CLC CERTIFIED LACTATION COUNSELOR ALPP
COMPLETE COURSE REVIEW GUIDE
◉ What cells make milk?
Answer: alveolar cells
◉ How many nipple pores (per breast) per lactation?
Answer: 3-5
◉ What are the two separate hormone pathways, in which the
pituitary gland is important to both?
Answer: prolactin and oxytocin
◉ Prolactin levels go down in between nursings and rise during
Answer: nursing
◉ Which glands develop early in pregnancy on the areola as a result
from pregnancy hormones?
Answer: Montgomery glands
◉ What is associated with ongoing milk production and positively
associated with ___
,Answer: suckling within the first 2 hours after birth
◉ In premies, what is associated with ongoing milk production?
Answer: initiation of milk production before 1 hour
◉ Mechanisms to trigger oxytocin
Answer: Conditioned response conditioned milk ejection or let
down reflex, nipple stretching, and baby hand massage
◉ The hormones of lactation have an emotional/behavioral function
as well as making and moving milk:
Answer: Aggression, protection, bonding/trust
◉ Frequency of mammal species feeds that are high fat/protein and
low water content
Answer: infrequent
◉ Mammal species milk with higher water content feed more
Answer: frequently
◉ Prolactin triggers what in mammary cells
Answer: production of lactose
,◉ Stage two of making milk (lactogenesis II) happens to everyone
who
Answer: delivers a placenta
◉ What triggers stage III of Lactogenesis?
Answer: Prolactin from frequent nipple stimulation and frequent
removal of milk
◉ Prolactin draws what
Answer: water
◉ Preterm milk appears to be higher in what as compared to mature
milk?
Answer: protein, fat, electrolytes
◉ After one year of lactation, human milk expressed has
significantly increased ___ contents, compared with milk expressed
by women lactation for a shorter time
Answer: fat/energy
◉ What does faster milk removal increase?
Answer: fat content
, ◉ What influences amount of fat transferred?
Answer: degree of breast emptying, amount of available milk, breast
storage capacity
◉ Longer the time between feedings, what is decreased?
Answer: fat content
◉ Three scenarios when breastmilk composition changes:
Answer: over the course of lactation, within the day, within a feeding
◉ The breast fed baby can regulate his fat intake quickly and thus
mothers should be encouraged to practice baby led feeding which
means
Answer: cues from baby
◉ If a higher calorie content is needed for a specific preterm infant,
what time of day samples should preferably be given?
Answer: evening
◉ pH of the gut of the breastfed babies is more
Answer: acidic
COMPLETE COURSE REVIEW GUIDE
◉ What cells make milk?
Answer: alveolar cells
◉ How many nipple pores (per breast) per lactation?
Answer: 3-5
◉ What are the two separate hormone pathways, in which the
pituitary gland is important to both?
Answer: prolactin and oxytocin
◉ Prolactin levels go down in between nursings and rise during
Answer: nursing
◉ Which glands develop early in pregnancy on the areola as a result
from pregnancy hormones?
Answer: Montgomery glands
◉ What is associated with ongoing milk production and positively
associated with ___
,Answer: suckling within the first 2 hours after birth
◉ In premies, what is associated with ongoing milk production?
Answer: initiation of milk production before 1 hour
◉ Mechanisms to trigger oxytocin
Answer: Conditioned response conditioned milk ejection or let
down reflex, nipple stretching, and baby hand massage
◉ The hormones of lactation have an emotional/behavioral function
as well as making and moving milk:
Answer: Aggression, protection, bonding/trust
◉ Frequency of mammal species feeds that are high fat/protein and
low water content
Answer: infrequent
◉ Mammal species milk with higher water content feed more
Answer: frequently
◉ Prolactin triggers what in mammary cells
Answer: production of lactose
,◉ Stage two of making milk (lactogenesis II) happens to everyone
who
Answer: delivers a placenta
◉ What triggers stage III of Lactogenesis?
Answer: Prolactin from frequent nipple stimulation and frequent
removal of milk
◉ Prolactin draws what
Answer: water
◉ Preterm milk appears to be higher in what as compared to mature
milk?
Answer: protein, fat, electrolytes
◉ After one year of lactation, human milk expressed has
significantly increased ___ contents, compared with milk expressed
by women lactation for a shorter time
Answer: fat/energy
◉ What does faster milk removal increase?
Answer: fat content
, ◉ What influences amount of fat transferred?
Answer: degree of breast emptying, amount of available milk, breast
storage capacity
◉ Longer the time between feedings, what is decreased?
Answer: fat content
◉ Three scenarios when breastmilk composition changes:
Answer: over the course of lactation, within the day, within a feeding
◉ The breast fed baby can regulate his fat intake quickly and thus
mothers should be encouraged to practice baby led feeding which
means
Answer: cues from baby
◉ If a higher calorie content is needed for a specific preterm infant,
what time of day samples should preferably be given?
Answer: evening
◉ pH of the gut of the breastfed babies is more
Answer: acidic
