant change.
Flat/ inverted nipples: possible issues and solu ons? What is short shank?
Difficulty w/ latch. Nipple shield may help.
Short shank= retrac on w/ s mula on
Hypoplasia, what is it?
