Certified Lactation Counselor QUESTIONS AND ANSWERS| GRADED A

Predominant Breastfeeding - Correct Answer Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds). Breastfeeding - Correct Answer Baby receives human milk, as well as other foods or fluids, including formula. Complementary Feeding - Correct Answer Process starts when BM alone or infant formula alone is no longer sufficient to meet nutritional requirements of infants, therefore other foods or liquids are introduced. Typically child is between 6-23 months 3 strategies for increasing BF initiation and duration - Correct Answer Promotion, Protection, Support Promotion - Correct Answer Focuses on advantages of BF on a personal, community, country, or global level. BF to the community. Protection - Correct Answer Focuses on government, manufacturer, and social responsibility to assure BF ability to compete with commercial interests. Includes state, local, an national laws regarding BF. International Code of Marketing of Breast-milk Subsitutes - Correct Answer Addresses improper marketing practices by formula companies. It is not currently a law in the US. What does the International Code Prohibit? - Correct Answer Distributing free formula Giving coupons for formula What did the AAP resolution state in regards to the International Code? - Correct Answer No distributing formula, discharge bags, industry written handouts. Support - Correct Answer Focuses on interaction of helpers with family, as well as program development and implementation. 10 steps to successful BF - Correct Answer 1. Written BF policy. Skin to Skin immediately after birth. 2. Train healthcare staff 3. Inform pregnant women about benefits and management of BF 4. Help all mothers initiate BF within 1 hour after birth 5. Show mother's how to BF and maintain lactation 6. Exclusive breast milk only 7. Practice rooming in 24 hours a day 8. Encourage BF on demand 9. No artificial teats or pacifiers 10. Establishment of BF support groups Healthcare staff responsibility for working with lactating mothers include what? - Correct Answer 1. Training 2. Minimum of 20 hours of training 3. 3 hours of competency verification What are the indications for providing supplementation other than breast milk? - Correct Answer 1. Medical condition 2. Parents request after being informed of consequences Protocol for calculating Baby's daily needs - Correct Answer Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!! What should be assessed 3-5 days after birth by PCP? - Correct Answer Hydration (elimination patterns) Body weight (no more than 7% loss) Observe Feeding Maternal or infant issues What is a CLC? - Correct Answer Nationally recognized designation awarded by the ALPP. Practice parameters are designated by professional scope of practice. How many stools per day should a breast fed newborn have? - Correct Answer 4, some yellow by day 4. When should a baby be back to birth weight? - Correct Answer 12-14 days post birth How much weight should a baby gain daily? - Correct Answer Approximately 1 ounce Why do women supplement with formula when there is no medical need? - Correct Answer 1. Lack of preparation for what the newborn period would be like. 2. Lack of timely interventions Alveoli - Correct Answer Small glands in the breast that produce milk At-Breast Supplementer - Correct Answer a device that allows a supplement to be given while a baby is actively nursing at the breast, ex: Supplement Nursing System Atopy - Correct Answer hypersensitive or allergic state involving an inherited predisposition What is the BFHI Baby Friendly Hospital Initiative - Correct Answer Initiative by UNICEF and WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".