PCE Certified Breastfeeding Counselor Exam Newest
2027 Actual Exam Questions & Correct Verified
Answers
/.Different stages of breast development
- Embryogenesis
- Mammogensis
- Lactogenesis 1
- Lactogenesis 2
- Lactogenesis 3 - Answer-✅Embryogenesis: mammary gland devo while 5 wk embryo
Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
Lactogenesis 1: completion of mammary development from placenta stimulation; ducts
stimulated + colostrum secretion at 16 wks
Lactogenesis 2: Secretory activation when placenta out --> decr progesterone --> inc
prolactin --> inc milk supply
Lactogenesis 3: Milk removal --> mature milk prod; Infant sucking= ^ oxytocin= let
down.
/.Estrogen
Progesterone
Prolactin
Oxytocin
TSH - Answer-✅Estrogen - ^ during pregnancy; stim growth in ductile system
Progesterone - ^ during pregnancy; stim alveoli and lobes
Prolactin - frm ant pituitary gland; lands on prolactin receptor sites to start milk prod
Oxytocin - from post pituitary gland; cause LETDOWN
TSH - ^ responsiveness of mammary cells
/.Tail of spence: What is it, symptoms - Answer-✅Mammary gland tissue that extends to
axillary area, connected to milk ducts --> can cause swollen armpits & mastitis
/.Accessory tissue: Where are they found? Can they lactate? - Answer-✅Diagonal line
from axilla to groin area
- can lactate & undergo malignant change
/.Flat nipples
Pseudo inverted nipple
Retracted nipple
Inverted nipple
, - possible issues, short shank, solutions - Answer-✅Flat - remains flat after stimulation
or retract with compression (short shank) --> diff w/ latch
Pseudo - seems inverted but erect upon stimulation
Retracted - retracts upon stimulation
Inverted - retracted at rest &s stimulation
Nipple shield may help.
/.Hypoplasia, what is it? - Answer-✅Underdevelopment, insufficient glandular tissue -->
can lead to insufficient milk
/.Active let down
- How is milk ejected into ducts from alveoli? aka let down
- signs of let down
- postions that are helpful for let down - Answer-✅Myoepitheal cells encase the aveoli,
contract in response to oxytocin. In response to sucking oxytocin increases
Tingling, warmth, fullness, dripping, contractions
helpful in australian/saddle
/.What is breast milk composed of? - Answer-✅- Fats: most variable, help brain devo, hi
in evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- hi in colostrum,
contains IGA; has lysozyme that kills bacteria
Carbs: creates acidic environment in gut & has lactose that reg milk vol
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's that influenced by mom.
Minerals: calcium, phosphorus, magnesium, not affected by diet. + 88% water
/.Impact of breast surgery on lactation
- Implants
- hyaluronic acid injections
- breast reduction - Answer-✅Implants
- compress milk ducts --> impede milk flow --> compromise reaching max milk vol
Hyaluronic acid injections
- no risk of being absorbed in baby's GI tract
Reduction
- BF might not be possible after
- BF early + stim bm early
/.Signs of milk transfer - Answer-✅Swallowing, air from nose, ca sound, movement seen
/.Feeding patterns 24-48 hrs & 48 and further - Answer-✅24-48hr --- > Cluster feeding
(feed freq over short amt of time) , must stimulate breast
2027 Actual Exam Questions & Correct Verified
Answers
/.Different stages of breast development
- Embryogenesis
- Mammogensis
- Lactogenesis 1
- Lactogenesis 2
- Lactogenesis 3 - Answer-✅Embryogenesis: mammary gland devo while 5 wk embryo
Mammogenesis: @ puberty, estrogen influences growth of ducts and buds
Lactogenesis 1: completion of mammary development from placenta stimulation; ducts
stimulated + colostrum secretion at 16 wks
Lactogenesis 2: Secretory activation when placenta out --> decr progesterone --> inc
prolactin --> inc milk supply
Lactogenesis 3: Milk removal --> mature milk prod; Infant sucking= ^ oxytocin= let
down.
/.Estrogen
Progesterone
Prolactin
Oxytocin
TSH - Answer-✅Estrogen - ^ during pregnancy; stim growth in ductile system
Progesterone - ^ during pregnancy; stim alveoli and lobes
Prolactin - frm ant pituitary gland; lands on prolactin receptor sites to start milk prod
Oxytocin - from post pituitary gland; cause LETDOWN
TSH - ^ responsiveness of mammary cells
/.Tail of spence: What is it, symptoms - Answer-✅Mammary gland tissue that extends to
axillary area, connected to milk ducts --> can cause swollen armpits & mastitis
/.Accessory tissue: Where are they found? Can they lactate? - Answer-✅Diagonal line
from axilla to groin area
- can lactate & undergo malignant change
/.Flat nipples
Pseudo inverted nipple
Retracted nipple
Inverted nipple
, - possible issues, short shank, solutions - Answer-✅Flat - remains flat after stimulation
or retract with compression (short shank) --> diff w/ latch
Pseudo - seems inverted but erect upon stimulation
Retracted - retracts upon stimulation
Inverted - retracted at rest &s stimulation
Nipple shield may help.
/.Hypoplasia, what is it? - Answer-✅Underdevelopment, insufficient glandular tissue -->
can lead to insufficient milk
/.Active let down
- How is milk ejected into ducts from alveoli? aka let down
- signs of let down
- postions that are helpful for let down - Answer-✅Myoepitheal cells encase the aveoli,
contract in response to oxytocin. In response to sucking oxytocin increases
Tingling, warmth, fullness, dripping, contractions
helpful in australian/saddle
/.What is breast milk composed of? - Answer-✅- Fats: most variable, help brain devo, hi
in evenings
-Protein: Casein- allows for iron to be absorbed, mature milk. Whey- hi in colostrum,
contains IGA; has lysozyme that kills bacteria
Carbs: creates acidic environment in gut & has lactose that reg milk vol
Vitamins: A,D,E,K,C, thiamin, riboflavin, b's that influenced by mom.
Minerals: calcium, phosphorus, magnesium, not affected by diet. + 88% water
/.Impact of breast surgery on lactation
- Implants
- hyaluronic acid injections
- breast reduction - Answer-✅Implants
- compress milk ducts --> impede milk flow --> compromise reaching max milk vol
Hyaluronic acid injections
- no risk of being absorbed in baby's GI tract
Reduction
- BF might not be possible after
- BF early + stim bm early
/.Signs of milk transfer - Answer-✅Swallowing, air from nose, ca sound, movement seen
/.Feeding patterns 24-48 hrs & 48 and further - Answer-✅24-48hr --- > Cluster feeding
(feed freq over short amt of time) , must stimulate breast
