CERTIFIED LACTATION CONSULTANT 2024 EXAM/CLC EXAM AND PRACTICE QUESTIONS 450 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /ALL IN ONE DOCUMENT/ ALREADY GRADED A+

CERTIFIED LACTATION CONSULTANT 2024 EXAM/CLC EXAM AND PRACTICE QUESTIONS 450 QUESTIONS WITH DETAILED VERIFIED SOLUTIONS /ALL IN ONE DOCUMENT/ ALREADY GRADED A+ CERTIFIED LACTATION CONSULTANT EXAM 2024 what are the two major hormone of lactation? Where are they secreted from? - ...ANSWER....oxytocin and prolactin, pituitary gland Prolactin is the hormone responsible for? - ...ANSWER....Milk production What is the passage of prolactin being produced - ...ANSWER....baby suckles- message to nervous system tells brain to secrete prolacin in blood- then tranverse into mother body into milk cells where milk is produced When doe humans have prolactin in them - ...ANSWER....all the time (non pregnant, non lactating breast and nipples increase level of prolactin when touched) What is in receptor site during pregnancy? - ...ANSWER....Progesterone When placenta leaves the body, the body responds by pushing ______ out of the receptor sites? - ...ANSWER....progesterone When placenta is pushed out of body, progesterone leaves the receptor sites and they are open briefly, what goes inside to set site for lactation? - ...ANSWER....Prolactin If prolactin is not set during first few hours after birth- - ...ANSWER....there will be fewer sites and cause issues with milk supply Ongoing milk supply is associated with suckling within first ______ hours after birth - ...ANSWER....2 For mothers with preemies initation of milk expression before _______ hours resulted in significantly more milk by day 7 - ...ANSWER....one What hormone T3, T4, T5 - ...ANSWER....Oxytocin When oxytocin hits myoepitheal cells what happens? - ...ANSWER....They start retracting Oxytocin helps ducts to ______ in size and lumen to get ______ - ...ANSWER....increase, smaller What triggers oxytocin? - ...ANSWER....1. conditioned response (repeated stimuli over time) 2. Nipple Stretching (happens with proper latch- oxytocin levels goes up and down with suck and swallow) 3. baby hand massage (has to do with T3 and T5) each hand movement releases oxytocin how might preterm and early term babies struggle with breastfeeding? - ...ANSWER....less alert, less stamina, greater difficulty latching, issues transfering milk PIBBS - ...ANSWER....preterm infant breastfeeding behavior scale what breastfeeding technique is good for hypotonic like down syndrome - ...ANSWER....dancer breastfeeding position breastfeeding with cleft lip or palate - ...ANSWER....making a seal/vaccum the challenge, use alternitive massage, mother nipple point to intact part of palate, mother keep up coordinate with baby suck and swallow Does breastfeeding lower cases of otitis media? - ...ANSWER....yes What can you do right away to increase milk volume? - ...ANSWER....hand expression within 1 hour of birth, express in proximity to infant, double stimulation (send x3 messages to brain), collect milk on one breast while nursing on other Power pumping - ...ANSWER....for a day or 2 might increase volume, pump 5 min, pause 5 min, pump 5 min What is protocolitis? When might it occur? - ...ANSWER....rectal bleeding may occur in exclusively breastfeeding- cows milk protein allergy, standard treamtent offending protein from mothers diet (cows milk, corn, soy, milk, egg and chocolate), resolution of visible rectal bleeding took place 72-96 hrs in most babies Why is it important to support calcium needs in breastfeeding? - ...ANSWER....breastmilk calcium is met by renal calcium conservation and lost of bone (3-9% decrease in bone density during lactation) but gain after weaning how much alcohol per kg is safe for breastfeeding mother - ...ANSWER....0.5 g of alcohol per kg 9 stages of skin to skin - ...ANSWER....1. birth cry 2. relaxation 3. Awakening 4. activity 5. rest 6. crawling/sliding 7. famerilization 8. suckling 9. sleeping breastfeeding considerations at 4-6 months - ...ANSWER....easily distractible, may need to be quieter place, seperation anxiety, sore nipple can happen as teething and saliva changes and new enzymes Complementary feeding - ...ANSWER....refers to anything other than breastmilk and infant formula-both solids and liquids, when milk no longer sufficient to meet nutritional requirements Where is oxytocin and prolactin excreted? - ...ANSWER....pituitary gland ______ is excreted from posterior pituitary? - ...ANSWER....Oxytocin ______ is excreted from anterior pituitary? - ...ANSWER....Prolactin