CLC EXAM QUESTIONS WITH COMPLETE
SOLUTION
The International Code
addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs
Protect, promote & Support-want all to be equal
Levels of evidence based pyramid
top - bottom: 1.Metanalysis &systemic reviews 2. Single randomized
controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
When is greatest risk of stopping breastfeeding?
3-7 days (after going home from hospital)
Top reasons people stop breastfeeding
baby won't latch, breast pain/soreness, work/school
Russ Labs Marketing Survey
survey 1965-2001 formula company tracking breastfeeding goals
Races in Order most likely to BF
spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding
WHO and UNICEF developed this global strategy to focus world attention
on impact of feeding practices on the nutritional status, growth,
development and health and thus the survival of infants and young
children.
World Breastfeeding trends innitive
help track how they are doing on global outcomes
innocenti ospitale -florence
BF orphan babies increased rate of survival-today UNICEF child resource
nutrition center
path of messages to make milk
message to breast-to nervous system -to brain- to hormones to travel to
breast- then to blood stream
what cells make milk
alveolar cells
alveolar cells are what?
what are they surrounded by
layer of cells with milk inside, surrounded by myoepitheal cells
, Myoepitheal cells will contract when what hits them
oxytocin
Are the ducts in breast evenly spaced?
No varies woman to woman
How many nipple pores each breast?
3-5
Milk is ____ &_____ from sebaceous gland
antimicrobial and sticky
what are the two major hormone of lactation? Where are they
secreted from?
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for?
Milk production
What is the passage of prolactin being produced
baby suckles- message to nervous system tells brain to secrete prolacin in
blood- then tranverse into mother body into milk cells where milk is
produced
When doe humans have prolactin in them
all the time (non pregnant, non lactating breast and nipples increase level
of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during
nursing.
down, rise
_______ nursing leads to lower levels of prolactin and less rise with
same amount of contact.
infrequent
If infants do no have frequent times at breast first few days prolactin
will be _____ and sites will ____ be primed and receptor sites will start
to ______ _______.
low, not, start shutting down
What is in receptor site during pregnancy?
Progesterone
When placenta leaves the body, the body responds by pushing
______ out of the receptor sites?
progesterone
When placenta is pushed out of body, progesterone leaves the
receptor sites and they are open briefly, what goes inside to set site
for lactation?
Prolactin
If prolactin is not set during first few hours after birth-
SOLUTION
The International Code
addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs
Protect, promote & Support-want all to be equal
Levels of evidence based pyramid
top - bottom: 1.Metanalysis &systemic reviews 2. Single randomized
controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
When is greatest risk of stopping breastfeeding?
3-7 days (after going home from hospital)
Top reasons people stop breastfeeding
baby won't latch, breast pain/soreness, work/school
Russ Labs Marketing Survey
survey 1965-2001 formula company tracking breastfeeding goals
Races in Order most likely to BF
spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding
WHO and UNICEF developed this global strategy to focus world attention
on impact of feeding practices on the nutritional status, growth,
development and health and thus the survival of infants and young
children.
World Breastfeeding trends innitive
help track how they are doing on global outcomes
innocenti ospitale -florence
BF orphan babies increased rate of survival-today UNICEF child resource
nutrition center
path of messages to make milk
message to breast-to nervous system -to brain- to hormones to travel to
breast- then to blood stream
what cells make milk
alveolar cells
alveolar cells are what?
what are they surrounded by
layer of cells with milk inside, surrounded by myoepitheal cells
, Myoepitheal cells will contract when what hits them
oxytocin
Are the ducts in breast evenly spaced?
No varies woman to woman
How many nipple pores each breast?
3-5
Milk is ____ &_____ from sebaceous gland
antimicrobial and sticky
what are the two major hormone of lactation? Where are they
secreted from?
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for?
Milk production
What is the passage of prolactin being produced
baby suckles- message to nervous system tells brain to secrete prolacin in
blood- then tranverse into mother body into milk cells where milk is
produced
When doe humans have prolactin in them
all the time (non pregnant, non lactating breast and nipples increase level
of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during
nursing.
down, rise
_______ nursing leads to lower levels of prolactin and less rise with
same amount of contact.
infrequent
If infants do no have frequent times at breast first few days prolactin
will be _____ and sites will ____ be primed and receptor sites will start
to ______ _______.
low, not, start shutting down
What is in receptor site during pregnancy?
Progesterone
When placenta leaves the body, the body responds by pushing
______ out of the receptor sites?
progesterone
When placenta is pushed out of body, progesterone leaves the
receptor sites and they are open briefly, what goes inside to set site
for lactation?
Prolactin
If prolactin is not set during first few hours after birth-
