CLC CERTIFIED LACTATION COUNSELOR ALPP
ESSENTIAL STUDY QUESTIONS AND ANSWERS
◉ Prolactin triggers what in mammary cells
Answer: production of lactose
◉ Stage two of making milk (lactogenesis II) happens to everyone
who
Answer: delivers a placenta
◉ What triggers stage III of Lactogenesis?
Answer: Prolactin from frequent nipple stimulation and frequent
removal of milk
◉ Prolactin draws what
Answer: water
◉ Preterm milk appears to be higher in what as compared to mature
milk?
Answer: protein, fat, electrolytes
,◉ After one year of lactation, human milk expressed has
significantly increased ___ contents, compared with milk expressed
by women lactation for a shorter time
Answer: fat/energy
◉ What does faster milk removal increase?
Answer: fat content
◉ What influences amount of fat transferred?
Answer: degree of breast emptying, amount of available milk, breast
storage capacity
◉ Longer the time between feedings, what is decreased?
Answer: fat content
◉ Three scenarios when breastmilk composition changes:
Answer: over the course of lactation, within the day, within a feeding
◉ The breast fed baby can regulate his fat intake quickly and thus
mothers should be encouraged to practice baby led feeding which
means
Answer: cues from baby
, ◉ If a higher calorie content is needed for a specific preterm infant,
what time of day samples should preferably be given?
Answer: evening
◉ pH of the gut of the breastfed babies is more
Answer: acidic
◉ Iron content in human milk is relatively (low/high?
Answer: low
◉ Presence of bifidus factor in the milk which promotes the
intestinal presence of lactobacillus bifidus does what
Answer: maintain low pH and crowd out pathogenic organisms
◉ Presence of hormones, hormone like factors, and growth factors
that stimulate growth and development of the GI tract and GI
motility such as:
Answer: GI hormones, prolactin, EGF, protaglandins
◉ What does EGF stand for?
Answer: epidermal growth factor
ESSENTIAL STUDY QUESTIONS AND ANSWERS
◉ Prolactin triggers what in mammary cells
Answer: production of lactose
◉ Stage two of making milk (lactogenesis II) happens to everyone
who
Answer: delivers a placenta
◉ What triggers stage III of Lactogenesis?
Answer: Prolactin from frequent nipple stimulation and frequent
removal of milk
◉ Prolactin draws what
Answer: water
◉ Preterm milk appears to be higher in what as compared to mature
milk?
Answer: protein, fat, electrolytes
,◉ After one year of lactation, human milk expressed has
significantly increased ___ contents, compared with milk expressed
by women lactation for a shorter time
Answer: fat/energy
◉ What does faster milk removal increase?
Answer: fat content
◉ What influences amount of fat transferred?
Answer: degree of breast emptying, amount of available milk, breast
storage capacity
◉ Longer the time between feedings, what is decreased?
Answer: fat content
◉ Three scenarios when breastmilk composition changes:
Answer: over the course of lactation, within the day, within a feeding
◉ The breast fed baby can regulate his fat intake quickly and thus
mothers should be encouraged to practice baby led feeding which
means
Answer: cues from baby
, ◉ If a higher calorie content is needed for a specific preterm infant,
what time of day samples should preferably be given?
Answer: evening
◉ pH of the gut of the breastfed babies is more
Answer: acidic
◉ Iron content in human milk is relatively (low/high?
Answer: low
◉ Presence of bifidus factor in the milk which promotes the
intestinal presence of lactobacillus bifidus does what
Answer: maintain low pH and crowd out pathogenic organisms
◉ Presence of hormones, hormone like factors, and growth factors
that stimulate growth and development of the GI tract and GI
motility such as:
Answer: GI hormones, prolactin, EGF, protaglandins
◉ What does EGF stand for?
Answer: epidermal growth factor
