CLC EXAM TEST BANK guaranteed CERTIFIED LACTATION CONSULTANT EXAM TEST BANK 300 QUESTIONS AND CORRECT ANSWERS VERIFIED ANSWERS

CLC EXAM TEST BANK guaranteed CERTIFIED LACTATION CONSULTANT EXAM TEST BANK 300 QUESTIONS AND CORRECT ANSWERS VERIFIED ANSWERS What to do if antifungal treatment for yeast doesn't work? - Not candida infection! Reynaud's Phenomenon - -vasospasm of nipple, recognized by triple color sign: from white--> blue--> raspberry or bicolor sign white --> raspberry. pain is extreme and spasmodic (not continuous) -this happens after feeding once baby's mouth comes off nipple has vasospasm, feels like frostbite treatment of reynauds - -prevent/decrease cold exposure -avoid vasoconstrictive drugs such as caffeine and hypertensive drugs, nicotine -can use nifedipine or calcium channel blocker Nipple pain and poor milk transfer that is persistent despite optimal latch - -can use nipple shield as a test to see if baby exerting too much pressure? -OT involvement -in rare cases baby have a strong sucking vacuum as measured by a pressure transducer or nipple shield Clogs/plugs - Palpable lumps of milk within the lumen or duct system, usually not visible. Solids dont get absorbed...could be too tight of a bra slowing flow of milk what to do for clogs/plugs - Encourage massage using side of hand and warm compresses. Do double nursing by doubling up on side of clog to push it out. point baby's chin toward clog See PCP if clog hasnt moved in 24-48 hours or systemic symptoms of inflammation (flu like s/s) When to call PCP for clog/plug - If plug hasn't moved in 24-48 hrs or systemic signs of inflammation (flu like s/s) Causes of clogs/plug - too tight nursing bra what is a bleb - small white spots on the face of the nipple that look like milk-filled blisters. one duct opening is usually covered what does a bleb feel like - painful stabbing pinpoint pain how to get rid of blebs - Same as clog treatment. Sometimes need t be lanced by HCP Common mastitis - -can be non-infective or infective -blocked ducts from engorgment, hurried feedings, nipple shield (pressure will build until milk sneaks out of space, body reacts to this like invader) causes of common mastitis - -tight bra (look for indentation of breast straps) -use of breast shell or nipple shell -attachment difficulties -anemia in the mother -tongue tie in baby (ineffective milk emptying) s/s common mastitis - systemic- fever, ill, malaise, redness, pain, one inflamed breast What bacteria causes infective mastitis - Staphylococcus tx common mastitis - NSAIDS first line but make sure diagnosed by PCP -must keep pumping/breastfeeding to keep milk flowing. keeps breasts soft/comfortable to avoid abscess development Abscess on breast - Localized areas of pus and necrotic tissue that can develop with a breast infection •Can develop in the subcutaneous, intramammary, retromammarylayers •Symptoms include pain, swelling, redness, fever, increased WBC count, palpable mass -pocket of pus forms in the breast -from untreated mastitis Antibiotics for mastitis? - Usually for double mastitis, not generally proscribed for one breast common mastitis. If treatment uneffective consider anemia, ductal or inflammatory breast cancer Double mastitis - EMERGENT AND UNCOMMON- tissue of both breasts inflamed. organism cause of double mastitis - strep -potentially fatal, whole body inflammation, sepsis -not a problem with milk signs of inflammatory breast cancer - - breast tissue is red, warm, has orange peel (peau d'orange), pitting appearance on skin surface - breast mass may or