CLC || with Complete Solutions.
Predominant Breastfeeding correct answers Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding correct answers Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding correct answers Child is between 6-23 months receiving both human
milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration correct answers Promotion, Protection,
Support
Promotion correct answers Focuses on advantages of BF on a personal, community, country, or
global level. BF to the community.
Protection correct answers Focuses on government, manufacturer, and social responsibility to
assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes correct answers Addresses improper
marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? correct answers Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? correct answers No
distributing formula, discharge bags, industry written handouts.
Support correct answers Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF correct answers 1. Written BF policy. Skin to Skin immediately after
birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
,Healthcare staff responsibility for working with lactating mothers include what? correct answers
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? correct answers
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs correct answers Baby's weight x 2.5 (2.7 or 3.0 if
Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? correct answers Hydration (elimination
patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? correct answers Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? correct answers 4, some yellow by
day 4.
When should a baby be back to birth weight? correct answers 12-14 days post birth
How much weight should a baby gain daily? correct answers Approximately 1 ounce
Why do women supplement with formula when there is no medical need? correct answers 1.
Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? correct answers 3-7 days post D/C.
Alveoli correct answers Small glands in the breast that produce milk
At-Breast Supplementer correct answers SNS system
Atopy correct answers hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative correct answers Initiative by UNICEF and
WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
, Bilirubin correct answers an orange-yellow pigment formed in the liver by the breakdown of
hemoglobin and excreted in bile.
CCK (cholecystokinin) correct answers Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum correct answers thin, milky fluid secreted by the breast during pregnancy and during
the first days after birth before lactation begins. Causes a laxative effect which helps the baby
pass meconium.
Complementary feeding correct answers Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of infants, therefore other foods or liquids
are introduced.
Coryllos type correct answers Classification system for anklyloglossia
Dancer Hand Position correct answers Technique used to support Baby's chin and mother's
breast. Use Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells correct answers found in the walls of the alveoli, simple squamous epithelial cells,
main sites of gas exchange
myoepithelial cells correct answers contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
Montgomery glands correct answers Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? correct answers -Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? correct answers Prolactin and
Oxytocin
Prolactin (4 details related to milk production) correct answers 1. is triggered by touch (pregnant
and non pregnant women). Higher levels when stimulating breast/nipples vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels. (Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
Average number of feeds in a day? correct answers 8-12
What produces colostrum? correct answers Progesterone in the receptor sites
Predominant Breastfeeding correct answers Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding correct answers Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding correct answers Child is between 6-23 months receiving both human
milk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration correct answers Promotion, Protection,
Support
Promotion correct answers Focuses on advantages of BF on a personal, community, country, or
global level. BF to the community.
Protection correct answers Focuses on government, manufacturer, and social responsibility to
assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes correct answers Addresses improper
marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? correct answers Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International Code? correct answers No
distributing formula, discharge bags, industry written handouts.
Support correct answers Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF correct answers 1. Written BF policy. Skin to Skin immediately after
birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
,Healthcare staff responsibility for working with lactating mothers include what? correct answers
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? correct answers
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs correct answers Baby's weight x 2.5 (2.7 or 3.0 if
Baby needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? correct answers Hydration (elimination
patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? correct answers Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? correct answers 4, some yellow by
day 4.
When should a baby be back to birth weight? correct answers 12-14 days post birth
How much weight should a baby gain daily? correct answers Approximately 1 ounce
Why do women supplement with formula when there is no medical need? correct answers 1.
Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? correct answers 3-7 days post D/C.
Alveoli correct answers Small glands in the breast that produce milk
At-Breast Supplementer correct answers SNS system
Atopy correct answers hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative correct answers Initiative by UNICEF and
WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
, Bilirubin correct answers an orange-yellow pigment formed in the liver by the breakdown of
hemoglobin and excreted in bile.
CCK (cholecystokinin) correct answers Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum correct answers thin, milky fluid secreted by the breast during pregnancy and during
the first days after birth before lactation begins. Causes a laxative effect which helps the baby
pass meconium.
Complementary feeding correct answers Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of infants, therefore other foods or liquids
are introduced.
Coryllos type correct answers Classification system for anklyloglossia
Dancer Hand Position correct answers Technique used to support Baby's chin and mother's
breast. Use Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells correct answers found in the walls of the alveoli, simple squamous epithelial cells,
main sites of gas exchange
myoepithelial cells correct answers contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
Montgomery glands correct answers Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? correct answers -Fat is mixed
throughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? correct answers Prolactin and
Oxytocin
Prolactin (4 details related to milk production) correct answers 1. is triggered by touch (pregnant
and non pregnant women). Higher levels when stimulating breast/nipples vs breast alone.
2. Lengthening time between feeding leads to lower baseline levels. (Weaning)
3. levels go down between nursings and rise during nursing.
4. Infrequent nursing leads to lowering of this hormone
Average number of feeds in a day? correct answers 8-12
What produces colostrum? correct answers Progesterone in the receptor sites
