CLC Exam - Random Facts

CLC Exam - Random Facts As feeding frequency decreases, what happens? - ANSWER-prolactin levels decrease What happens during lactogenesis I (secretory differentiation)? - ANSWER-colostrum is produced When does lactogenesis I end? - ANSWER-when the placenta is delivered What happens during lactogenesis II (secretory activation)? - ANSWER-progesterone decreases over the span of days, colostrum begins to mix with milk What happens during lactogenesis III (galactopoesis)? - ANSWER-production of mature milk What needs to happen for lactogenesis III to be successful? - ANSWER-frequent milk removal and nipple stimulation (prolactin) When is the paracellular pathway present? - ANSWER-early breastfeeding when both progesterone and prolactin are present What is the difference between the paracellular pathway and the transcellular pathway? - ANSWER-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: - ANSWER-easily pulled out with pumping or nursing Grade 2 inverted nipples: - ANSWER-can be pulled out but don't maintain projection after nursing Grade 3 inverted nipples: - ANSWER-difficult/impossible to pull out, rare to have on both breasts Women with inverted nipples may have lower... - ANSWER-prolactin levels due to decreased stimulation/stretching