CLC SECTION 2A/B || 100% Error-free Answers.
Negative influences on milk production correct answers Long spaces between feedings
Long, slow feedings
Excessive pressure in the breast
Breast Surgery or Injury
Suboptimal breast
anatomy
Suboptimal or Altered Physiology
Physical Objects
Negative influences on milk production
EXCESSIVE PRESSURE IN BREAST correct answers Vascular, lymphatic, and third-spacing
forces, especially early on in Secretory activation (Lactogenesis II)
Normal fullness correct answers Breast soft to touch
Body temp normal
Mom feels well
Breast may be hot
Baby can grasp nipple
Breast fullness that occurs when the milk is "coming in". Extra blood and lymph are brought to
the breast. The breast may feel warm, full, and heavy
Engorgement correct answers Breast hard
Temp normal
feels discomfort
breast is shiny and hot
nipple difficult to grasp and baby cant latch
Painful swelling of breast tissue as a result of rapid increase in milk production and venous
congestion causing interstitial tissue edema; impaired milk flow results in accumulation of milk
in breasts;
,AS A RULE
Breast that are ____, ____, ____, and ______ are NORMAL correct answers Rounder
fuller
firmer
heavier
Engorgement symptoms occur most commonly between days correct answers 3 and 5
mothers who have had IV fluids in labor and postpartum have higher levels of swelling up to day
correct answers 9
Women with cesarean births experience peak engorgement _______hours later than those who
deliver vaginally. correct answers 24-48
More time spent BF in the first _________ is associated with less engorgement (ABM Protocol
#20) correct answers 48 HOURS
As the pressure inside the breast increases....________________.... this is nature's early lactation
dry-up mechanism correct answers milk production decreases
Failure to effectively resolve prolonged symptomatic engorgement may have a negative impact
on ____? correct answers continued adequate milk supply
What is the best treatment for engorgement? correct answers There is NO sufficient evidence on
treating engorgement.
However the water trick may help.
Should a mother pump when engorged correct answers NO Putting a pump on an engorged
breast is not a good idea, can bust the capillaries and cause for bleeding
Overall, too much pressure can result from correct answers vascular, lymphatic, and third-
spacing forces, especially early on
Secretory activation - Lactogenesis II
Too much milk left in the breast
Missed feedings
Restrictive bras and clothing
Breast Implants
Breast Implants and excessive internal pressure correct answers With implants, concern centers
on storage capacity reduction -
, Significantly greater
incidence of lactation insufficiency with implants vs. no implants in a controlled study.
Women with implants were less likely to establish breastfeeding especially exclusive BF
storage capacity is impacted no matter if the implant is above or below the muscle.
Negative influences on milk production
BREAST SURGERY correct answers With surgery, concern centers on
Damage to nerves Damage to ducts
What breast incision can do the most damage correct answers peri-areolar incision can extend all
around the areola.
Look for the defined margin where the color changes from areola to breast.
free nipple graft correct answers May or may not regrow dducts and vessels needed.
COMPLETE removal of nipple and areolar complex. Wedges of tissue removed from lower
breast. Not appropriate if childbearing anticipated.
Pedicle correct answers • Women who underwent breast reduction surgery compared with
controls had a significantly shorter time of exclusive and any breastfeeding.
study showed they can breastfeed but had significantly shorter time of exclusive bf.
seeing colostrum in these women is great that tells us the brain is still connecting to the ducts,
but we don't know what that I'll mean later for mature milk.
Chest masculinization "top" surgery correct answers Transmasculine individuals' experiences
with chestfeeding
Out of 22 participants, 16 chose to chestfeed for some period of time after pregnancy
Wide range of experiences - no single experience - some participants had not had chest
masculinization surgery prior to pregnancy and lactation
Restarting testosterone and binding were common concerns
Care providers should communicate an understanding of gender dysphoria and transgender
identities in order to build trust and provide transgender competent care
Counseling implications after breast surgery correct answers Likelihood of full breastfeeding is
unknown
Negative influences on milk production correct answers Long spaces between feedings
Long, slow feedings
Excessive pressure in the breast
Breast Surgery or Injury
Suboptimal breast
anatomy
Suboptimal or Altered Physiology
Physical Objects
Negative influences on milk production
EXCESSIVE PRESSURE IN BREAST correct answers Vascular, lymphatic, and third-spacing
forces, especially early on in Secretory activation (Lactogenesis II)
Normal fullness correct answers Breast soft to touch
Body temp normal
Mom feels well
Breast may be hot
Baby can grasp nipple
Breast fullness that occurs when the milk is "coming in". Extra blood and lymph are brought to
the breast. The breast may feel warm, full, and heavy
Engorgement correct answers Breast hard
Temp normal
feels discomfort
breast is shiny and hot
nipple difficult to grasp and baby cant latch
Painful swelling of breast tissue as a result of rapid increase in milk production and venous
congestion causing interstitial tissue edema; impaired milk flow results in accumulation of milk
in breasts;
,AS A RULE
Breast that are ____, ____, ____, and ______ are NORMAL correct answers Rounder
fuller
firmer
heavier
Engorgement symptoms occur most commonly between days correct answers 3 and 5
mothers who have had IV fluids in labor and postpartum have higher levels of swelling up to day
correct answers 9
Women with cesarean births experience peak engorgement _______hours later than those who
deliver vaginally. correct answers 24-48
More time spent BF in the first _________ is associated with less engorgement (ABM Protocol
#20) correct answers 48 HOURS
As the pressure inside the breast increases....________________.... this is nature's early lactation
dry-up mechanism correct answers milk production decreases
Failure to effectively resolve prolonged symptomatic engorgement may have a negative impact
on ____? correct answers continued adequate milk supply
What is the best treatment for engorgement? correct answers There is NO sufficient evidence on
treating engorgement.
However the water trick may help.
Should a mother pump when engorged correct answers NO Putting a pump on an engorged
breast is not a good idea, can bust the capillaries and cause for bleeding
Overall, too much pressure can result from correct answers vascular, lymphatic, and third-
spacing forces, especially early on
Secretory activation - Lactogenesis II
Too much milk left in the breast
Missed feedings
Restrictive bras and clothing
Breast Implants
Breast Implants and excessive internal pressure correct answers With implants, concern centers
on storage capacity reduction -
, Significantly greater
incidence of lactation insufficiency with implants vs. no implants in a controlled study.
Women with implants were less likely to establish breastfeeding especially exclusive BF
storage capacity is impacted no matter if the implant is above or below the muscle.
Negative influences on milk production
BREAST SURGERY correct answers With surgery, concern centers on
Damage to nerves Damage to ducts
What breast incision can do the most damage correct answers peri-areolar incision can extend all
around the areola.
Look for the defined margin where the color changes from areola to breast.
free nipple graft correct answers May or may not regrow dducts and vessels needed.
COMPLETE removal of nipple and areolar complex. Wedges of tissue removed from lower
breast. Not appropriate if childbearing anticipated.
Pedicle correct answers • Women who underwent breast reduction surgery compared with
controls had a significantly shorter time of exclusive and any breastfeeding.
study showed they can breastfeed but had significantly shorter time of exclusive bf.
seeing colostrum in these women is great that tells us the brain is still connecting to the ducts,
but we don't know what that I'll mean later for mature milk.
Chest masculinization "top" surgery correct answers Transmasculine individuals' experiences
with chestfeeding
Out of 22 participants, 16 chose to chestfeed for some period of time after pregnancy
Wide range of experiences - no single experience - some participants had not had chest
masculinization surgery prior to pregnancy and lactation
Restarting testosterone and binding were common concerns
Care providers should communicate an understanding of gender dysphoria and transgender
identities in order to build trust and provide transgender competent care
Counseling implications after breast surgery correct answers Likelihood of full breastfeeding is
unknown
