CLC Test Exam Question and Verified Answers Graded A+
1. The International Code: addresses improper marketing practices ex
hospital giving out discharge packages with ƒormula
2. Milking Stool- 3 legs: Protect, promote & Support-want all to be equal
3. Levels oƒ evidence based pyramid: top - bottom: 1.Metanalysis &systemic reviews 2.
Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
4. When is greatest risk oƒ stopping breastƒeeding?: 3-7 days (aƒter going home ƒrom
hospital)
5. Top reasons people stop breastƒeeding: baby won't latch, breast pain/sore- ness,
work/school
6. Russ Labs Marketing Survey: survey 1965-2001 ƒormula company tracking
breastƒeeding goals
7. Races in Order most likely to BƑ: spanish speaking-hispanic, white, hispanic, black
8. Global Strategy ƒor Inƒant and young ƒeeding: WHO and UNICEƑ developed this global
strategy to ƒocus world attention on impact oƒ ƒeeding practices on the nutritional status,
growth, development and health and thus the survival oƒ inƒants and young children.
9. World Breastƒeeding trends innitive: help track how they are doing on global outcomes
10. innocenti ospitale -ƒlorence: BƑ orphan babies increased rate oƒ survival-to- day
UNICEƑ child resource nutrition center
11. path oƒ messages to make milk: message to breast-to nervous system -to brain- to
hormones to travel to breast- then to blood stream
12. what cells make milk: alveolar cells
13. alveolar cells are what?
what are they surrounded by: layer oƒ cells with milk inside, surrounded by myoep- itheal cells
14. Myoepitheal cells will contract when what hits them: oxytocin
15. Are the ducts in breast evenly spaced?: No varies woman to woman
16. How many nipple pores each breast?: 3-5
17. Milk is & ƒrom sebaceous gland: antimicrobial and sticky
,18. what are the two major hormone oƒ lactation? Where are they secreted ƒrom?:
oxytocin and prolactin, pituitary gland
19. Prolactin is the hormone responsible ƒor?: Milk production
20. What is the passage oƒ prolactin being produced: 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
, 21. When doe humans have prolactin in them: all the time (non pregnant, non lactating
breast and nipples increase level oƒ prolactin when touched)
22. Prolactin levels go in between nursing and during nursing.: -
down, rise
23. nursing leads to lower levels oƒ prolactin and less rise with same amount oƒ
contact.: inƒrequent
24. Iƒ inƒants do no have ƒrequent times at breast ƒirst ƒew days prolactin will be
and sites will be primed and receptor sites will start to
.: low, not, start shutting down
25. What is in receptor site during pregnancy?: Progesterone
26. When placenta leaves the body, the body responds by pushing out
oƒ the receptor sites?: progesterone
27. When placenta is pushed out oƒ body, progesterone leaves the receptor sites and
they are open brieƒly, what goes inside to set site ƒor lactation?: Pro- lactin
28. Iƒ prolactin is not set during ƒirst ƒew hours aƒter birth-: there will be ƒewer sites and
cause issues with milk supply
29. Ongoing milk supply is associated with suckling within ƒirst hours
aƒter birth: 2
30. Ƒor mothers with preemies initation oƒ milk expression beƒore
hours resulted in signiƒicantly more milk by day 7: one
31. What hormone T3, T4, T5: Oxytocin
32. When oxytocin hits myoepitheal cells what happens?: They start retracting
33. Oxytocin helps ducts to in size and lumen to get : increase,
smaller
34. What triggers oxytocin?: 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
35. Where is oxytocin and prolactin excreted?: pituitary gland
36. is excreted ƒrom posterior pituitary?: Oxytocin
37. is excreted ƒrom anterior pituitary?: Prolactin
1. The International Code: addresses improper marketing practices ex
hospital giving out discharge packages with ƒormula
2. Milking Stool- 3 legs: Protect, promote & Support-want all to be equal
3. Levels oƒ evidence based pyramid: top - bottom: 1.Metanalysis &systemic reviews 2.
Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
4. When is greatest risk oƒ stopping breastƒeeding?: 3-7 days (aƒter going home ƒrom
hospital)
5. Top reasons people stop breastƒeeding: baby won't latch, breast pain/sore- ness,
work/school
6. Russ Labs Marketing Survey: survey 1965-2001 ƒormula company tracking
breastƒeeding goals
7. Races in Order most likely to BƑ: spanish speaking-hispanic, white, hispanic, black
8. Global Strategy ƒor Inƒant and young ƒeeding: WHO and UNICEƑ developed this global
strategy to ƒocus world attention on impact oƒ ƒeeding practices on the nutritional status,
growth, development and health and thus the survival oƒ inƒants and young children.
9. World Breastƒeeding trends innitive: help track how they are doing on global outcomes
10. innocenti ospitale -ƒlorence: BƑ orphan babies increased rate oƒ survival-to- day
UNICEƑ child resource nutrition center
11. path oƒ messages to make milk: message to breast-to nervous system -to brain- to
hormones to travel to breast- then to blood stream
12. what cells make milk: alveolar cells
13. alveolar cells are what?
what are they surrounded by: layer oƒ cells with milk inside, surrounded by myoep- itheal cells
14. Myoepitheal cells will contract when what hits them: oxytocin
15. Are the ducts in breast evenly spaced?: No varies woman to woman
16. How many nipple pores each breast?: 3-5
17. Milk is & ƒrom sebaceous gland: antimicrobial and sticky
,18. what are the two major hormone oƒ lactation? Where are they secreted ƒrom?:
oxytocin and prolactin, pituitary gland
19. Prolactin is the hormone responsible ƒor?: Milk production
20. What is the passage oƒ prolactin being produced: 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
, 21. When doe humans have prolactin in them: all the time (non pregnant, non lactating
breast and nipples increase level oƒ prolactin when touched)
22. Prolactin levels go in between nursing and during nursing.: -
down, rise
23. nursing leads to lower levels oƒ prolactin and less rise with same amount oƒ
contact.: inƒrequent
24. Iƒ inƒants do no have ƒrequent times at breast ƒirst ƒew days prolactin will be
and sites will be primed and receptor sites will start to
.: low, not, start shutting down
25. What is in receptor site during pregnancy?: Progesterone
26. When placenta leaves the body, the body responds by pushing out
oƒ the receptor sites?: progesterone
27. When placenta is pushed out oƒ body, progesterone leaves the receptor sites and
they are open brieƒly, what goes inside to set site ƒor lactation?: Pro- lactin
28. Iƒ prolactin is not set during ƒirst ƒew hours aƒter birth-: there will be ƒewer sites and
cause issues with milk supply
29. Ongoing milk supply is associated with suckling within ƒirst hours
aƒter birth: 2
30. Ƒor mothers with preemies initation oƒ milk expression beƒore
hours resulted in signiƒicantly more milk by day 7: one
31. What hormone T3, T4, T5: Oxytocin
32. When oxytocin hits myoepitheal cells what happens?: They start retracting
33. Oxytocin helps ducts to in size and lumen to get : increase,
smaller
34. What triggers oxytocin?: 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
35. Where is oxytocin and prolactin excreted?: pituitary gland
36. is excreted ƒrom posterior pituitary?: Oxytocin
37. is excreted ƒrom anterior pituitary?: Prolactin
