Section 2: CLC Written Exam 2023.

Section 2: CLC Written Exam 2023.T or F: Colostrum is made after there is a complete delivery of the placenta. - ANSWER False T or F: Lactogenesis 2 occurs after the complete delivery of the placenta. - ANSWER True T or F: Lactogenesis 3 is also called Galactocemia. - ANSWER False The following statement about Lactogenesis 3 is NOT true: -It is also called Galactopoiesis. -Prolactin levels rise because of nipple stimulation. -Frequency of removal of milk decreases milk in the breast. -It is driven by the nursing parent's fluid intake. - ANSWER -It is driven by the nursing parent's fluid intake. T or F: Engorgement is physiologically normal and is a marker for an excellent future of milk supply. - ANSWER False T or F: The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement. - ANSWER True For all breastfeeding individuals, bras are essential for comfort during lactation. - ANSWER False T or F: Breast surgery can potentially impact breastfeeding. - ANSWER True T or F: Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency. - ANSWER False. Peri-areolar incisions are MOST likely associated w/ milk insufficiency When considering both chest masculinization surgery and breast reduction surgery: -The likelihood of breastfeeding is unknown. -Assessment and close nutritional follow up is key. -It is important to assure nutrition of the infant. -All of the above - ANSWER All of the above T or F: Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red flag" for close assessment and follow up. - ANSWER True T or F: Hypoplastic breasts always make ample milk. - ANSWER False T or F:There is no concern when a client reports a breast implant on only one side. - ANSWER False. This could indicate history of discrepant breast size. T or 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. - ANSWER False. Prolactin = nipple stroking Oxytocin = nipple stretching T or F: The nipple stretches to four times its resting length in the baby's mouth, according to Smith's research. - ANSWER False. 2x its length T or F:An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they cannot form a teat. - ANSWER False. It is baby's job to form the teat When counseling someone who has had a breast surgery, it is important to consider: -If the milk ducts are patent -If the nipple pores are patent -The need to monitor the baby's weight gain very closely -All of the above - ANSWER All of the above.