IBCLC Practice Test Questions With Correct Answers

IBCLC Practice Test Questions With Correct Answers Hypoplastic Breasts - CORRECT ANSWERS -Extends from 3rd to 5th rib (normal 2nd to 6th) -Usually >1.5in space between breasts WHO Code (1981) *US didn't sign - CORRECT ANSWERS Marketing of BM substitutes: 1. No public advertising 2. No samples to moms 3. No promotion to HC facilities 4. No company reps to advise moms 5. No gifts to HCPs 6. No words/pics idealizing art. feeds 7. Factual/scientific information only 8. Info to include benefits of BF and concerns of ABM use 9. No promotion of unsuitable products Innocenti Declaration - CORRECT ANSWERS Florence, Italy 1990 -Promotion of breastfeeding -By 1995, governments should: have a national breastfeeding coordinator, facilities must adhere to BFHI, take action to support the WHO code WHO/UNICEF Baby Friendly Hospital Initiative (1989) - CORRECT ANSWERS Evidence based methods to support successful breastfeeding 1. Written BF policy that is routinely communicated to staff 2. Train HCPs in skills required to implement policy 3. Inform pregnant women of benefits of BF 4. Help moms initiate BF within 1/2 hr of birth 5. Show moms how to BF and maintain lactation (when separated) 6. No food other than BM unless medically indicated 7. Rooming in 24/7 8. Encourage BF on demand 9. No artificial teats or pacis to BF infants 10. Foster BF support groups and refer moms upon d/c Montgomery glands/tubercles - CORRECT ANSWERS Theories: -Secretions during pregnancy & lactation that lubricates & protects nipples & areoles -Secretions loaded with pH decreasing fatty acids, lethal to invading microorganisms -Secretions guide baby to nipple -Hypertrophy during pregnancy Breast Composition - CORRECT ANSWERS -2/3 glandular tissue, 1/3 adipose tissue -No correlation between milk production and amount of glandular tissue, # of ducts, or diameter of ducts. Also between amount of glandular tissue and storage capacity Cooper's Ligaments - CORRECT ANSWERS -Suspensory ligaments -Heavy, fibrous bands which divide the adipose & glandular tissue of the breasts into segments Nerves to the breasts - CORRECT ANSWERS 4,5,6 innervate the breast Alveoli - CORRECT ANSWERS -Fill lobes -Contain lactocytes -Breastmilk is secreted into the alveoli. From the center of the alveoli, moves into the ductiles Lactocytes - CORRECT ANSWERS Cells within the alveoli that synthesize milk Ductiles - CORRECT ANSWERS Carry Breastmilk from alveoli to lactiferous/mammary ducts Myoepithelial cells - CORRECT ANSWERS -Coat drainage tract from alveoli -Contract when stimulated with oxytocin -Propel milk forward Fetal breast developement - CORRECT ANSWERS -Begins at 4-6 wks gestation -Neonatal engorgement regresses at 4 weeks pp Breast development during pregnancy - CORRECT ANSWERS -Estrogen: proliferation of ductile system -Progesterone: promotes & increases size of lobes, lobules, & alveoli -Serum Prolactin: r/t nipple growth -Serum Lactogen: r/t alveolar growth Lactogenesis I - CORRECT ANSWERS From 16 weeks of pregnancy until milk "comes in" after birth Lactogenesis II - CORRECT ANSWERS -Onset of copious milk secretion 24-102 hrs after birth (mean 59-64 hr pp) *Delayed if after 72 hrs -Most important triggers are decrease in progesterone (d/t removal of the placenta) & milk removal at 1-2 hr -Risk factors: first time mom, overweight/obese Galactopoiesis - CORRECT ANSWERS Maintenance of established milk produxtion