Download CLC EXAM TEST BANK 2025 CERTIFIED LACTATION CONSULTANT EXAM TEST BANK 200 QUESTIONSAND C and more Exams Nursing in PDF only on Docsity!
CLC EXAM TEST BANK 2025 CERTIFIED LACTATION
CONSULTANT EXAM TEST BANK 200
QUESTIONSAND CORRECT ANSWERS(VERIFIED
ANSWERS)
Babies that recieve additional water are at risk for? And this can cause :- answers - :Water intoxication- can cause seizures, stroke, death Early cessation/negative experience of breastfeeding has a increased risk of postpartum _______ :- answers - :depression What is postpartum depression scale? :- answers - :Edinburgh Postnatal Depression Scale - EPDS This Photo by Unknown Author is licensed under CC BY
Mothers with EPDS scores greater than ____ are likely to d/c breastfeeding by week 4-12. :- answers - : 12 Womans ways of knowing is by :- answers - :Mary Belenky What are the 5 characteristics of womans ways of knowing? :- answers - :1. Silence 2. Recievers of knowledge 3. subjective knowing
- Procedural knowing 5. Constructive Knowing Silence way os knowling :- answers - :afraid of words, feels powerless, depends on others, little awareness of intellectual capabilities, having powerful person in charge ex paulette legally blonde How do we develop relationship with person in Silence? :- answers - :Few words, short easy, comfortable, nothing to remember advocate Recievers of Knowledge? :- answers - :Believe all authorities tell truth, like to learn right answer and tell it to the teacher, cannot tolerate ambiguity ex: vivian pretty woman How to teach to receiver of knowledge? :- answers - :only show right way and have them do return demo Subjective Knowers? :- answers - :knowing is personal and based on inuition or thought, inner voice guides them , distrust male figure, find female support groups helpful, trust woman with similar experiences ex: Cher How to teach subjective knowers? :- answers - :create time for them to talk about themselves and what they know about BF, offer help with possible misconceptions
WHO and CDC recommend mixing water at what temp with powder formula? :- answers - : 70 degrees Other issues associated with formula fed babies is? :- answers - :Reflux (cow milk allergy), reflux, colic, anaphylaxis LCPUFAs :- answers - :do not lead to better outcomes Complication of improper use of almond drink in first year? :- answers - :Scurvy Babies that are fed goat milk may have? :- answers - :electrolyte imbalances, metabolic acidosis, folate deficiency How much milk does a woman make a day? :- answers - : 750 - 1000 mls per day WHO study in 2006 said what are the growth standard for babies? :- answers - :exclusively BF babies weight gain pattern of formula fed babies at 2 mo might be sign of :- answers - :hyperinsulinemia higher weight gain by 3 mo of formula fed babies is because of :- answers - :hyperinsulinemia, also higher protein in cows milk _____ is part of CDC prevention of obesity? :- answers - :breastfeeding Condition to not breastfeed :- answers - :galactosemia
Galactosemia :- answers - :recessive genetic disorder; characterized by body's inability to tolerate galactose, causes damage to liver, cns and body system Viruses in which you should not breastfeed? :- answers - :HIV, T cell lymphotrophic virus or type 2, ebola, untreated brucellosis, HSV with lesions present, untreated TB or chicken pox Can a mom breastfeed while using illicit drugs? :- answers - :No unless on methadone program What medications can a mom not breastfeed? :- answers - :chemo drugs, rheumatoid arthritis, check book, undergoing radiopharmaceuticals What is a example of loaded language? :- answers - :you have a good baby Late preterm babies are what age? What is our concern about them? :- answers - : 34 - 37 weeks pretend to be swallowing go home and tank How should a counseling session go? :- answers - :Listen and gather information, use questions that cant be answered with a single word, verify what youve heard, offer individualized information, work together and form a plan, fine tune plan and ask what they are going to be doing when leaving, make sure they understand, listen and help with referrals, document Women with history of what are at higher risk for post partum disorder :- answers - :premenstrual syndrome and dysphoric disorder When discussing things postpartum should you give a ton of information? :- answers - :No recall is less during post partum tiredness, limit discussion keep it client centered, educate with truth, validate confidence and counter negativity
MRSA on breasts :- answers - :can look like mastitis, new issues, lesion or abcess Abscess on breast :- answers - :pus not milk, 60% positive for MRSA, nursing on other breast is possible, no clear answer nursing on breast, ultrasound guide with needle aspiration What is deadly concerns of something appearing on breast? :- answers - :MRSA or herpes What is torticollis? :- answers - :neck muscles contract, causing the head to twist to one side, can cause feeding issues Goldsmith sign :- answers - :baby will only nurse on one breast, try nursing on the one breast then without moving baby move to other breast cutoff for hypoglycemia, symptoms :- answers - :40m cyanosis, apnea, hypothermia, poor body tone, lethargy, seizures hypoglycemia occurs commonly in what babies? :- answers - :SGA, LGA, diabetic mother, late preterm What can give for low blood sugar and can still nurse? :- answers - :gel in cheek, can still breastfeed What is jaundice caused by? :- answers - :uncongugated bilirubin (waste product of hemoglobin breakdown taken up by the liver, it is converted by the enzyme into uncongugated bilirubin), recycling problem, baby's liver enzymes and intestines are immature and took a while to get out of baby's system, can cross blood brain barried, damage brain, spinal cord and become kerniicterus, bilirubin encelopothy, CP, dental impairements, mental retardation, death
Kernicterus :- answers - :severe jaundice, untreated too long, is a type of brain damage, can cause CP and hearing loss what is considered late preterm? :- answers - : 34 - 35/ early term babies :- answers - : 37 - 38/ how might preterm and early term babies struggle with breastfeeding? :- answers - :less alert, less stamina, greater difficulty latching, issues transfering milk PIBBS :- answers - :preterm infant breastfeeding behavior scale what breastfeeding technique is good for hypotonic like down syndrome :- answers - :dancer breastfeeding position breastfeeding with cleft lip or palate :- answers - :making a seal/vaccum the challenge, use alternitive massage, mother nipple point to intact part of palate, mother keep up coordinate with baby suck and swallow Does breastfeeding lower cases of otitis media? :- answers - :yes What can you do right away to increase milk volume? :- answers - :hand expression within 1 hour of birth, express in proximity to infant, double stimulation (send x3 messages to brain), collect milk on one breast while nursing on other Power pumping :- answers - :for a day or 2 might increase volume, pump 5 min, pause 5 min, pump 5 min
9 - 12 development :- answers - :stand/walk regular mealtimes, snack nursing, nursing before bed and naps 3 types of weaning :- answers - :parent led, baby led, society led what is baby strike? how to end baby strike? :- answers - :baby refuses to feed for some reason- stuffy nose teething, ear infection, prefers bottle, biting-yelling, family stress, seperation- to end lots of support, skin to skin dont force it, avoid the bottle- offer breast to sleeping baby when does breastfeeding put protection on SIDS :- answers - :2 months and beyond exlusive breastfeeding at 1 month did what to SIDS :- answers - :halved sids, gut microbome differed in SIDS baby 27% vs 7% healthy babies What does breastfeeding friendly health initiative do? :- answers - :protects, support breastfeeding through `0 steps outlined by UNICEF/WHO 10 steps of BFHI :- answers - :1. Breastfeeding policy communicated to staff, 2. train staff 3. inform all pregnant women benefits of breastfeeding 4. help mothers initiate breastfeeding within 1 hr of birth 5. show mothers how to breastfeed or pump 6. Give newborn infants no other food or drink unless medically indicated 7. practice rooming in
- Encourarage responsive parenting-feeding, soothing, sleep, physical
- Give no pacifier or artifical nipples 10. Foster the establishment of breastfeeding support groups The International Code :- answers - :addresses improper marketing practices ex hospital giving out discharge packages with formula
Milking Stool- 3 legs :- answers - :Protect, promote & Support-want all to be equal Levels of evidence based pyramid :- answers - :top - bottom: 1.Metanalysis &systemic reviews 2. Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case Studies When is greatest risk of stopping breastfeeding? :- answers - : 3 - 7 days (after going home from hospital) Top reasons people stop breastfeeding :- answers - :baby won't latch, breast pain/soreness, work/school Russ Labs Marketing Survey :- answers - :survey 1965-2001 formula company tracking breastfeeding goals Races in Order most likely to BF :- answers - :spanish speaking-hispanic, white, hispanic, black Global Strategy for Infant and young feeding :- answers - :WHO and UNICEF developed this global strategy to focus world attention on impact of feeding practices on the nutritional status, growth, development and health and thus the survival of infants and young children. World Breastfeeding trends innitive :- answers - :help track how they are doing on global outcomes innocenti ospitale - florence :- answers - :BF orphan babies increased rate of survival-today UNICEF child resource nutrition center
Prolactin levels go _____ in between nursing and _____ during nursing. :- answers - :down, rise _______ nursing leads to lower levels of prolactin and less rise with same amount of contact. :- answers - :infrequent If infants do no have frequent times at breast first few days prolactin will be _____ and sites will ____ be primed and receptor sites will start to ______ _______. :- answers - :low, not, start shutting down What is in receptor site during pregnancy? :- answers - :Progesterone When placenta leaves the body, the body responds by pushing ______ out of the receptor sites? :- answers - :progesterone When placenta is pushed out of body, progesterone leaves the receptor sites and they are open briefly, what goes inside to set site for lactation? :- answers - :Prolactin If prolactin is not set during first few hours after birth- :- answers - :there will be fewer sites and cause issues with milk supply Ongoing milk supply is associated with suckling within first ______ hours after birth :- answers - : 2 For mothers with preemies initation of milk expression before _______ hours resulted in significantly more milk by day 7 :- answers - :one What hormone T3, T4, T5 :- answers - :Oxytocin
When oxytocin hits myoepitheal cells what happens? :- answers - :They start retracting Oxytocin helps ducts to ______ in size and lumen to get ______ :- answers - :increase, smaller What triggers oxytocin? :- answers - :1. conditioned response (repeated stimuli over time) 2. Nipple Stretching (happens with proper latch- oxytocin levels goes up and down with suck and swallow)
- baby hand massage (has to do with T3 and T5) each hand movement releases oxytocin Where is oxytocin and prolactin excreted? :- answers - :pituitary gland ______ is excreted from posterior pituitary? :- answers - :Oxytocin ______ is excreted from anterior pituitary? :- answers - :Prolactin Prolactin is produced mainly by nipple ______, by presence of baby stimulation T ____ & T____ :- answers - :stimulation, 4 and 5 ________ hormone is affected by stress and ______ hormone is not affected by stress :- answers - :oxytocin (extreme situation, will stop flowing), prolactin Milk is species ______. :- answers - :Specific Mammal species with high fat/protein and low water content have ______ feeds. :- answers - :infrequent
does it matter if it is foremilk, hindmilk :- answers - :no think of kalahari desert nurse for 2.5 min at a time Breastmilk composition ______ during a feed. :- answers - :changes when doing before and after breastfeeding weight even if volume is low, fat content can be _______. :- answers - :high the degree of breast ______ influences the amount of milk available and breast storage _____ influences the amount of fat transfered. :- answers - :emptying, capacity longer times in between feed leds to ______ fat concentration :- answers - :lower faster milk removal is associated with _____fat content and longer feeding time is associated with ______ levels of milk transfer and _____ fat :- answers - :higher, lower, lower Does one breast or two breast feed matter? :- answers - :doesnt matter just do whatever seems better for baby Do male babies haver higher energy content in milk? :- answers - :yes Can men produce milk? What situation? Men can never produce? :- answers - :yes, tumor/drugs, colustrum Formula fed babies have ______ extra in the gut :- answers - :iron
Presence of bifidus factor in milk promotes presence of _________ ________ maintaing. a ____ PH and crowd out pathogenic _______. :- answers - :lactobicillus bifidus, low, organisms Formula fed babies have increased number of species and over representation of :- answers - :C- diff BF babies have antibiodies that bind to _______ in GI tract that keep them from getting absorbed. This helps to protect from NEC IN preemies. :- answers - :microbes What do human milk oligosaccharides (HMOs) do? :- answers - :Protect against pathogenic infection, promote development of intestine, help establish gut microbia, stimulate maturity of immune system Breastfeeding changes immune system in mother or baby :- answers - :both forever when baby is suckling it activates her _______nervous system. Decreasing levels of _________ and increasing levels of ____ causing a feeling of sedation and satiety. :- answers - :parasympathetic , somatostatin and gastrin Pregnancy can increase risk for type 2 diabetes, breastfeeding can negate this, suckling changes insulin back to ________. :- answers - :pre pregnancy state After first few days of birth most babies loose weight (diuresis-loosing fluid after birth) how much weight loss is acceptable? When should weight loss stop? When should baby be back to birth weight? :- answers - :less that 7% according to AAP, by day 5, by 2 weeks Breastfeeding stool color change :- answers - :meconium-dark to start then greenish tinge then seedy orange or yellow
In nipple engorgement breast is _____, body temp ____, brest can be hot and ____ :- answers - :hard, increased , shiny Engorgement typically happens days -, women with c-sections may experience engorgement ______ :- answers - : 3 - 5, laet With engorgement the more time spent breastfeeding in the first 48 hours will result in less _____, it pressure is not resolved it will have a ____ impact on breast milk supply. :- answers - :engorgement, negative Engorgement can be natures _____ :- answers - :dry up method Inbetween milk making cell systems there is a capillary network delivering nutrients for making milk, if those are crushed nutrient and hormones cannot go where they need to go. What can crush these and cause problems? :- answers - :Engorgement Will pumping help engorgement :- answers - :No can bust capillaries and cause bleeding How to help with engorgement? :- answers - :Bucket warm water-immerse breast and within seconds milk will come out, dont want to let all milk into bucket just get some out until plyable and softer, then feed rest to baby What can cause engorgement? :- answers - :too much milk left in breast (baby is too weak), breast implants, tight bra What is a marker that they had a breast augmentation> :- answers - :really round aeorola, or incision
Can woman with implants/ breast reduction breast feed? :- answers - :Yes do not know impact until trying, just because colostrum not sure if will get normal milk - colustrum is pregnancy hormone induced, need nerves for rest of milk Can a baby latch with inverted nipple? :- answers - :Yes baby can form teat, although thing about the need for nipple stroking (prolactin) and nipple stretching (oxytocin) 3 classification of inverted nipples :- answers - :grade 1- easily pulled out by breast pump or nursing, at reast look inverted grade 2 can be pulled out but dont maintain their projection grade 3 difficult or impossible to pull out iron deficiency anemia has been associated with milk supply problems due to? :- answers - :Poor oxygen to milk making cells, or causing mom to feel exhausted or depressed causing lack of bf Sheehan's syndrome (postpartum pituitary necrosis) :- answers - :A patient fails to lactate after an emergency C-section with marked blood loss. Pituitary has been deprived of blood and functions are impaired other symptoms included low blood pressure, anemia, fatigue, profound hair loss, dull hair. Can have symptoms partially or fully resolved. Maternal obesity/overweight can delay lactogenis ___ :- answers - : 2 PCOS excess insulin increases production of _____, higher androgens cause acne, excessive hair growth, wt gain and problems with ovulation and _______, possible treatment with :- answers - :androgens, lactation, metformin Drug that cause milk delay? :- answers - :peeudoephedrine (think pseudofed), corticosteriods, betamethason (giving to women who will deliver before 24 weeks) if given 3-9 days before delivery can delay lactogensis 2
