Certified Breastfeeding Counselor Study Questions and Answers

Certified Breastfeeding Counselor Study Questions and Answers A cultural attitude that emphasizes the sexual nature of breasts is MOST LIKELY associated with: a. conflicts in custody disputes involving breastfeeding babies b. decreased breast reduction surgery c. Harassment for breastfeeding in public d. Mothers enjoying the attention created by larger breasts during lacation c. Harassment for breastfeeding in public Twenty-six year old Sarah is having her first baby in four weeks. She asks her health care provider if she will be able to breastfeed after having a breast reduction with her nipple autotransplanted at an earlier age. The BEST response is A. It may be possible for the first 3 months B. She should try and see what happens C. There will be no problem breastfeeding D. She won't be able to due to the nerve damage B. She should try and see what happens Accessory nipple or breast tissue is LEAST LIKELY to be found in which of the following locations? a. Near the umbillicus b. Inguinal region c. Axilla d. Outer thigh d. Outer thigh Which is the primary or main Immunoglobulin found in milk? a. IgA b. IgG c. IgE d. IgM a. IgA Which component of human milk is most variable? a. Minerals b. Lipids c. Carbohydrates d. Proteins b. Lipids Which component of human milk is destroyed by freezing? a. Lysozyme b. Macrophages c. Secretory IgA d. Lacoferin b. Macrophages What are the stages of breast development? embryogenesis, mammogenesis, lactogenesis stage 1 (secretory differentiation), lactogenesis stage 2 (secretory activation), lactogenesis stage 3 (galatopoiesis), involution embrogenesis mammary gland begins to develop as a 5 wk old embryo; distinct mammary glands are present at birth Mammogenesis breasts are in a quiet state until the onset of puberty when, with the influence of estrogen and progesterone, the breast maturation process begins lactogenesis stage 1 secretory differentiation -5-6th week of pregnancy: persistent fullness and tenderness. areola diameter increases, glands enlarge, nipple pigment darkens -Placenta stimulates hormones to complete the duct system in the breasts -colostrum is secreted -alveoli are the essential unit for lactation lactogenesis stage 2 secretory activation -occurs with the separation of the placenta (progesterone production decreases, which is a prolactin inhibitor) -prolactin rises dramatically, enabling full milk production within 30-72hrs pp Lactogenesis stage 3 galactopoiesis -maintenance of successful lactation -stage of mature milk production and supply -usually later than 9 days after birth Weaning Involution -occurs when the milk producing system is no longer being used complete involution occurs approximately 40 days after the complete cessation of breastfeeding Mary asks you what is the most effective way to increase her milk supply? a. drink more fluids b. take fenugreek capsules c. hand express after feeds d. eat more food c. hand express after feeds Where is the tip of the mother's nipple placed in the baby's mouth, when the baby is properly latched on? a. Just behind the upper gum ridge b. At the center of the soft palate c. At the juncture of the hard and soft palates d. At the center of the hard palate c. At the juncture of the hard and soft palates Rena calls you, frustrated bc her three week old baby's preference for nursing at the right breast is so strong that she is unable to get him to nurse on her left side. What is the LEAST likely explanation for this baby's nursing behavior? a. the baby's right clavicle is fractured b. the baby has a cephalhematoma on his right side c. the mother has undetected breast cancer on her left breast d. there is a subtle positioning difference in the mother's hold on her left side c. the mother has undetected breast cancer on her left breast The most common cause of inadequate milk supply is: a. impaired let-down reflex b. restricted maternal fluid intake c. inadequate or infrequent milk removal d. inadequate maternal diet c. inadequate or infrequent milk removal keisha is a breastfeeding mother who asks you what she needs to be sure that her diet includes: a. plenty of liquids to ensure sufficient milk volume b. additional b vitamins c. her normal intake of food and drink d. an extra 1200 calories per day c. her normal intake of food and drink Jennifer is hesitant to breastfeed because she heard that she needs to eat a high calorie, nutrient rich diet during lactation. Your BEST response is: a. Women living under a variety of circumstances are capable of fully nourishing their infants by breastfeeding b. Refer her to a supplemental food program to assure adequate nutrient intake c. Provide her with a multivitamin and mineral supplement d. Discourage her from breastfeeding, as her current circumstances make it doubtful that she is eating adequately a. Women living under a variety of circumstances are capable of fully nourishing their infants by breastfeeding Amanda is breastfeeding a toddler and is also pregnant. She asks you if she needs special dietary considerations to "eat for 3" while is pregnant. Which suggestion is irrelevant? A. double your protein B. Eat enough calories of a basic mixed diet C. Gain weight within the same parameters as if you were pregnant and not breastfeeding D. Do you normally have special dietary restrictions? A. double your protein