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ALPP CLC Exam (First Version)
How long has breastfeeding been a public health priority? ---------CORRECT
ANSWER-----------------Tropical climates - since 1930s
US - since 1990s
How much would it cost to prevent needless deaths due to not breastfeeding? ----
-----CORRECT ANSWER-----------------Less than $6 billion worldwide
Healthy People 2030 Goal ---------CORRECT ANSWER-----------------Reduce rate of
infant death from 5.8 per 1,000 live births to 5.0 (14%)
Women who do not breastfeed are at a greater risk of: ---------CORRECT ANSWER-
----------------Myocardial Infarction
Metabolic Syndrome
Cancer (breast, endometrial, ovarian)
,Nursing a baby for 1 year or more decreases by 10-15% the risk of developing
these conditions when postmenopausal compared to those who were pregnant
but didn't breastfeed ---------CORRECT ANSWER-----------------Hypertension
Diabetes
Hyperlipidemia
Cardiovascular disease
WHO & UNICEF Strategies for increasing breastfeeding initiation and duration in
every country ---------CORRECT ANSWER-----------------1. Breastfeeding Promotion
2. Breastfeeding Protection
3. Breastfeeding Support
Breastfeeding Promotion ---------CORRECT ANSWER-----------------focuses on
advantages of breastfeeding on a personal, community, country or global level
Breastfeeding Protection ---------CORRECT ANSWER------------------ Focuses on
government, manufacturer and social responsibility to assure breastfeeding's
ability to compete with commercial interests
- Addresses improper marketing practices
- State and local legislation that protects breastfeeding in public, at work, in
institutions
,Breastfeeding Support ---------CORRECT ANSWER-----------------Focuses on
- Interaction of "helpers with" family
- Program development and implementation
2 reasons why breastfeeding is so difficult ---------CORRECT ANSWER-----------------
1. Unrealistic expectations
2. Lack of timely interventions
Breastfeeding difficulties at days ____ posed the greatest risk to stopping ---------
CORRECT ANSWER-----------------3-7
The fastest breastfeeding drop-off is in the __ days following discharge from the
hospital ---------CORRECT ANSWER-----------------10
The International Code of Marketing of Breastmilk Substitutes ---------CORRECT
ANSWER------------------ regulates the marketing of breastmilk substitutes to
protect breastfeeding
- internationally agreed voluntary code of practice published by the WHO
- sets standards for the labeling and quality of products
, Healthy People 2030 BF Goals ---------CORRECT ANSWER-----------------Exclusive
breastfeeding through 6 mos: 42.4%
Breastfed at 1 year: 54.1%
Healthy People 2020 added BF targets ---------CORRECT ANSWER------------------
Increase worksite lactation programs
- Reduce percentage of BF infants who receive formula before 2 days of age
- Increase the proportion of live births that occur in facilities that provide proper
lactation care
Prolactin ---------CORRECT ANSWER------------------ Increased by nipple/areola
stimulation
- Levels decrease between nursings and rise during nursing; infrequent nursings =
lower levels and less rise at next feed despite amount of nipple contact
- Much more responsive postpartum
* Not affected by stress
Progesterone ---------CORRECT ANSWER------------------ Blocks milk production
during pregnancy (placenta)
Suckling within the __ hrs after birth is positively associated with ongoing milk
production ---------CORRECT ANSWER-----------------first 2