Exam 2024
28-32 week gestation infants in NY NICU have - ANSWER faster brainstem matruation
compared with infants fed premie formula
abscess - ANSWER pus not milk; as many as 60% may be positive for MRSA, nursing on the
other breast is possible,
After one year of lactation, human milk expressed has significantly increased ___ contents, compared
with milk expressed by women lactation for a shorter time - ANSWER fat/energy
An underfed baby presents with what appearance/in what state? - ANSWER sleepy
Another way to protect BF baby from diarrhea includes baby's mouth cells going onto the breast and
whats the result - ANSWER antibodies formed and secreted into milk
approx what amount of weight gain daily is expected in the early months - ANSWER an
ounce
as the pressure inside the breast increases milk production - ANSWER decreases
Baby-led weaning - ANSWER babies older than 12 months. stop offering to nurse and do
only on request
BF can mitagate the effects smoking has on what - ANSWER baby's cognitive development
BF not advisable fi - ANSWER the mother has HIV, infected w/ human T-cell lymphotrophic
virus type I or type II, using illicit street drugs, has confirmed or suspected ebola virus
blebs - ANSWER one duct opening is usually covered, women describe stabbing pinpoint
pain, may exit when treated as clogs, sometimes need to be lanced by hcp
Body weight loss of no more than what percent from birth - ANSWER 7%
Breastfeeders lost what % of BMD in lumbar spine but gained what after weaning -
ANSWER lost 3.9% gained 5.5% back after weaninh
Breastmilk calcium is met by - ANSWER renal calcium convservation and loss of bone
breastmilk poop looks mostly like - ANSWER yellow liquid
Candida Albicans/Yeast/Thrush - ANSWER Is thought to cause pain for mother and/or baby,
may or may not be visible, mother will usually have itchy, flaky/shiny skin.
Cigarettes have what element that is the primary exposure route in humsn -
ANSWER cadmium
clogs may appear at nipple tip as a bleb, which are - ANSWER small white spots on the face
of the nipple that look like milk-filled blisters
Clogs or plugs or cakes - ANSWER palpable lumps of milk within the lumen or duct system...
usually not visible. Should resolve itself and may come out as a string or bleb
, Certified Lactation Counselor Latest
Exam 2024
Colicky babies had more than double the abundance of what whereas bifidobacteria and lactobacili
were increased in control infants - ANSWER escherichia, salmonella, vibro, helicobacter,
yersinia
common mastitis can be non-infective or infective and is associated with the following factors: -
ANSWER blocked ducts (i.e. engorgement, hurried feedings, use of nipple shield,
attachment difficulties, tight bra, use of a breast shell, nipple pain, anemia in the mother, tongue tie).
Compared with women who haven't had children, childbearing women who do not breastfeed have
a 50% increased risk of what in later life - ANSWER T2DM
Cup feeding for preemies - ANSWER -Less increased in HR
-Better oxygenation
-Ability for infant to pace own feeding
-More supplements, the less breastfeeding
-Preferred method of WHO/UNICEF
domperidone - ANSWER didn't show an improvement in long term outcomes, not legally
marketed drug or approved for sale in the US
don't put a pump on what - ANSWER engorged breasts
Early cessation of BF or not BF was associated with an increased risk of - ANSWER maternal
ppd
Early onset jaundice - ANSWER peaks between 72-96 hours - frequently related to
underfeeding
EBF at 1 month of age decreased the risk of sids by - ANSWER half
engorgement symptoms - ANSWER breast hard, temp normal, feels discomfort, bf hot,
shiny, nipple is difficult to grasp and baby can't latch
enlarged cells put pressure on the capillaires and block the transit of - ANSWER hormones
Estrogen levels increase during - ANSWER weaning
Exclusive breastmilk feeding in premies is associated with what - ANSWER more rapid
maturation in intestional barrier function
Expectation to make how much milk per day - ANSWER 750-1000mls per day
Fenugreetk - ANSWER may cause reduced absorption of all medications used correctly,
worsening of asthma, diarrhea, maple smelling urine, and perspiration, cross reaction is possible if
there is an allergy to chickpeas, peanuts and other legumes, concerns about a decrease in blood
coagulation and decreased serum glucose, no statistical difference in this helping prolactin levels or
milk volume