CLC Exam Questions With 100% Correct Answers

CLC Exam Questions With 100% Correct Answers What are Montgomery glands? - answerSebaceous glands on areola that are a result of pregnancy hormones What do Montgomery glands do? - answerAllow milk to mix with sebum, makes milk sticky and anti-microbial Function of prolactin? - answerPro-lactation. Makes milk. What stimulates prolactin? - answerBaby suckles/nipple stimulation stimulates brain to secrete prolactin into blood and that triggers body to respond Do all humans have prolactin? - answerYes, everyone has prolactin all the time but it is a matter of ramping it up for lactation. Function of oxytocin? - answerMyoepithelial cells to contract, and uterus to contract. Also milk letdown. What stimulates oxytocin? - answerNipple stretching (proper lactch), baby hand massage, its is a conditioned response of milk ejection too. How does the body make milk? - answerMessages from the breast travel in nervous system to brain and then hormones travel in blood back to breast. How are milk composition and feed frequency related? - answerHigh fat, protein, water milk producers will nurse less often. General composition of human milk? - answerHigh in lactose, water. Low in protein, fat. Very dilute --> Due to this composition nursing should be frequent. What are the 3 stages of lactogenesis? - answerLactogenesis I: colostrum (placental hormone influence) Lactogenesis II: transitional milk (birth of placenta causes drop in progesterone) Lactogenesis III: mature milk (occurs at same time as stage II due to continual nipple stimulation) How is milk composition different with pre-term babies? - answerFor first 5-7 weeks milk is generally higher in protein, fat and every content. Milk volume is not any greater. After one year of nursing how does milk composition change? - answerIt becomes higher in fat and energy but volume does not increase. How does milk composition change at 24 months? - answerCarbs drop significantly, fat increases significantly, slight protein increase. Overall more energy content (~30 kcal/oz vs ~18 kcal/oz for 1st year) How much energy does fat provide from milk? - answerAbout 49% Hind milk vs foremilk? - answerMore complex than we originally thought, no firm consensus if there is more fat in hind milk, it is possible that both have equal amounts. What are three times when breast milk composition can change? - answerWithin a day, during a feeding, over the course of lactation. Is baby fat intake affected by specific practices during a feed? - answerThere is no difference in net fat intake according to # of breasts suckled per feed or breastfeeding frequency. How can milk composition vary within a feed? - answerDegree of breast emptying, amount available to begin with, breast storage capacity, faster removal (faster removal = higher fat content) What are some benefits of exclusive breastfeeding? - answer- less diarrhea - better iron amount - presence of bifidus factor - provides hormones and growth hor