IBCLC prep Questions And Answers

IBCLC prep Questions And Answers Natal teeth - ANS-Tooth eruption present at birth, considered common and typically benign. May be associated with genetic syndromes and congenital hypothyroidism Normal term infant sucking - ANS-Bursts of 10-30 sucks before pausing briefly Galactic band or milk ridge - ANS-Forms at 5 weeks gestation (maternal) Shallow pit and inversion of 8-15 strips become the ducts - ANS-16 weeks gestation (maternal) Maternal hormones can cause colonization of milk-like substances at what age gestation - ANS-24-32 weeks "Witches Milk" - ANS-Normal in boys and girls up until 2 weeks of age. Caused by the effects of maternal hormones before birth, prolactin and growth hormone passed through breastfeeding, or thyroid or hormonal surge in infant. Just before birth, the mammary pit elevates and the nipple pushes out, when this fails, what results? - ANS-Partial or completely inverted nipples. "Accessory nipples" 2-6% women have. Most common place axilla, directly below fold of bottom of breast. If noted on baby can be associated with.... - ANS-Abnormalities of urinary tract Arborization - ANS-Increased lobular development during pregnancy True or False- the Breast is an exocrine gland - ANS-True, it is much like a sweat gland Corpus Mammae - ANS-The body of the breast, consists of the parenchyma (key elements of an organglandular tissue) and the stroma (connective tissue) The Parenchyma consists of lobular, ductular and alveolar structures. 50% of breast cancer occurs here - ANS-Upper Outer Quadrant of the breast Nipple, "Papilla Mammae" - ANS--Surrounded by a Stroma strong in Collagen, Elastin, and Smooth Muscle Fibers -4-18 milk pores (avg 9) -Smooth Muscle -Subcutaneous fat is MINIMAL at the base of the nipple -Ducts branch closer to the nipple -Glandular tissue is found closer to the nipple Areola - ANS--Consists of smooth muscle -NO FATTY tissue here -increased deposits of melanin in the epidermis make it appear darker Tubercles of Montgomery "Montgomery Glands" - ANS--Lubrication -Bacteriostatic fluid helps with infection -Eminate an odor that helps guide the baby to the nipple Lobe - ANS--Clusters of Lobules -15-20 in each breast -The duct from each lobe leads to the nipple -Look like the head of broccoli -Part of the parenchyma or glandular tissue Lobule - ANS-Contain a group of Alveoli- where the galactocytes are that produce milk. Look like one of the clusters in a broccoli head -Part of the parenchyma or glandular tissue Alveoli - ANS-- Tiny sacs -10-100 in each lobule -Contain Secretory cells (Synthesize fat and protein into milk, and Myoepethelial cells (contract for milk ejection) -Store the milk, "the milk producing unit" The Ducts behind the nipple WIDEN in response to the milk ejection reflex and NARROW again when the feeding is over - ANS-The ducts are more for TRANSPORT, not storage Lactocytes - ANS--C