ALPP CLC EXAM QUESTIONS AND
CORRECT
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
What contributes to low rates of ebf globally? - ✔✔✔ Correct Answer > -
caregiver and societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
D
- lack of adequate skills and support
O
- aggressive promotion of infant formula and other breastmilk substitutes
N
- inadequate maternity/paternity leave legislation
O
- workplace policies
T
- lack of knowledge about dangers of not exclusively BF and proper BF techniques
C
O
PY
How to support ebf - ✔✔✔ Correct Answer > increase hospital and health system
capacity regarding baby friendly hospital initiative
-provide community based strategies including campaigns tailored to local context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
Disparity of US breastfeeding trends - ✔✔✔ Correct Answer > according to the
CDC, "black mothers are less likely than white to breast-feed their babies, and
,here's one possible reason why: hospitals in neighborhoods with many black
residents do less to promote nursing than those in areas with more white residents"
Anatomy of milk cells - ✔✔✔ Correct Answer > myoepithelial cells, connective
tissue, capillaries, anteriole, venule, alveolar cells
Anatomy of human breast - ✔✔✔ Correct Answer > glandular tissue made up of
clusters of alveoli and small ducts, fat amongst the glandular tissue, milk ducts,
areola, nipple with several duct openings
D
Making milk - ✔✔✔ Correct Answer > messages from the breast travel through
O
the nervous system to the brain, then hormones travel to the breast through the
N
blood system
O
T
Hormone pathways - ✔✔✔ Correct Answer > two separate hormone pathways,
C
pituitary gland is important to both
O
PY
Prolactin levels - ✔✔✔ Correct Answer > go down in between nursing and rise
during nursing
Infrequent nursing - ✔✔✔ Correct Answer > leads to lower levels and less rise
even with the same amount of nipple contact
Ongoing milk production - ✔✔✔ Correct Answer > positively associated with
suckling within the first 2 hours after birth
,Initiation for mothers of preemies - ✔✔✔ Correct Answer > initiation of milk
expression before one hour resulted in significantly more milk when measured on
days 7 and 42
Triggering oxytocin mechanism #1 - ✔✔✔ Correct Answer > conditioned response
- conditioned milk ejection (let down) reflex
- was probably given too much importance in the years we didn't understand the
other mechanisms
- conditioned over time and lasts a lifetime
- is faster for women who already have one from previous breastfeeding - to
D
condition response.. Smell, touch, hear the stimulus
O
N
Triggering oxytocin mechanism #2 - ✔✔✔ Correct Answer > nipple stretching,
O
happens with a proper latch
T
C
O
Triggering oxytocin mechanism #3 - ✔✔✔ Correct Answer > baby hand massage,
each hand movement releases oxytocin
PY
Hormones of lactation - ✔✔✔ Correct Answer > have an emotional/behavioral
function as well as making and moving milk; aggression, protection, bonding &
trust
Which child-spacing methods are appropriate for BF? - ✔✔✔ Correct Answer >
"contraceptive counseling during BF extends beyond issues of efficacy,
because the selected method must be appropriate for a woman's BF
expectations"
, Breast feeding: a public health priority - ✔✔✔ Correct Answer > has been
recognized as a public health priority in tropical climates since the 1930's, but
not until the 1990's in the US
Why is breastfeeding so difficult? - ✔✔✔ Correct Answer > 1. Unrealistic
expectations
2. Lack of timely interventions
Costs to prevent needless deaths - ✔✔✔ Correct Answer > less than $6
billion/year worldwide
D
O
Suboptimal breastfeeding - ✔✔✔ Correct Answer > accounts for more than
N
3,340 maternal and child deaths a year, 80% are maternal
O
T
Nursing a baby for a year or more - ✔✔✔ Correct Answer > decreases by 10-
C
15% the risk of developing hypertension, diabetes, hyperlipidemia, and
O
cardiovascular disease
PY
Women who do not breastfeed - ✔✔✔ Correct Answer > are at greater risk for
myocardial infarction and aspects of metabolic syndrome; are at a greater risk
of breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies - ✔✔✔ Correct Answer > for increased
breastfeeding initiation and duration in every country: promotion, protection,
and support
CORRECT
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
What contributes to low rates of ebf globally? - ✔✔✔ Correct Answer > -
caregiver and societal beliefs favoring mixed feeding
-hospital and healthcare practices and policies that are not supportive of BF
D
- lack of adequate skills and support
O
- aggressive promotion of infant formula and other breastmilk substitutes
N
- inadequate maternity/paternity leave legislation
O
- workplace policies
T
- lack of knowledge about dangers of not exclusively BF and proper BF techniques
C
O
PY
How to support ebf - ✔✔✔ Correct Answer > increase hospital and health system
capacity regarding baby friendly hospital initiative
-provide community based strategies including campaigns tailored to local context
-strengthen monitoring and enforcement of the code
-enact at least 6 months paid maternity leave
-invest in training and capacity building in protection, promotion, support
Disparity of US breastfeeding trends - ✔✔✔ Correct Answer > according to the
CDC, "black mothers are less likely than white to breast-feed their babies, and
,here's one possible reason why: hospitals in neighborhoods with many black
residents do less to promote nursing than those in areas with more white residents"
Anatomy of milk cells - ✔✔✔ Correct Answer > myoepithelial cells, connective
tissue, capillaries, anteriole, venule, alveolar cells
Anatomy of human breast - ✔✔✔ Correct Answer > glandular tissue made up of
clusters of alveoli and small ducts, fat amongst the glandular tissue, milk ducts,
areola, nipple with several duct openings
D
Making milk - ✔✔✔ Correct Answer > messages from the breast travel through
O
the nervous system to the brain, then hormones travel to the breast through the
N
blood system
O
T
Hormone pathways - ✔✔✔ Correct Answer > two separate hormone pathways,
C
pituitary gland is important to both
O
PY
Prolactin levels - ✔✔✔ Correct Answer > go down in between nursing and rise
during nursing
Infrequent nursing - ✔✔✔ Correct Answer > leads to lower levels and less rise
even with the same amount of nipple contact
Ongoing milk production - ✔✔✔ Correct Answer > positively associated with
suckling within the first 2 hours after birth
,Initiation for mothers of preemies - ✔✔✔ Correct Answer > initiation of milk
expression before one hour resulted in significantly more milk when measured on
days 7 and 42
Triggering oxytocin mechanism #1 - ✔✔✔ Correct Answer > conditioned response
- conditioned milk ejection (let down) reflex
- was probably given too much importance in the years we didn't understand the
other mechanisms
- conditioned over time and lasts a lifetime
- is faster for women who already have one from previous breastfeeding - to
D
condition response.. Smell, touch, hear the stimulus
O
N
Triggering oxytocin mechanism #2 - ✔✔✔ Correct Answer > nipple stretching,
O
happens with a proper latch
T
C
O
Triggering oxytocin mechanism #3 - ✔✔✔ Correct Answer > baby hand massage,
each hand movement releases oxytocin
PY
Hormones of lactation - ✔✔✔ Correct Answer > have an emotional/behavioral
function as well as making and moving milk; aggression, protection, bonding &
trust
Which child-spacing methods are appropriate for BF? - ✔✔✔ Correct Answer >
"contraceptive counseling during BF extends beyond issues of efficacy,
because the selected method must be appropriate for a woman's BF
expectations"
, Breast feeding: a public health priority - ✔✔✔ Correct Answer > has been
recognized as a public health priority in tropical climates since the 1930's, but
not until the 1990's in the US
Why is breastfeeding so difficult? - ✔✔✔ Correct Answer > 1. Unrealistic
expectations
2. Lack of timely interventions
Costs to prevent needless deaths - ✔✔✔ Correct Answer > less than $6
billion/year worldwide
D
O
Suboptimal breastfeeding - ✔✔✔ Correct Answer > accounts for more than
N
3,340 maternal and child deaths a year, 80% are maternal
O
T
Nursing a baby for a year or more - ✔✔✔ Correct Answer > decreases by 10-
C
15% the risk of developing hypertension, diabetes, hyperlipidemia, and
O
cardiovascular disease
PY
Women who do not breastfeed - ✔✔✔ Correct Answer > are at greater risk for
myocardial infarction and aspects of metabolic syndrome; are at a greater risk
of breast, endometrial, and ovarian cancer
WHO and UNICEF three strategies - ✔✔✔ Correct Answer > for increased
breastfeeding initiation and duration in every country: promotion, protection,
and support
