CLC exam UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
contraindications for breastfeeding - CORRECT ANSWERS -HIV
positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2
(HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
BF became recognized as a public health priority in the US in what year? -
CORRECT ANSWERS 1990
Nursing a baby for a year or more decreases the risk of hypertension, diabetes,
hyperlipidemia, and cardiovascular disease when postmenopausal by ____%. -
CORRECT ANSWERS 10-15%
Women who do NOT BF are at greater risk for these 3 cancers - CORRECT
ANSWERS breast, ovarian, endometrial
UNICEF stands for - CORRECT ANSWERS United Nations
International Children's Emergency Fund
The WHO and UNICEF have set out 3 strategies needed for increasing BF
initiation and duration in every country - CORRECT ANSWERS
breastfeeding protection, breastfeeding promotion, breastfeeding support
,Breastfeeding protection focuses on - CORRECT ANSWERS
government, manufacturer and social responsibility to assure
breastfeeding's ability to compete with commercial interests
Breastfeeding promotion focuses on - CORRECT ANSWERS
advantages of breastfeeding on a personal, community, country or global
level
Breastfeeding protection also includes - CORRECT ANSWERS
addressing improper marketing practices as described in "The
international code"
In the US, state and local BF legislation addresses BF in public, employment
issues, jury duty, family law, mothers in prison etc. is an example of -
CORRECT ANSWERS breastfeeding protection
Breastfeeding support - CORRECT ANSWERS focuses on interaction of
helpers with family, as well as program development and implementation.
This forms the basis of the Baby-Friendly Hospital Initiative - CORRECT
ANSWERS The Ten Steps to Successful Breastfeeding
The Ten Steps to Successful Breastfeeding (critical management procedures) -
CORRECT ANSWERS 1a. comply with the International code of
marketing of breast-milk substitutes & relevant world health assembly
resolutions
1b. have a written infant feeding policy that is routinely communicated to staff
& parents
1c. est. ongoing monitoring & data-management systems
,2. ensure that staff have sufficient knowledge, competence, and skills to support
BF
The Ten Steps to Successful Breastfeeding (key clinical practices ) - CORRECT
ANSWERS 3. discuss the importance & mgmt of BF w/ pregnant
women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as
possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than breastmilk
unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24
hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
Highest level of evidence - CORRECT ANSWERS meta-analysis an
systematic review
An international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the WHO
, in 1981 - CORRECT ANSWERS The International Code of Marketing
of Breastmilk Substitutes (The code)
The code - CORRECT ANSWERS regulates the marketing of BM
substitutes which includes formulas, teats and bottles
The World Breastfeeding Trends Initiative is intended to - CORRECT
ANSWERS track, assess and monitor the implementation of the "Global
Strategy" at the country and sub-country level
How to support exclusive BFing - CORRECT ANSWERS -expand the
baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_________ levels go down in b/t nursing's and rise during nursing - CORRECT
ANSWERS prolactin
Infrequent nursing leads to lower levels of this hormone even with the same
amount of nipple contact - CORRECT ANSWERS prolactin
after delivery of the placenta - CORRECT ANSWERS progesterone goes
down and prolactin goes up
Nipple stretching increases this hormone - CORRECT ANSWERS
oxytocin
QUESTIONS AND CORRECT ANSWERS
contraindications for breastfeeding - CORRECT ANSWERS -HIV
positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2
(HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
BF became recognized as a public health priority in the US in what year? -
CORRECT ANSWERS 1990
Nursing a baby for a year or more decreases the risk of hypertension, diabetes,
hyperlipidemia, and cardiovascular disease when postmenopausal by ____%. -
CORRECT ANSWERS 10-15%
Women who do NOT BF are at greater risk for these 3 cancers - CORRECT
ANSWERS breast, ovarian, endometrial
UNICEF stands for - CORRECT ANSWERS United Nations
International Children's Emergency Fund
The WHO and UNICEF have set out 3 strategies needed for increasing BF
initiation and duration in every country - CORRECT ANSWERS
breastfeeding protection, breastfeeding promotion, breastfeeding support
,Breastfeeding protection focuses on - CORRECT ANSWERS
government, manufacturer and social responsibility to assure
breastfeeding's ability to compete with commercial interests
Breastfeeding promotion focuses on - CORRECT ANSWERS
advantages of breastfeeding on a personal, community, country or global
level
Breastfeeding protection also includes - CORRECT ANSWERS
addressing improper marketing practices as described in "The
international code"
In the US, state and local BF legislation addresses BF in public, employment
issues, jury duty, family law, mothers in prison etc. is an example of -
CORRECT ANSWERS breastfeeding protection
Breastfeeding support - CORRECT ANSWERS focuses on interaction of
helpers with family, as well as program development and implementation.
This forms the basis of the Baby-Friendly Hospital Initiative - CORRECT
ANSWERS The Ten Steps to Successful Breastfeeding
The Ten Steps to Successful Breastfeeding (critical management procedures) -
CORRECT ANSWERS 1a. comply with the International code of
marketing of breast-milk substitutes & relevant world health assembly
resolutions
1b. have a written infant feeding policy that is routinely communicated to staff
& parents
1c. est. ongoing monitoring & data-management systems
,2. ensure that staff have sufficient knowledge, competence, and skills to support
BF
The Ten Steps to Successful Breastfeeding (key clinical practices ) - CORRECT
ANSWERS 3. discuss the importance & mgmt of BF w/ pregnant
women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as
possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than breastmilk
unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24
hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
Highest level of evidence - CORRECT ANSWERS meta-analysis an
systematic review
An international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the WHO
, in 1981 - CORRECT ANSWERS The International Code of Marketing
of Breastmilk Substitutes (The code)
The code - CORRECT ANSWERS regulates the marketing of BM
substitutes which includes formulas, teats and bottles
The World Breastfeeding Trends Initiative is intended to - CORRECT
ANSWERS track, assess and monitor the implementation of the "Global
Strategy" at the country and sub-country level
How to support exclusive BFing - CORRECT ANSWERS -expand the
baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_________ levels go down in b/t nursing's and rise during nursing - CORRECT
ANSWERS prolactin
Infrequent nursing leads to lower levels of this hormone even with the same
amount of nipple contact - CORRECT ANSWERS prolactin
after delivery of the placenta - CORRECT ANSWERS progesterone goes
down and prolactin goes up
Nipple stretching increases this hormone - CORRECT ANSWERS
oxytocin
