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Exam (elaborations)

Ibclc Prep Questions With 100% Correct Answers

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IBCLC PREP QUESTIONS WITH 100% CORRECT ANSWERS

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Aspiration


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-Passage of material into the larynx AND below the level of vocal cords
into the lung (silent vs audible)
**Signs of difficulty feeding:
Changes in color, watery eyes, increase in temp after feed, squirmy,
bradycardia, apnea, coughing, vomiting, worried look, go to sleep,
wet/gurgly/audible breathing, FTT, limited intake, refusal, drop in O2 sats




The composition of "weaning" human milk is


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, higher in fat, higher in sodium, and lower in lactose




What are the clinical symptoms of mammary candidosis?


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Shiny, flaking skin with breast pain




When are the junctions between the alveolar spaces open?


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During pregnancy, involution, and mastitis. Sodium and chloride enter the
milk space drawing water with them, under these conditions, milk has much
higher concentrations of sodium and lower lactose




Ghrelin


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-involved both in short-term regulation of food intake, by stimulating
appetite, and in long-term body-weight regulation, by inducing adiposity,
the presence of this hormone in breast milk could be one of the factors
through which breast-feeding may influence infant feeding behavior and
body composition later in life.
-There are higher ghrelin levels in formula fed infants

,The total fat content in human milk can be altered by all of the following EXCEPT
a. the interval between feedings
b. the strength of the milk ejection reflex
c. heredity
d. maternal diet


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b. The strength of the milk ejection reflex




Lactoferrin


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Whey protein that
*transports iron and helps it become absorbed
*competes with bacteria to bind iron
*essential growth factor for lymphocytes
*promotes growth of lactobacilli




If mother has Hep B


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Although hepatitis B virus is excreted in milk, breastfeeding is not
contraindicated if Hep B immunoglobulin is given to infant within 12 hours
of birth

, Colors in Breastmilk!


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Pink- beets, fresh blood
Green- Spinach, seaweed, green sports drinks, iron tablets, herbal vitamins
Orange- Carrots, Rifampin
Black- certain antibiotics
Red/brown- Pyridium, old blood




What are the most influential factors of drug transfer into Juan milk?


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Maternal plasma levels of the drug, molecular weight of the medication,
oral bioavailability of the medication in mother and infant, protein binding
of the medication




The pediatrician has diagnosed a breastfeeding infant with atopic dermatitis and
recommends to the mother to eliminate dairy from her diet. Symptoms should
improve within...


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48-72 hours




Lactogenesis II is associated with

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