CERTIFIED LATEST
BREASTFEEDING
COUNSELOR CBC
EXAM
AWHONN responsibilities of staff women working with breastfeeding
mothers - ANSWERS-provide education, foster enviornment
support and implement practice, current EBP
preterm and vulnerable patient importance
support groups
first organization to provide mother to mother support - ANSWERS-la
leche league
10 steps to successful breastfeeding - ANSWERS-written policy, train
all staff, inform pregnant woman about benefits, initiate breastfeeding
(skin to skin early), show how to breast feed, give newborns only breast
milk unless otherwise indicated, practice rooming in, encourage feeding
on demand, no pacifiers, support groups
reasons why formula replaced breast feeding - ANSWERS-rigid beliefs
(schedules, lack of confidence, anxiety), status change of women (right
to vote, workforce in 20-30s), sexualization of breasts, lack of support
(healthcare, media, family), workplace free samples, cultural beliefs
END OF
PAGE
1
, CERTIFIED LATEST
BREASTFEEDING
COUNSELOR CBC
EXAM
hormones influencing changes in breast - ANSWERS-estrogen
(decreases after birth), progesterone (decreases after birth, prolactin
inhibitor), prolactin (increases after placenta delivery), oxytocin (helps
with milk ejection), TSH (increases mammary cell response)
event triggers lactogenesis II - ANSWERS-placenta expulsion
- decline in progesterone, onset of copious milk secretions
nipple assessments - ANSWERS-- flat/inverted: need to
stimulate/sandwich
- breast surgery: may have destroyed ducts, nerves
- asymmetrical: decreased growth, ducts
breast reduction considerations - ANSWERS-when: should be 1+ year
why: asymmetrical or cosmetic
how: esp if periareolar surgery
END OF
PAGE
2
, CERTIFIED LATEST
BREASTFEEDING
COUNSELOR CBC
EXAM
major components of breastfeeding - ANSWERS-fat, protein, carbs,
vitamins, minerals, water
three ways to stimulate MER - ANSWERS-infant suckling, manual
expression/pumping, expression of baby
three signs let down has occurred - ANSWERS-tingling breasts, feeling
warmth/fullness, dripping, release opposite nipple, uterine contractions,
relief of discomfort
largest component of breast milk - ANSWERS-water
when should initiation occur - ANSWERS-as soon as mom and baby
ready, give uninterrupted skin to skin
last feeding cue - ANSWERS-crying
END OF
PAGE
3
BREASTFEEDING
COUNSELOR CBC
EXAM
AWHONN responsibilities of staff women working with breastfeeding
mothers - ANSWERS-provide education, foster enviornment
support and implement practice, current EBP
preterm and vulnerable patient importance
support groups
first organization to provide mother to mother support - ANSWERS-la
leche league
10 steps to successful breastfeeding - ANSWERS-written policy, train
all staff, inform pregnant woman about benefits, initiate breastfeeding
(skin to skin early), show how to breast feed, give newborns only breast
milk unless otherwise indicated, practice rooming in, encourage feeding
on demand, no pacifiers, support groups
reasons why formula replaced breast feeding - ANSWERS-rigid beliefs
(schedules, lack of confidence, anxiety), status change of women (right
to vote, workforce in 20-30s), sexualization of breasts, lack of support
(healthcare, media, family), workplace free samples, cultural beliefs
END OF
PAGE
1
, CERTIFIED LATEST
BREASTFEEDING
COUNSELOR CBC
EXAM
hormones influencing changes in breast - ANSWERS-estrogen
(decreases after birth), progesterone (decreases after birth, prolactin
inhibitor), prolactin (increases after placenta delivery), oxytocin (helps
with milk ejection), TSH (increases mammary cell response)
event triggers lactogenesis II - ANSWERS-placenta expulsion
- decline in progesterone, onset of copious milk secretions
nipple assessments - ANSWERS-- flat/inverted: need to
stimulate/sandwich
- breast surgery: may have destroyed ducts, nerves
- asymmetrical: decreased growth, ducts
breast reduction considerations - ANSWERS-when: should be 1+ year
why: asymmetrical or cosmetic
how: esp if periareolar surgery
END OF
PAGE
2
, CERTIFIED LATEST
BREASTFEEDING
COUNSELOR CBC
EXAM
major components of breastfeeding - ANSWERS-fat, protein, carbs,
vitamins, minerals, water
three ways to stimulate MER - ANSWERS-infant suckling, manual
expression/pumping, expression of baby
three signs let down has occurred - ANSWERS-tingling breasts, feeling
warmth/fullness, dripping, release opposite nipple, uterine contractions,
relief of discomfort
largest component of breast milk - ANSWERS-water
when should initiation occur - ANSWERS-as soon as mom and baby
ready, give uninterrupted skin to skin
last feeding cue - ANSWERS-crying
END OF
PAGE
3
