IBCLC Exam Questions and Answers 100% SOLUTIONS

IBCLC Hypoplastic Breasts ANSWER: -Extends from 3rd to 5th rib (normal 2nd to 6th) -Usually >1.5in space between breasts WHO Code (1981) *US didn't sign ANSWER: Marketing of BM substitutes: 1. No public advertising 2. No samples to moms 3. No promotion to HC facilities 4. No company reps to advise moms 5. No gifts to HCPs 6. No words/pics idealizing art. feeds 7. Factual/scientific information only 8. Info to include benefits of BF and concerns of ABM use 9. No promotion of unsuitable products Innocenti Declaration ANSWER: Florence, Italy 1990 -Promotion of breastfeeding -By 1995, governments should: have a national breastfeeding coordinator, facilities must adhere to BFHI, take action to support the WHO code WHO/UNICEF Baby Friendly Hospital Initiative (1989) ANSWER: Evidence based methods to support successful breastfeeding 1. Written BF policy that is routinely communicated to staff 2. Train HCPs in skills required to implement policy 3. Inform pregnant women of benefits of BF 4. Help moms initiate BF within 1/2 hr of birth 5. Show moms how to BF and maintain lactation (when separated) 6. No food other than BM unless medically indicated 7. Rooming in 24/7 8. Encourage BF on demand 9. No artificial teats or pacis to BF infants 10. Foster BF support groups and refer moms upon d/c Montgomery glands/tubercles ANSWER: Theories: -Secretions during pregnancy & lactation that lubricates & protects nipples & areoles -Secretions loaded with pH decreasing fatty acids, lethal to invading microorganisms -Secretions guide baby to nipple -Hypertrophy during pregnancy Breast Composition ANSWER: -2/3 glandular tissue, 1/3 adipose tissue -No correlation between milk production and amount of glandular tissue, # of ducts, or diameter of ducts. Also between amount of glandular tissue and storage capacity Cooper's Ligaments ANSWER: -Suspensory ligaments -Heavy, fibrous bands which divide the adipose & glandular tissue of the breasts into segments Nerves to the breasts ANSWER: 4,5,6 innervate the breast Alveoli ANSWER: -Fill lobes -Contain lactocytes -Breastmilk is secreted into the alveoli. From the center of the alveoli, moves into the ductiles Lactocytes ANSWER: Cells within the alveoli that synthesize milk Ductiles ANSWER: Carry Breastmilk from alveoli to lactiferous/mammary ducts Myoepithelial cells ANSWER: -Coat drainage tract from alveoli -Contract when stimulated with oxytocin