pce_certified_breastfeeding_counselor_exam

Standards of of practice for CBC - Correct Answer-- Help families define and achieve goals -Problem solving: Assessment, plan, implementation, evaluation -Education and counseling -Professionalism -Legal considerations What can affect a hc professionals presentation about breastfeeding? - Correct Answer--Experience, philosophy, credentials What are responsibilities of staff? - Correct Answer--Provide education and foster environment -Baby friendly practices -Evidence based knowledge - Help preterms w/ moms milk or donor -Culturally and developmentally sensitive -WHO growth charts -Legislation International code of marketing substitutes - Correct Answer-- No advertising -No free sample - Scientific info Not law but should be use Baby friendly 10 steps - Correct Answer--Written policy -Proper training -Proper education -Initiation w/in 1 hr -Maintain lactation even if separated -Breastmilk only unless medically required -Rooming in -Cue feeding, 8-12x -No artificial teats -Support groups Where is milk produced? - Correct Answer-Alveoli How is milk ejected into ducts from alveoli? aka let down - Correct Answer-Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin increases Different stages of breast development - Correct Answer-- embryogenesis: Mammary gland while embryo - Mammogenesis: @ puberty, estrogen influences growth of ducts and buds -Lactogensesis 1: Fullness and tenderness while pregnant. Ducts stimulated. Lactogenesis 2: Secretory activation when placenta out. D/t increase of prolactin when progestrone decreases. Lactogenesis 3: Milk removal= production. Infant sucking= oxytocin= let down. How long after cessation of breast feeding does milk production stop? - Correct Answer-40 days What happens to estrogen and progesterone during pregnancy and birth? - Correct Answer-Increase during pregnancy, decreases after birth. Helps development of lobes