LACTATION CONSULTANT EXAM TEST BANK ACTUAL
COMPLETE 300 REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.
WHO & Unicef 3 strategies for breastfeeding - ANSWER -
promotion, protection,
support
What are green/shiny stools a sign of? - ANSWER --sign of
overproduction leading to
less fat in milk, faster digestion causing not enough time for
lactase to digest the
lactose in milk. An improved latch could allow for
more fat flow
Signs of oversupply - ANSWER -Rapid weight gain in infant,
unsettled baby after feeding, recurrent plugged ducts and mastitis,
painful feedings, voluminous (huge volumes of) stools- often green
& shiny
What causes nipple pain? - ANSWER -Improper latch--> need
lactation support to
,help with proper latch on,
good seal
True/false: baby should be pulled into breast. - ANSWER -False! Do
not pull baby into breast, let baby tilt head back for optimal latch.
Hand on back of baby's head can interfere baby's interoral function
by restricting the movement of the cranio-cervical spine--> causes
nipple trauma. Make sure crook of arm in cradle position does not
block baby from being able to fully tilt back.
Should a latch be symmetric or asymmetric? - ANSWER -
Asymmetric! A baby should
form a teat with breast tissue underneath the nipple as
part of a latch
What is a symmetric latch - ANSWER -Not a good latch, causes
nipple damage
Asymmetric latch - ANSWER -Optimal attachment to the breast,
where the baby's lips are not centered in relationship to the areolar,
but rather vertically off-centered with the baby's chin and lower lip
closer to the edge of the areola than the baby's upper lip. A baby
should form a teat with breast tissue underneath the nipple as part
of a latch
,Do nipple creams work? - ANSWER -Continued questions of
effectiveness, fear of
ingestion by
baby
Should a frenotomy be suggested for tongue tie? - ANSWER -No
study was able to
report that frenotomy led to better long term
breastfeeding
Tongue tied breastfeeder - ANSWER --complete feeding
assessment and suggest
ways to optimize
latch.
-refer onward for diagnosis (have PCP
diagnose TT)
-provide
support
What is a fissure straight down the nipple evidence of? - ANSWER -
A symmetric latch. Top lip needs to have good seal, moist part of lip
should be touching nipple, can roll out top lip, to reduce injury
during BF
Is there a deep latch with nipple stretching? - ANSWER -If nipple not
stretched deeply into mouth, less oxytocin flows, less fat is in mix.
, With less fat, milk digested quicker = not enough time for baby to
make enough lactase to digest lactose in milk.
What to do for oversupply? - ANSWER -Decrease additional
stimulation/milk removal if possible
Consider block feeding (only nursing on one side only per feeding)
Watch for mastitis
Try australian posture (mother down under, baby on top)
Consider donating to milk bank
Consult with HCP for medical dx
How many mL considered oversupply? - ANSWER -normal milk
production = 750-
1000
mL/day
Thrush during BF - ANSWER -painful for mother
& baby. may be visible or may not (whiteness
that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - ANSWER --nystatin first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
-flucanazole oral capsules may be used to clean yeast vectors due
to the biofilm created on pacifiers by candida