PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+

PCE CERTIFIED BREASTFEEDING COUNSELOR EXAM ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+ How long after cessation of breast feeding does milk production ( involution ) stop ? - - ....ANSWER...Approximately 40 days What are the common signs of milk " let down " ? - ....ANSWER...Tingling , warmth , fullness , dripping and contractions How is preterm milk different than term milk ? - - ....ANSWER...It is higher in protein and immune factors ( because the body KNOWS this is what the preemie needs ! ) What component of breast milk is the most variable ? - ....ANSWER...Lipids What component of human milk is destroyed by freezing ? - ....ANSWER...Macrophages When is the side - lying position helpful ? - ....ANSWER...In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the perineal area What position is centered around the infant attaching themselves to the breast ? - - ....ANSWER...The laid back position ( aka the biological position ) When is the Australian / Saddle position helpful ? - ....ANSWER...When moms are experiencing active let - down What is the dancer hand ? - ....ANSWER...Mom would have hand below the breast in a " U " shape ; this is good for infants who need good jaw support What are signs of milk transfer ? - ....ANSWER...Swallowing - harsh " Ca " sound ; air from nose felt , neck movement visualized What are the stool transition colors ? - ....ANSWER...Black to green to yellow What can affect a hc professionals presentation about breastfeeding ? - ....ANSWER...Experience , philosophy , credentials What are responsibilities of staff ? - ....ANSWER...Provide education and foster environment -Baby friendly practices -Evidence based knowledge - Help preterms w / moms milk or donor - Culturally and developmentally sensitive -WHO growth charts -Legislation International code of marketing substitutes - ....ANSWER...-No advertising -No free sample - Scientific info Not law but should be use Baby friendly 10 steps - ....ANSWER...-- Written policy -Proper training -Proper education -Initiation w in 1 hr - Maintain lactation even if separated -Breastmilk only unless medically required -Rooming in -Cue feeding , 8-12x -No artificial teats -Support groups Where is milk produced ? - ....ANSWER...Alveoli How is milk ejected into ducts from alveoli ? aka let down - ....ANSWER...Myoepitheal cells encase the aveoli , contract in response to oxytocin . In response to sucking oxytocin increases Different stages of breast development - ....ANSWER...embryogenesis : Mammary gland while embryo - Mammogenesis : @ puberty , estrogen influences growth of ducts and buds -Lactogensesis 1 : Fullness and tenderness while pregnant . Ducts stimulated . Lactogenesis 2 : Secretory activation when placenta out . D / t increase of prolactin when progestrone decreases