CLC EXAM 2024 150+ TEST QUESTIONS WITH ACCURATE SOLUTIONS
How to support exclusive BFing
-expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_________ levels go down in b/t nursing's and rise during nursing
prolactin
Infrequent nursing leads to lower levels of this hormone even with the same amount of
nipple contact
prolactin
after delivery of the placenta
progesterone goes down and prolactin goes up
Nipple stretching increases this hormone
oxytocin
,Nipple stimulation increases this hormone
prolactin
3 mechanisms that can trigger oxytocin
conditioned response (milk ejection reflex), nipple stretching, baby hand massage
Lactogenesis 1 is responsible for
production of colostrum, milk cells starting to develop
the birth of the placenta triggers
lactogenesis 2, a rapid drop in progesterone and transitional milk
lactogenesis 3
galactopoesis, mature milk, prolactin from frequent nipple stimulation (* frequent removal
of milk)
Lactogenesis 3 generally happens around when postpartum
3-5 days
,target milk production by day 8
750-1000 mL/ day per baby
true or false: sometimes foremilk and hind milk have equal amounts of fat
True
Preterm milk appears to have a different composition for the first _____weeks after delivery
5-7 weeks
breastmilk composition changes
-over the course of lactation
-within the day
-within a feeding
-between feedings
Brestfed babies can regulate this fat intake quickly and thus mother's should be
encouraged to follow
baby-led feeding
the leading cause of infant deaths
diarrhea
, true or false: the bioavailability of nutrients is higher in human milk than in other foods or
supplements
true
The gut in breastfed babies is more or less acidic than formula fed babies
more acidic (formula fed babies have more neutral/basic gut)
ways that BFing protects babies from diarrhea
-keeps their gut microbiome healthy and the pH of the gut more acidic
-low iron in the gut
presence of bifidus factor which promotes the intestinal presence of lactobacillus bifidus
which crowds out pathogenic organisms
-presence of hormones such as prostaglandins, GI hormones, prolactin
-antimicrobial activity boosters
-antibodies such as SIga
human babies are born without this antibody and get it through colostrum
SIga
Mother's IgA as been found to protect against this is preterm infants
necrotizing enterocolitis
How to support exclusive BFing
-expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_________ levels go down in b/t nursing's and rise during nursing
prolactin
Infrequent nursing leads to lower levels of this hormone even with the same amount of
nipple contact
prolactin
after delivery of the placenta
progesterone goes down and prolactin goes up
Nipple stretching increases this hormone
oxytocin
,Nipple stimulation increases this hormone
prolactin
3 mechanisms that can trigger oxytocin
conditioned response (milk ejection reflex), nipple stretching, baby hand massage
Lactogenesis 1 is responsible for
production of colostrum, milk cells starting to develop
the birth of the placenta triggers
lactogenesis 2, a rapid drop in progesterone and transitional milk
lactogenesis 3
galactopoesis, mature milk, prolactin from frequent nipple stimulation (* frequent removal
of milk)
Lactogenesis 3 generally happens around when postpartum
3-5 days
,target milk production by day 8
750-1000 mL/ day per baby
true or false: sometimes foremilk and hind milk have equal amounts of fat
True
Preterm milk appears to have a different composition for the first _____weeks after delivery
5-7 weeks
breastmilk composition changes
-over the course of lactation
-within the day
-within a feeding
-between feedings
Brestfed babies can regulate this fat intake quickly and thus mother's should be
encouraged to follow
baby-led feeding
the leading cause of infant deaths
diarrhea
, true or false: the bioavailability of nutrients is higher in human milk than in other foods or
supplements
true
The gut in breastfed babies is more or less acidic than formula fed babies
more acidic (formula fed babies have more neutral/basic gut)
ways that BFing protects babies from diarrhea
-keeps their gut microbiome healthy and the pH of the gut more acidic
-low iron in the gut
presence of bifidus factor which promotes the intestinal presence of lactobacillus bifidus
which crowds out pathogenic organisms
-presence of hormones such as prostaglandins, GI hormones, prolactin
-antimicrobial activity boosters
-antibodies such as SIga
human babies are born without this antibody and get it through colostrum
SIga
Mother's IgA as been found to protect against this is preterm infants
necrotizing enterocolitis
