CLC Exam - Random Facts fully solved

CLC Exam - Random Facts fully solvedAs feeding frequency decreases, what happens? prolactin levels decrease What happens during lactogenesis I (secretory differentiation)? colostrum is produced When does lactogenesis I end? when the placenta is delivered What happens during lactogenesis II (secretory activation)? progesterone decreases over the span of days, colostrum begins to mix with milk What happens during lactogenesis III (galactopoesis)? production of mature milk What needs to happen for lactogenesis III to be successful? frequent milk removal and nipple stimulation (prolactin) When is the paracellular pathway present? early breastfeeding when both progesterone and prolactin are present What is the difference between the paracellular pathway and the transcellular pathway? The paracellular pathway is characterized by large spaces between milk cells, allowing blood components to pass more freely; the transcellular pathway is characterized by tight junctions and cellular control Grade 1 inverted nipples: easily pulled out with pumping or nursing Grade 2 inverted nipples: can be pulled out but don't maintain projection after nursing Grade 3 inverted nipples: difficult/impossible to pull out, rare to have on both breasts Women with inverted nipples may have lower... prolactin levels due to decreased stimulation/stretching True or false: mom can continue to nurse older child through pregnancy true, as long as she is low risk for preterm birth True or false: the milk produced during pregnancy is sufficient for a child under 1 year old false (sufficient for snacking nurse over 1 year but infants would need supplementation) What is tandem nursing? nursing two babies not from same pregnancy #1 concern of moms related to breastfeeding low milk supply WHO hierarchy of infant feeding 1. breastfeeding at breast 2. expressed milk 3. donor milk 4. cow milk formula 5. soy formula Storage of fresh expressed milk table for up to four hours, fridge up to four days, freezer best within 6 months Storage of thawed breastmilk table 1-2 hours, fridge up to 1 day, never refreeze Minimum temperature to heat water for formula 158F What percent of infants have a true formula intolerance? 2-15% What percent of infants change formulas in the first year? 33-50%