IBCLC Exam Flashcards

Micrognathia – Condition where jaw is undersized; common but can interfere with feeding and breathing PKU (phenylketonuria) - Body does not produce enzyme to break-down amino acid phenylalanine and this builds-ups in blood; need low phe formula and CAN breastfeed Maple Syrup Disease - Body is unable to break-down certain proteins/amino acids (leucine); sweet smelling urine. Need low protein diet/special formula i.e. Ketonex-1. *BF CONTRAINDICATED* Galactosemia - Rare genetic (metabolic) disorder; cannot metabolize galactose. BM is Lactose (galactose/glucose) - need soy-based formula - *BF CONTRAINDICATED* Wessel's Rule of 3 (Colic) - 3 hours per day 3 x per week for 3 weeks Down Syndrome - Marked hypotonia; decreased suck-swallow-breathe coordination, large tongue with poor control, poor gape and mouth control - *Dancer Hold for BFing* Hypotonia - Decreased muscle tone; "floppy" difficulty coordinating suck-swallow-breathe poor gape and mouth control poor search and tongue extension loss of suction long/slow feeds *Dancer Hold for BFing w/ upright positioing; tube at breast prn - switch nursing & compressions*