PCE Certified Breastfeeding Counselor Exam Questions and Answers 2024/2025 (Verified Answers).

PCE Certified Breastfeeding Counselor Exam Questions and Answers 2024/2025 (Verified Answers). Standards of of practice for CBC - ANSWER - Help families define and achieve goals -Problem solving: Assessment, plan, implementation, evaluation -Education and counseling -Professionalism -Legal considerations What can affect a hc professionals presentation about breastfeeding? - ANSWER -Experience, philosophy, credentials What are responsibilities of staff? - ANSWER -Provide education and foster environment -Baby friendly practices -Evidence based knowledge - Help preterms w/ moms milk or donor -Culturally and developmentally sensitive -WHO growth charts -Legislation International code of marketing substitutes - ANSWER -No advertising -No free sample - Scientific info Not law but should be use Baby friendly 10 steps - ANSWER -Written policy -Proper training PCE Certified Breastfeeding Counselor Exam 2024/2025 (Verified Answers). -Proper education -Initiation w/in 1 hr -Maintain lactation even if separated -Breastmilk only unless medically required -Rooming in -Cue feeding, 8-12x -No artificial teats -Support groups Where is milk produced? - ANSWER Alveoli How is milk ejected into ducts from alveoli? aka let down - ANSWER Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin increases Different stages of breast development - ANSWER - embryogenesis: Mammary gland while embryo - Mammogenesis: @ puberty, estrogen influences growth of ducts and buds -Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated. Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone decreases. Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down. How long after cessation of breast feeding does milk production stop? - ANSWER 40 days What happens to estrogen and progesterone during pregnancy and birth? - ANSWER Increase during pregnancy, decreases after birth. Helps development of lobes. Signs of letdown? - ANSWER Tingling, warmth, fullness, dripping, contractions Tail of spence: What is it, symptoms, how to treat - ANSWER Mammary gland tissue that extends to axillary area, connected to milk ducts. = Swollen armpits and mastitis. Treatment: Cold compress, tylenon or motrin Accessory tissue: Where are they found? Can they lactate? - ANSWER Diagonal line from axilla to groin area. Can lactate and undergo malignant change. Flat/ inverted nipples: possible issues and solutions? What is short shank? - ANSWER Difficulty w/ latch. Nipple shield may help. Short shank= retraction w/ stimulation Hypoplasia, what is it? - ANSWER Underdevelopment, insufficient glandular tissue. No changes during pregnancy, insufficient milk. What is breast milk composed of? - ANSWER - Fats: higher in mature milk and evenings -Protein: Casein- allows for iron to be absorbed, mature milk. Whey- early milk, IGA, kills bacteria Carbs: Lactose, makes up alories/ energy. Vitamins: A,D,E,K,C, thiamin, riboflavin, b's. Influenced by mom. Minerals: Calcium, phosphorus, magnesium, not affected by diet. -Mostly water How is preterm milk different? - ANSWER Higher in protein and immune factors Which component of breast milk is most variable? - ANSWER Lipids What component of human milk is destroyed by freezing? - ANSWER Macrophages B R E A S T assessment - ANSWER Body position, responses, emotional bonding, anatomy, suckling, time swallowed When is side lying helpful? - ANSWER Sleepy, lacerations Which position for infant attachment? - ANSWER Laid back aka biological When is australian/ saddle helpful? - ANSWER Active let down