CLC exam prep Questions and Answers

CLC exam prep Questions and Answers (T/F): Messages from the breast travel through the nervous system to the brain. Then hormones travel to the breast through the blood stream. True From more recent research we now know that there are ___ nipple pores functioning per feeding. o 3-5 o 9-27 o 1 o 15-29 3-5 The pituitary gland is important to: o Oxytocin only o Prolactin and oxytocin o Prolactin only o None of the lactation hormones Prolactin and oxytocin (T/F): Only new mothers have prolactin. false (T/F): As frequency of feeding decreases, prolactin levels decrease. true (T/F): Oxytocin is released only by nipple stretching. false What is? - Influenced by nipple stretching among other stimuli - Temporarily affected by stress - adrenalin oxytocin What is? - Dependent on nipple stimulation - Not decreased by stress prolactin (T/F): Mammal milk is the same for every species. false Mammal species with higher water content: o Feed less frequently o Do not have good milk o Feed more frequently o Only need to feed during the day Feed more frequently (T/F): Deer milk has more protein than goat milk. true (T/F): Human milk is higher in fat than dog milk. false _________ is one of the highest in lactose of all mammal milks, high in water, low in protein and fat - a very dilute mammal milk human milk (T/F): Colostrum is made under the influence of pregnancy. true (T/F): Prolactin from frequent nipple stimulation and frequency of milk removal triggers lactogenesis 2. false In general, preterm milk appears to be higher in ____ than mature milk. o Oxytocin o Volume o Protein, fat, and electrolytes o Water and prolactin protein, fat, and electrolytes (T/F): Working mothers should be sure to pump an ever-increasing volume of milk to meet the nutritional needs of a growing child. False Does breastmilk composition change as a baby gets older? yes - fat content increases which increases the calories w/out increasing the amount of volume (T/F): According to research, it turns out that hind milk always is the highest fat milk. false (T/F): Faster milk removal is associated with increased fat content. true (T/F): The gut pH for the breastfed baby gut is more basic than of the gut of a formula fed baby. false (T/F): There is a higher iron content in breastmilk than formula. false (T/F): Prostaglandins are an example of something that stimulate growth and development of the gastrointestinal tract and gastrointestinal motility. true (T/F): Secretory IGA is a component of infant formula only. false (T/F): Suckling is something that decreases gastrin and increases somatostatin. false (T/F): A species own milk decreases somatostatin. true (T/F): Babies lose more weight in the first post-partum days if there is labor prior to a cesarean. false According to the American Academy of Pediatrics, all breastfeeding newborn infants should be seen in the pediatric office by ______ days of age. o After 14 o 3 to 5 o 1 to 2 o 5 to 7 3 to 5 Undernourished mothers make less milk than nourished mothers. false Drinking more water increases the milk supply of breastfeeding mothers. false A mother with a 32 A cup bra size will not make as much milk as a mother with a C cup size. false A staff member is fond of telling mothers how expensive it is to formula feed and how inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic? o Prolonging breastfeeding o Promoting breastfeeding o Protecting breastfeeding o Supporting breastfeeding promoting breastfeeding Who currently collects the most comprehensive breastfeeding statistics in the US? o The United States Breastfeeding Committee o Ross Laboratories o The Centers for Disease Control (CDC) o The US Department of Agriculture (WIC) The Centers for Disease Control (CDC) Which of the following statements about prolactin is TRUE? o Prolactin is a great laxative. o Prolactin causes milk to be released. o Prolactin causes milk to be made. o Prolactin is produced in the renal gland. Prolactin causes milk to be made. Which of the following mechanisms causes oxytocin to be released? o Complete delivery of the placenta o Elevated levels of gastrointestinal hormones o Frequent feeding and milk removal o Nipple stretching with appropriate latch on Nipple stretching with appropriate latch on Lactogenesis II requires which of the following to succeed? o Frequent milk removal and nipple stimulation o Adequate rest and alternating starting breast at each feed. o Adequate protein and carbohydrates for the mother. o Adequate maternal hydration and lack of maternal stress. Frequent milk removal and nipple stimulation One way the fat content of milk suckled by the baby is determined is: o The number of feedings in 24 hours o The speed/efficiency with which the baby removes the milk o The amount of fat in the mother's diet o The amount of liquid in the mother's diet The speed/efficiency with which the baby removes the milk Which of the following is the MOST effective at increasing gastrin and CCK and decreasing somatostatin in the baby? o Increasing stress/anxiety o Crying before sleep o Focusing on objects 8-12 inches away o Feeding with species-specific milk Feeding with species-specific milk According to the AAP regarding weight loss in the breastfeeding newborn: o Weight loss of more than 7% from birth weight requires formula supplementation. o Weight loss of more than 7% from birth weight indicates possible breastfeeding problems. o Weight loss of less than 7% from birth weight is a sign of hypernatremia. o Weight loss of more than 7% from birth weight is not a concern after day 5. Weight loss of more than 7% from birth weight indicates possible breastfeeding problems. When undernourished mothers were supplemented with extra energy in their diet, they: o Had babies that gained weight slightly better o Produced more nutritious milk o Had babies that gained weight significantly better o Responded to their infants more appropriately Responded to their infants more appropriately Harmful bacteria have difficulty growing the breastfed infant's gut because the composition of breastmilk: o Raises the pH of the gut to a basic level o Provides too much iron for harmful bacteria to grow o Fosters the growth of good bacteria that crowd out other organisms o Fosters the growth of B12 in the large intestine Fosters the growth of good bacteria that crowd out other organisms (T/F): Colostrum is made after there is a complete delivery of the placenta. False (T/F): Lactogenesis 2 occurs after the complete delivery of the placenta. True (T/F): Lactogenesis 3 is also called Galactocemia. False The following statement about Lactogenesis 3 is NOT true: o It is also called Galactopoiesis. o Prolactin levels rise because of nipple stimulation. o Frequency of removal of milk impacts milk supply o It is driven by the nursing parent's fluid intake. It is driven by the nursing parent's fluid intake. (T/F): Engorgement is physiologically normal and is a marker for an excellent future milk supply. False (T/F): The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement. True (T/F): For all breastfeeding individuals, bras are essential for comfort during lactation. False (T/F): Breast surgery can potentially impact breastfeeding. True (T/F): Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency. False When considering both chest masculinization surgery and breast reduction surgery. o The likelihood of breastfeeding is unknown. o Assessment and close nutritional follow up is key. o All is important to assure nutrition of the infant. o All of the above All of the above (T/F): Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red flag" for close assessment and follow up True (T/F): Hypoplastic breasts always make ample milk. False (T/F): There is no concern when a client reports a breast implant on only one side. False (T/F): With flat and inverted nipples, there will be inadequate production of milk making hormones because prolactin involves nipple stretching while oxytocin involves nipple stroking. False (T/F): The nipple stretches to four times its resting length in the baby's mouth, according to Smith's research. False (T/F): An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they cannot form a teat. False When counseling someone who had a breast surgery, it is important to consider: o If the milk ducts are patent o If the nipple pores are patent o The need to monitor the baby's weight gain very closely o All of the above All of the above (T/F): Grade 3 inverted nipples are difficult or impossible to pull out/evert. True (T/F): You can tell looking at a nipple at rest how it will function. False One concern about grade 3 inverted nipples involves: o Prolactin levels o Oversupply issues o Engorgement o All of the above Prolactin levels (T/F): Almost all mothers have grade 3 inverted nipples. False (T/F): Prenatal nipple preparation should be recommended for all women. False (T/F): Jo Alexander's research indicates that 1 out of 5 women have inverted nipples. False The best way to prepare an inverted nipple for breastfeeding is: o Doing nothing to the nipple during pregnancy o stretching the nipple and areola during pregnancy o using a breast shell during pregnancy o stretching the nipple and using a breast shell during pregnancy Doing nothing to the nipple during pregnancy