CLC NOTES 2A & 2B QUESTIONS WITH ACTUAL
ANSWERS 2025 - 2026
3,negative,influences,on,milk,production,,ANS,-
,long,spaces,between,feedings,,long/slow,feedings,,excessive,pressure,in,the,breast
Excessive,pressure,can,result,from,___,,____,,and,___,____,____,,especially,early,on,(ex.,during,lactogene
sis,II/secretory,activation,when,you're,body,is,getting,to,feed,1,or,multiple,babies),,ANS,-
,vascular,,lymphatic,,third-spacing,forces
Normal,fullness,of,the,breast:,breast,is,____,to,touch,,body,temp,normal,,mother,feels,well,,breast,may,b
e,hot,,baby,can,grasp,nipple,,ANS,-,soft
Engorgement:,breast,is,___,,temp,is,normal,but,breast/nipple,is,warmer?,,mother,feels,discomfort,,breast
,is,___,and,___,,nipple,is,difficult,to,grasp/baby,can't,latch,,ANS,-,hard,,hot,,shiny
Engorgement,symptoms,occur,most,commonly,between,days,__,and,__,,but,mothers,who,have,had,IV,flu
ids,in,labor,and,postpartum,have,higher,levels,of,swelling,up,to,day,__.,Women,with,cesarean,births,exper
ience,peak,engorgement,24-48,hours,later,than,those,who,deliver,vaginally.,,ANS,-,3,and,5,,9
More,time,spent,breastfeeding,in,the,first,___,hours,is,associated,with,less,engorgement.,,ANS,-,48
The,process,of,engorgement,results,in,pressure,building,up,inside,the,breast.,As,the,pressure,inside,the,br
east,increases,,milk,production,____.,This,is,nature's,early,lactation,dry-
up,mechanism.,Failure,to,actively,resolve,prolonged,symptomatic,engorgement,may,have,a,negative,imp
act,on,continued,milk,supply.,,ANS,-,Decreases
True/false:,You,should,not,put,a,breast,bump,onto,an,engorged,breast.,,ANS,-
,True,,because,enlarged,cells,but,pressure,onto,the,capillaries,and,block,the,transit,of,hormones.,If,really,b
ad,,may,pump,blood.
How,should,you,help,with,engorgement?,,ANS,-
,Immerse,breasts,in,water,at,a,comfortable,temp,,milk,will,squirt,out
, What,hormone,makes,colostrum?,,ANS,-
,Progesterone,,hormone,from,placenta.,Ducts,are,intact,but,no,milk,is,made,because,prolactin,isn't,signali
ng,yet,(need,full,removal,of,placenta)
Pressure,can,result,from,these,four,things,,ANS,-
,Too,much,milk,left,in,breast,,missed,feedings,,restrictive,bras,and,clothing,,breast,implants,(reduced,stor
age,capacity)
With,surgery,,concern,for,exclusive,breastfeeding,centers,on,concern,for,damage,to,the,___,or,___.,Ex.,pe
ri-
areolar,incision,may,impact,these,and,result,in,inability,to,produce,enough,milk.,___,is,less,invasive?,,ANS,
-,nerves,or,ducts,,pedicle
What,to,see,to,those,who,have,had,breast,surgery,or,injury,,ANS,-
,We,don't,know,what,impact,this,will,have,on,breastfeeding
Concerns,for,suboptimal,breast,anatomy:,___,of,breast,changes,in,pregnancy,or,early,days,postpartum,,A
NS,-,absence,,no,postpartum,breast,fullness,or,signs,of,abundant,milk,production
Unilateral,underdeveloped,breast,,may,indicate,inadequate,glandular,tissue.,Look,for,discrepant,breast,si
ze,,may,,ANS,-,Hypoplastic,breast(s)
True/false:,Any,abnormality,,breast,surgery,,and/or,breast,injury,may,impact,breastfeeding.,,ANS,-,True
Things,to,think,about,with,mothers,with,breast,surgery,or,injury,,ANS,-
,Are,the,ducts,patent,,are,the,nipple,pores,patent,,are,there,signs,of,hormonal,connection,,are,there,conc
erns,about,weight,gain,of,baby,,is,there,adequate,pediatric,supervision
Nipple,____,for,prolactin,,ANS,-,stroking
Nipple,___,for,oxytocin,,ANS,-,stretching
ANSWERS 2025 - 2026
3,negative,influences,on,milk,production,,ANS,-
,long,spaces,between,feedings,,long/slow,feedings,,excessive,pressure,in,the,breast
Excessive,pressure,can,result,from,___,,____,,and,___,____,____,,especially,early,on,(ex.,during,lactogene
sis,II/secretory,activation,when,you're,body,is,getting,to,feed,1,or,multiple,babies),,ANS,-
,vascular,,lymphatic,,third-spacing,forces
Normal,fullness,of,the,breast:,breast,is,____,to,touch,,body,temp,normal,,mother,feels,well,,breast,may,b
e,hot,,baby,can,grasp,nipple,,ANS,-,soft
Engorgement:,breast,is,___,,temp,is,normal,but,breast/nipple,is,warmer?,,mother,feels,discomfort,,breast
,is,___,and,___,,nipple,is,difficult,to,grasp/baby,can't,latch,,ANS,-,hard,,hot,,shiny
Engorgement,symptoms,occur,most,commonly,between,days,__,and,__,,but,mothers,who,have,had,IV,flu
ids,in,labor,and,postpartum,have,higher,levels,of,swelling,up,to,day,__.,Women,with,cesarean,births,exper
ience,peak,engorgement,24-48,hours,later,than,those,who,deliver,vaginally.,,ANS,-,3,and,5,,9
More,time,spent,breastfeeding,in,the,first,___,hours,is,associated,with,less,engorgement.,,ANS,-,48
The,process,of,engorgement,results,in,pressure,building,up,inside,the,breast.,As,the,pressure,inside,the,br
east,increases,,milk,production,____.,This,is,nature's,early,lactation,dry-
up,mechanism.,Failure,to,actively,resolve,prolonged,symptomatic,engorgement,may,have,a,negative,imp
act,on,continued,milk,supply.,,ANS,-,Decreases
True/false:,You,should,not,put,a,breast,bump,onto,an,engorged,breast.,,ANS,-
,True,,because,enlarged,cells,but,pressure,onto,the,capillaries,and,block,the,transit,of,hormones.,If,really,b
ad,,may,pump,blood.
How,should,you,help,with,engorgement?,,ANS,-
,Immerse,breasts,in,water,at,a,comfortable,temp,,milk,will,squirt,out
, What,hormone,makes,colostrum?,,ANS,-
,Progesterone,,hormone,from,placenta.,Ducts,are,intact,but,no,milk,is,made,because,prolactin,isn't,signali
ng,yet,(need,full,removal,of,placenta)
Pressure,can,result,from,these,four,things,,ANS,-
,Too,much,milk,left,in,breast,,missed,feedings,,restrictive,bras,and,clothing,,breast,implants,(reduced,stor
age,capacity)
With,surgery,,concern,for,exclusive,breastfeeding,centers,on,concern,for,damage,to,the,___,or,___.,Ex.,pe
ri-
areolar,incision,may,impact,these,and,result,in,inability,to,produce,enough,milk.,___,is,less,invasive?,,ANS,
-,nerves,or,ducts,,pedicle
What,to,see,to,those,who,have,had,breast,surgery,or,injury,,ANS,-
,We,don't,know,what,impact,this,will,have,on,breastfeeding
Concerns,for,suboptimal,breast,anatomy:,___,of,breast,changes,in,pregnancy,or,early,days,postpartum,,A
NS,-,absence,,no,postpartum,breast,fullness,or,signs,of,abundant,milk,production
Unilateral,underdeveloped,breast,,may,indicate,inadequate,glandular,tissue.,Look,for,discrepant,breast,si
ze,,may,,ANS,-,Hypoplastic,breast(s)
True/false:,Any,abnormality,,breast,surgery,,and/or,breast,injury,may,impact,breastfeeding.,,ANS,-,True
Things,to,think,about,with,mothers,with,breast,surgery,or,injury,,ANS,-
,Are,the,ducts,patent,,are,the,nipple,pores,patent,,are,there,signs,of,hormonal,connection,,are,there,conc
erns,about,weight,gain,of,baby,,is,there,adequate,pediatric,supervision
Nipple,____,for,prolactin,,ANS,-,stroking
Nipple,___,for,oxytocin,,ANS,-,stretching
