ALPP CLC Final Preparation Actual Exam
Newest Complete Questions And Correct
Detailed Answers (Verified Answers) |Brand
New Version!!
breast feeding: a public health priority - ANSWER>>has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's
in the US
assessing for pain - ANSWER>>assess for proper latch on, good seal, baby's
tongue, swallowing sounds - and reteach as needed
- early stages of the infant's breast seeking and latching behaviors should be
observed as well as the actual feeding
less pain with sore nipples - ANSWER>>pre-feeding behaviors (state and cue) and
more optimal latching process behaviors of the baby (rooting, gaping, sealing, and
sucking) were related to less pain with sore nipples
nipple infections - ANSWER>>- heal best with antibiotics (systemic or topical)
- lanolin users had a 62% infection rate, non-lanolin users 18%
two practices that interfere with babies function - ANSWER>>hand on back of
baby's head and shaping the breast
- appear to interfere with baby's inter-oral function by restricting the movement
of the cranio-cervical spine and nuchal alignment and is related to nipple trauma
anatomical problems - ANSWER>>can also cause damage
- bottom or top lip turned in or tongue ties
tongue tie - ANSWER>>a visible lingual frenulum is not the same as a TOT
,- researched examined 200 healthy infants and found only 1 infant with no
observable or palpable lingual frenulum
- "a lingual frenulum is a normal anatomic finding.. that is not correlated with BF
difficulties. we suggest that the term lingual frenulum should be used for
anatomic descriptions and that the term "tongue tie" be reserved for a lingual
frenulum associated with BF difficulties in newborns)
- out of more than 500 articles about TOTs, only 8 are RCTs, 5 are related to short-
term BF outcomes and 3 are about procedure itself
systematic TOT research review - ANSWER>>concludes that a small body of
evidence suggests that frenectomy may be associated with mother-reported
improvements in BF, and potentially in nipple pain; but with small short-term
studies with inconsistent methodology, strength of evidence is low to insufficient
role of CLC provider regarding TOTs - ANSWER>>- complete feeding assessment
and suggest ways to optimize latch
- refer onward for diagnosis
- provide ongoing support
- pacifier and feeding bottles in the hospital were both associated with sore
nipples at discharge
mothers with sore nipples - ANSWER>>significantly less likely to leave the hospital
EBF
creams for nipple soreness? - ANSWER>>- continuing question of effectiveness
- fears of ingestion by baby
other reasons for nipple soreness? - ANSWER>>oversupply baby trying to hold
back flow by clamping on nipple
oversupply - ANSWER>>usually see:
- rapid weight gain
- unsettled baby, especially after feeding
,- recurrent plugged ducts and mastitis
- painful feedings
- voluminous (huge volume of) stools - often green and shiny
green shiny stools - ANSWER>>indicated need for feeding evaluation
is there deep latch with nipple stretching? - ANSWER>>- if the nipple is not
stretched deeply, less oxytocin flows, and therefore, less fat in the mix
- with less fat, milk is digested more quickly, perhaps leading to not enough time
for lactase to digest the lactose
- with improved latch, more fat flows and slows down digestion, allowing time for
lactase to be digested
is there either overactive letdown and/or over production of milk? - ANSWER>>if
there is a lot of milk at once, the production of lactase may not keep up with the
amount of lactose
- decrease additional stimulation/milk removal as possible
- consider block feeding (nurse on one side only per feeding)
- try australian posture
- watch for mastitis
- consider donating to a milk bank
- if lactation management solutions are ineffective, consultation with HCP for
medical diagnosis
candida albicans/yeast/thrush - ANSWER>>- is thought to cause pain for mother
and/or baby
- may be visible or not
- mother will usually have itchy, flaky/shiny skin
treatment of candida - ANSWER>>- simultaneous pharmacologic treatment (in
recurrent cases, possibly other family members as well)
- nystatin ointment is typically the first round
- fluconazole (diflucan) oral capsules may be used
, - cleaning or replacing yeast vectors - toys, pacifiers, pump parts, etc.
- if treatment doesn't work, may not be yeast
- antihistamines were found to relieve symptoms when there was persistent pain
thought to be yeast
raynaud's phenomenon of the nipple - ANSWER>>often treated inappropriately of
organisms such as candida albicans
- is not the same as blanching due to poor attachment during feeding
- involves vasospasm of the nipple, recognized by: triple color sign, bi color sign
- pain is extreme and spasmodic (not continuous)
raynauds color signs - ANSWER>>triple: white -> blue -> raspberry
bi-color: white -> raspberry
treatment of raynaud's - ANSWER>>- preventing or decreasing cold exposure
- avoiding vasoconstrictive drugs (including some hypertensive drugs) and
caffeine and nicotine
- pharmacological methods, especially nifedipine (procardia), a calcium channel
blocker
what if, despite optimal latch, there is persistent nipple pain during feeding (suck
and pause) with poor milk transfer? - ANSWER>>in rare cases, babies have strong
sucking vacuum as measured by a pressure transducer or nipple shield
costs to prevent needless deaths - ANSWER>>less than $6 billion/year worldwide
suboptimal breastfeeding - ANSWER>>accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
nursing a baby for a year or more - ANSWER>>decreases by 10-15% the risk of
developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
Newest Complete Questions And Correct
Detailed Answers (Verified Answers) |Brand
New Version!!
breast feeding: a public health priority - ANSWER>>has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's
in the US
assessing for pain - ANSWER>>assess for proper latch on, good seal, baby's
tongue, swallowing sounds - and reteach as needed
- early stages of the infant's breast seeking and latching behaviors should be
observed as well as the actual feeding
less pain with sore nipples - ANSWER>>pre-feeding behaviors (state and cue) and
more optimal latching process behaviors of the baby (rooting, gaping, sealing, and
sucking) were related to less pain with sore nipples
nipple infections - ANSWER>>- heal best with antibiotics (systemic or topical)
- lanolin users had a 62% infection rate, non-lanolin users 18%
two practices that interfere with babies function - ANSWER>>hand on back of
baby's head and shaping the breast
- appear to interfere with baby's inter-oral function by restricting the movement
of the cranio-cervical spine and nuchal alignment and is related to nipple trauma
anatomical problems - ANSWER>>can also cause damage
- bottom or top lip turned in or tongue ties
tongue tie - ANSWER>>a visible lingual frenulum is not the same as a TOT
,- researched examined 200 healthy infants and found only 1 infant with no
observable or palpable lingual frenulum
- "a lingual frenulum is a normal anatomic finding.. that is not correlated with BF
difficulties. we suggest that the term lingual frenulum should be used for
anatomic descriptions and that the term "tongue tie" be reserved for a lingual
frenulum associated with BF difficulties in newborns)
- out of more than 500 articles about TOTs, only 8 are RCTs, 5 are related to short-
term BF outcomes and 3 are about procedure itself
systematic TOT research review - ANSWER>>concludes that a small body of
evidence suggests that frenectomy may be associated with mother-reported
improvements in BF, and potentially in nipple pain; but with small short-term
studies with inconsistent methodology, strength of evidence is low to insufficient
role of CLC provider regarding TOTs - ANSWER>>- complete feeding assessment
and suggest ways to optimize latch
- refer onward for diagnosis
- provide ongoing support
- pacifier and feeding bottles in the hospital were both associated with sore
nipples at discharge
mothers with sore nipples - ANSWER>>significantly less likely to leave the hospital
EBF
creams for nipple soreness? - ANSWER>>- continuing question of effectiveness
- fears of ingestion by baby
other reasons for nipple soreness? - ANSWER>>oversupply baby trying to hold
back flow by clamping on nipple
oversupply - ANSWER>>usually see:
- rapid weight gain
- unsettled baby, especially after feeding
,- recurrent plugged ducts and mastitis
- painful feedings
- voluminous (huge volume of) stools - often green and shiny
green shiny stools - ANSWER>>indicated need for feeding evaluation
is there deep latch with nipple stretching? - ANSWER>>- if the nipple is not
stretched deeply, less oxytocin flows, and therefore, less fat in the mix
- with less fat, milk is digested more quickly, perhaps leading to not enough time
for lactase to digest the lactose
- with improved latch, more fat flows and slows down digestion, allowing time for
lactase to be digested
is there either overactive letdown and/or over production of milk? - ANSWER>>if
there is a lot of milk at once, the production of lactase may not keep up with the
amount of lactose
- decrease additional stimulation/milk removal as possible
- consider block feeding (nurse on one side only per feeding)
- try australian posture
- watch for mastitis
- consider donating to a milk bank
- if lactation management solutions are ineffective, consultation with HCP for
medical diagnosis
candida albicans/yeast/thrush - ANSWER>>- is thought to cause pain for mother
and/or baby
- may be visible or not
- mother will usually have itchy, flaky/shiny skin
treatment of candida - ANSWER>>- simultaneous pharmacologic treatment (in
recurrent cases, possibly other family members as well)
- nystatin ointment is typically the first round
- fluconazole (diflucan) oral capsules may be used
, - cleaning or replacing yeast vectors - toys, pacifiers, pump parts, etc.
- if treatment doesn't work, may not be yeast
- antihistamines were found to relieve symptoms when there was persistent pain
thought to be yeast
raynaud's phenomenon of the nipple - ANSWER>>often treated inappropriately of
organisms such as candida albicans
- is not the same as blanching due to poor attachment during feeding
- involves vasospasm of the nipple, recognized by: triple color sign, bi color sign
- pain is extreme and spasmodic (not continuous)
raynauds color signs - ANSWER>>triple: white -> blue -> raspberry
bi-color: white -> raspberry
treatment of raynaud's - ANSWER>>- preventing or decreasing cold exposure
- avoiding vasoconstrictive drugs (including some hypertensive drugs) and
caffeine and nicotine
- pharmacological methods, especially nifedipine (procardia), a calcium channel
blocker
what if, despite optimal latch, there is persistent nipple pain during feeding (suck
and pause) with poor milk transfer? - ANSWER>>in rare cases, babies have strong
sucking vacuum as measured by a pressure transducer or nipple shield
costs to prevent needless deaths - ANSWER>>less than $6 billion/year worldwide
suboptimal breastfeeding - ANSWER>>accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
nursing a baby for a year or more - ANSWER>>decreases by 10-15% the risk of
developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
