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CERTIFIED LACTATION COURSE EXAM
QUESTION AND ANSWERS (LATEST
2023_2024) SATIFACTION GUARANTEED
what are some other breastfeeding barriers mothers have? - Answers--sexual vs
functional aspects of breasts
-women in the workplace
-"im not producing enough milk"
-lack of support from medical profession

what are some techniques for flat/inverted nipples that may help to evert nipples? -
Answers--inverted syringe
-supple cups
-breast shells
-avent nipplette
-"pinch test" in last trimester of pregnancy

what was, and still is today, one of the biggest reasons why mothers quit breastfeeding?
- Answers-mothers report not producing enough milk
what three ingredients made up the first commercial formula? (early 1800's/19th
century) - Answers--wheat flour
-cows milk
-sugar

when did bottle feeding become the "new norm", thus, causing breastfeeding rates to
continue to decline? - Answers-20th century (particularly, mid 1900's) (1950's-1970's)

weaning - Answers-the addition of adding other foods to a diet, but not completely
stopping or ceasing breastfeeding

when did breastfeeding rates start to initially decline (i.e. in Britain), particularly among
the wealthy population? - Answers-16th-17th century and through the 18th century

which month did women historically think was the most important to breastfeed during?
- Answers-the summer (due to food spoilage)

what is the WHO code? - Answers-an attempt to prevent excessive marketing of ABM
(artificial baby milk) and to bring awareness of benefits of breastfeeding (although this
code is not law in many countries as it interferes with marketing & freedom)

*breastfeeding education to pubic is critical!*

, where are the breasts specifically located on the body? - Answers--between 2nd & 6th
rib
-from sternum to mid axillary line
-only gland in not fully functioning at birth

*may contain hair, sweat, and oil glands

hypoplastic breasts - Answers--insufficient glandular tissues
-usually only extend from 3rd to 5th rib
-typically have more spacing between breasts (1.5 inches or more)

1. montgomery glands/tubercles - Answers-"small bumps" located around areola
that become more prominent (hypertrophy) during pregnancy & are thought to
secrete substance during pregnancy/lactation & contain scent glands to help
guide infant to nipple, while also helping kill pathogens that try to enter the body

areola - Answers-vary in shape & color; usually circular; become darker during
pregnancy and do not return to pre-pregnancy color

nipple - Answers-contain smooth muscle fibers for erectness and graspability; normally
found at 4th intercostal space that typically contain between 4-18 openings (9 on
average) for milk to be expressed through during lactation

nipple/areola complex - Answers-thought of as one entity; both elongate up to 2-3 times
resting length during breastfeeding;

areola = most sensitive part of breast
nipples = least sensitive

everted nipples - Answers-most common type of nipples; protrudes slightly at rest &
everts well with stimulation

flat nipples - Answers-soft, but pliable & graspable

pseudo-inverted nipples - Answers-appear to be inverted but will evert with stimulation
or compression

retracted nipples - Answers-type of inverted nipples that appear to be graspable but
retracts, rather than everts, with compression

inverted nipples/nipple inversion - Answers-retracted nipples that occur with retracted
both with rest and stimualtion

supernumerary nipples - Answers-"3rd nipple" or "accessory nipple" found along line of
glandular tissue

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