CLC CERTIFIED LACTATION COUNSELOR ALPP
PRACTICE QUESTIONS AND DETAILED
SOLUTIONS
◉ Alveoli.
Answer: Small glands in the breast that produce milk
◉ At-Breast Supplementer.
Answer: a device that allows a supplement to be given while a baby
is actively nursing at the breast,
ex: Supplement Nursing System
◉ Atopy.
Answer: hypersensitive or allergic state involving an inherited
predisposition
◉ What is the BFHI Baby Friendly Hospital Initiative.
Answer: Initiative by UNICEF and WHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
,◉ Bilirubin.
Answer: an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
◉ CCK (cholecystokinin).
Answer: Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
◉ Colostrum.
Answer: Thick, milky fluid secreted by the breast during pregnancy
and during the first days after birth before lactation begins. Causes a
laxative effect which helps the baby pass meconium.
◉ Coryllos type.
Answer: Classification system for anklyloglossia (tongue-tie)
◉ Dancer Hand Position.
Answer: Technique used to support Baby's chin and mother's breast.
Use Thumb and index finger under chin, remaining 3 fingers to
support breast.
◉ Alveolar Cells.
Answer: found in the walls of the alveoli, simple squamous epithelial
cells, main sites of gas exchange
,◉ myoepithelial cells.
Answer: contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
◉ Montgomery glands.
Answer: Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
◉ Modern study of the structure of the breast reveals what?.
Answer: -Fat is mixed throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
◉ What are the 2 hormones pathways that control lactation?.
Answer: Prolactin and Oxytocin
◉ Prolactin (4 details related to milk production).
Answer: 1. is triggered by touch (pregnant and non pregnant
women). Higher levels when stimulating breast/nipples vs breast
alone.
, 2. Lengthening time between feeding leads to lower baseline levels.
(Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
◉ Average number of feeds in a day?.
Answer: 8-12
◉ What produces colostrum?.
Answer: Progesterone in the receptor sites
◉ What produces more mature milk?.
Answer: Prolactin in the receptor sites
◉ What happened when infants suckled in the first 2 hours of birth?.
Answer: Ingested significantly more milk on day 4
◉ What happened to mother of preemies who initiated milk
expression within 1 hour of birth?.
Answer: Had significantly more milk when measured on days 7 and
42. Better to stimulate breasts throughout the day right after birth to
continue to stimulate production.
PRACTICE QUESTIONS AND DETAILED
SOLUTIONS
◉ Alveoli.
Answer: Small glands in the breast that produce milk
◉ At-Breast Supplementer.
Answer: a device that allows a supplement to be given while a baby
is actively nursing at the breast,
ex: Supplement Nursing System
◉ Atopy.
Answer: hypersensitive or allergic state involving an inherited
predisposition
◉ What is the BFHI Baby Friendly Hospital Initiative.
Answer: Initiative by UNICEF and WHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
,◉ Bilirubin.
Answer: an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
◉ CCK (cholecystokinin).
Answer: Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
◉ Colostrum.
Answer: Thick, milky fluid secreted by the breast during pregnancy
and during the first days after birth before lactation begins. Causes a
laxative effect which helps the baby pass meconium.
◉ Coryllos type.
Answer: Classification system for anklyloglossia (tongue-tie)
◉ Dancer Hand Position.
Answer: Technique used to support Baby's chin and mother's breast.
Use Thumb and index finger under chin, remaining 3 fingers to
support breast.
◉ Alveolar Cells.
Answer: found in the walls of the alveoli, simple squamous epithelial
cells, main sites of gas exchange
,◉ myoepithelial cells.
Answer: contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
◉ Montgomery glands.
Answer: Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
◉ Modern study of the structure of the breast reveals what?.
Answer: -Fat is mixed throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
◉ What are the 2 hormones pathways that control lactation?.
Answer: Prolactin and Oxytocin
◉ Prolactin (4 details related to milk production).
Answer: 1. is triggered by touch (pregnant and non pregnant
women). Higher levels when stimulating breast/nipples vs breast
alone.
, 2. Lengthening time between feeding leads to lower baseline levels.
(Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
◉ Average number of feeds in a day?.
Answer: 8-12
◉ What produces colostrum?.
Answer: Progesterone in the receptor sites
◉ What produces more mature milk?.
Answer: Prolactin in the receptor sites
◉ What happened when infants suckled in the first 2 hours of birth?.
Answer: Ingested significantly more milk on day 4
◉ What happened to mother of preemies who initiated milk
expression within 1 hour of birth?.
Answer: Had significantly more milk when measured on days 7 and
42. Better to stimulate breasts throughout the day right after birth to
continue to stimulate production.
