Certified Lactation Counselor Exam Questions With 100% Correct Answers

Certified Lactation Counselor Exam Questions With 100% Correct Answers What contracts to push milk into the ducts (smooth muscle cells)? - answermyoepithelial cells What cells make milk? - answeralveolar cells How many nipple pores (per breast) per lactation? - answer3-5 What are the two separate hormone pathways, in which the pituitary gland is important to both? - answerprolactin and oxytocin Prolactin levels go down in between nursings and rise during - answernursing Which glands develop early in pregnancy on the areola as a result from pregnancy hormones? - answerMontgomery glands What is associated with ongoing milk production and positively associated with ___ - answersuckling within the first 2 hours after birth In premies, what is associated with ongoing milk production? - answerinitiation of milk production before 1 hour Mechanisms to trigger oxytocin - answerConditioned response conditioned milk ejection or let down reflex, nipple stretching, and baby hand massage The hormones of lactation have an emotional/behavioral function as well as making and moving milk: - answerAggression, protection, bonding/trust Frequency of mammal species feeds that are high fat/protein and low water content - answerinfrequent Mammal species milk with higher water content feed more - answerfrequently Prolactin triggers what in mammary cells - answerproduction of lactose Stage two of making milk (lactogenesis II) happens to everyone who - answerdelivers a placenta What triggers stage III of Lactogenesis? - answerProlactin from frequent nipple stimulation and frequent removal of milk Prolactin draws what - answerwater Preterm milk appears to be higher in what as compared to mature milk? - answerprotein, fat, electrolytes After one year of lactation, human milk expressed has significantly increased ___ contents, compared with milk expressed by women lactation for a shorter time - answerfat/energy What does faster milk removal increase? - answerfat content What influences amount of fat transferred? - answerdegree of breast emptying, amount of available milk, breast storage capacity Longer the time between feedings, what is decreased? - answerfat content Three scenarios when breastmilk composition changes: - answerover the course of lactation, within the day, within a feeding The breast fed baby can regulate his fat intake quickly and thus mothers should be encouraged to practice baby led feeding which means - answercues from baby If a higher calorie content is needed for a specific preterm infant, what time of day samples should preferably be given? - answerevening pH of the gut of the breastfed babies is more - answeracidic Iron content in human milk is relatively (low/high? - answerlow Presence of bifidus factor in the milk which promotes the intestinal presence of lactobacillus bifidus does what - answermaintain low pH and crowd out pathogenic organisms Presence of hormones, hormone like factors, and growth factors that stimulate growth and development of the GI tract and GI motilit