PCE Certified Breastfeeding Counselor Exam 2024/2025 Questions and 100%Verified Answers.

PCE Certified Breastfeeding Counselor Exam 2024/2025 Questions and 100%Verified Answers. Different stages of breast development - Embryogenesis - Mammogensis - Lactogenesis 1 - Lactogenesis 2 - Lactogenesis 3 - ANSWER Embryogenesis: mammary gland devo while 5 wk embryo Mammogenesis: @ puberty, estrogen influences growth of ducts and buds Lactogenesis 1: completion of mammary development from placenta stimulation; ducts stimulated + colostrum secretion at 16 wks Lactogenesis 2: Secretory activation when placenta out --> decr progesterone --> inc prolactin --> inc milk supply Lactogenesis 3: Milk removal --> mature milk prod; Infant sucking= ^ oxytocin= let down. Estrogen Progesterone Prolactin Oxytocin TSH - ANSWER Estrogen - ^ during pregnancy; stim growth in ductile system Progesterone - ^ during pregnancy; stim alveoli and lobes Prolactin - frm ant pituitary gland; lands on prolactin receptor sites to start milk prod Oxytocin - from post pituitary gland; cause LETDOWN PCE Certified Breastfeeding Counselor Exam 2024/2025 Questions and 100%Verified Answers. TSH - ^ responsiveness of mammary cells Tail of spence: What is it, symptoms - ANSWER Mammary gland tissue that extends to axillary area, connected to milk ducts --> can cause swollen armpits & mastitis Accessory tissue: Where are they found? Can they lactate? - ANSWER Diagonal line from axilla to groin area - can lactate & undergo malignant change Flat nipples Pseudo inverted nipple Retracted nipple Inverted nipple - possible issues, short shank, solutions - ANSWER Flat - remains flat after stimulation or retract with compression (short shank) --> diff w/ latch Pseudo - seems inverted but erect upon stimulation Retracted - retracts upon stimulation Inverted - retracted at rest &s stimulation Nipple shield may help. Hypoplasia, what is it? - ANSWER Underdevelopment, insufficient glandular tissue --> can lead to insufficient milk Active let down - How is milk ejected into ducts from alveoli? aka let down - signs of let down - postions that are helpful for let down - ANSWER Myoepitheal cells encase the aveoli, contract in response to oxytocin. In response to sucking oxytocin increases Tingling, warmth, fullness, dripping, contractions helpful in australian/saddle What is breast milk composed of? - ANSWER - Fats: most variable, help brain devo, hi in evenings -Protein: Casein- allows for iron to be absorbed, mature milk. Whey- hi in colostrum, contains IGA; has lysozyme that kills bacteria Carbs: creates acidic environment in gut & has lactose that reg milk vol Vitamins: A,D,E,K,C, thiamin, riboflavin, b's that influenced by mom. Minerals: calcium, phosphorus, magnesium, not affected by diet. + 88% water Impact of breast surgery on lactation - Implants - hyaluronic acid injections - breast reduction - ANSWER Implants - compress milk ducts --> impede milk flow --> compromise reaching max milk vol Hyaluronic acid injections - no risk of being absorbed in baby's GI tract Reduction - BF might not be possible after - BF early + stim bm early Signs of milk transfer - ANSWER Swallowing, air from nose, ca sound, movement seen Feeding patterns 24-48 hrs & 48 and further - ANSWER 24-48hr --- > Cluster feeding (feed freq over short amt of time) , must stimulate breast 48 and further --> on demand (cue based feeding) ; offer q 3 hrs How does poop transform? Normal urine output - ANSWER Black to green to yellow (by end of first week). Watery and seedy at first Urine output --> 1 diaper per day of life (e.g: 2 day old infant min of 2 wet diapers) LATCH tool - ANSWER