Lactation Consultant Questions and Answers

Lactation Consultant Questions and Answers Protection Focuses on governmental. manufacturer, and social commercial interest such as Nestle company(formula maker). International code of Marketing of Breast milk substitutes Addresses improper marketing practices. It prohibits the distribution of free formula ( including discharge packages) Support Focuses on the interaction of helpers with family as well as program development and implementation. Evidence based teaching highest level Meta analysis and systemic reviews (Cochrane collaboration. Certified lactation Counselor Nationally recognized designation awarded by the academy pf lactation policy & practice (ALPP) to those who successfully complete the course competencies including verification exercises to qualify for the exam. American National standards institute (ANSI) Well recognized within the industry as enforcing the highest standards in personnel certification accreditation. Why is breastfeeding so difficult that mothers need help? Unrealistic expectation Why do breastfeeding women supplement with formula without medical reason or request in the early postpartum? Lack of preparation for what the newborn period would be like . How many days after hospital discharge is the fastest drop off from breastfeeding? First 10 days What are the most common reasons why mothers stop breast feeding? not enough milk, baby won's latch, breast pain/ soreness, and work/ school. How many days after delivery is the greatest risk for stopping BF? 3-7days Why did BF go up in the 1990s? WIC programs were created Who collects comprehensive infant feeding statistics? CDC What are the milk making cells with receptors? Glandular, lactocyte, or alveolar cells. Which hormone is produced in the posterior pituitary gland and is stimulated with hand massage and nipple stretching to allow milk to be let down? Oxytocin Which hormone is produced in the anterior pituitary gland and stimulated by sucking to produce milk? Prolactin Which receptor cites produce colostrum and plugs up receptor site during pregnacy? Progesterone Prolactin hormone takes over after pregnancy and takes up the receptor sites to produces ____________. Mature milk Oxytocin aids with uterine contraction and helps ___________ bleeding. decrease Paracellular transport: milk is higher in ___________ and _________. Sodium & protein transcellular transport transport of materials through the milk cell; requires interaction with the cytoplasm and may require transport proteins. Making human milk stage: colostrum is produced. Secretory differentiation Lactogenesis I Making human milk stage: rapid drop in progesterone. Transitional milk produced. Lactogenesis II complete delivery of placenta Making human milk stage: Prolactin from frequent nipple stimulation, frequent removal of milk. Mature milk produced. Lactogenesis III Glalactopoesis A staff member is fond of telling mothers how expensive it is to formula feed infants and how inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic? Promoting Breastfeeding Who currently collects the most comprehensive breastfeeding statistics in the United States? The center for disease (CDC) Which of the following statements about prolactin is TRUE? Prolactin causes milk to be made Which of the following mechanisms cause oxytocin to be released? Nipple stretching with appropriate latch-on Lactogenesis III requires which of the following to succeed? Frequent milk removal and nipple stimulation The fat content of milk suckled by the baby is determined by: The speed/ efficiency with which the baby removes milk. Which of the following is the MOST effective at increasing gastrin and CCK and decreasing somatostain in the baby? Feeding with species-specific milk. Studies on childhood obesity demonstrate that: There is an inverse relationship between breastfeeding duration and obesity prevalence in a large population. Harmful bacteria have difficulty growing in the breastfed infant's gut because the composition of breastmilk: Fosters the growth of good bacteria that crowd out other organisms. Carbohydrates found only in mammal milk. Lactose Cholecystokinin (CCK) helps babies feel as sense of ______________ (full & Sleepy) Satiety Not enough water and too much stress or exercise reducing milk supply are _____________. myths Not necessarily lower in fat content Foremilk Gland that secretes lactation hormones. Pituitary gland A cluster if milk making cells. avelous Newborn milk colostrum Human milk is composed of 88% ____________. water Breastmilk is low in this nutrient________________. Iron what promotes the release of gastrin? touch A leading cause of infant death globally. diarrhea Best practice is guided by the highest level of __________________. evidence Example of protection State law on breastfeeding in public Eample of promotion Breastfeeding cost less Example of support La Leche League Leader International code of marketing Restricts formula marketing practices Montgomery glands Secretes lubricating fluids on areola Elevated prolactin levels close it Paracellular pathways Cochrane collaboration Conducts systemic reviews Lactiferous sinus Not actually there Cholecystokinin GI hormone that causes fullness/ sedation Colostrum Produce by hormones of pregnancy Exclusive breast feeding No food or drink other than human milk Storing energy for growth Anabolism Hindmilk The last part of feeding Muscle cells around the alveolus Myoepithelial cells Interbout interval Period when baby is not at breast receptor cites cellular "lock" for chemical "key" baby hand massage Oxytocin releasing mechanism Hyperinsulinemia associated with obesity in formula- fed infants