CLC Exam - Random Facts Questions and Answers Graded A

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CLC Exam - Random Facts Questions and Answers Graded A As feeding frequency decreases, what happens? ✔✔prolactin levels decrease What happens during lactogenesis I (secretory differentiation)? ✔✔colostrum is produced When does lactogenesis I end? ✔✔when the placenta is delivered What happens during lactogenesis II (secretory activation)? ✔✔progesterone decreases over the span of days, colostrum begins to mix with milk What happens during lactogenesis III (galactopoesis)? ✔✔production of mature milk What needs to happen for lactogenesis III to be successful? ✔✔frequent milk removal and nipple stimulation (prolactin) When is the paracellular pathway present? ✔✔early breastfeeding when both progesterone and prolactin are present What is the difference between the paracellular pathway and the transcellular pathway? ✔✔The paracellular pathway is characterized by large spaces between milk cells, allowing blood components to pass more freely; the transcellular pathway is characterized by tight junctions and cellular control Grade 1 inverted nipples: ✔✔easily pulled out with pumping or nursing Grade 2 inverted nipples: ✔✔can be pulled out but don't maintain projection after nursing Grade 3 inverted nipples: ✔✔difficult/impossible to pull out, rare to have on both breasts Women with inverted nipples may have lower... ✔✔prolactin levels due to decreased stimulation/stretching True or false: mom can continue to nurse older child through pregnancy ✔✔true, as long as she is low risk for preterm birth True or false: the milk produced during pregnancy is sufficient for a child under 1 year old ✔✔false (sufficient for snacking nurse over 1 year but infants would need supplementation) What is tandem nursing? ✔✔nursing two babies not from same pregnancy #1 concern of moms related to breastfeeding ✔✔low milk supply WHO hierarchy of infant feeding ✔✔1. breastfeeding at breast 2. expressed milk 3. donor milk 4. cow milk formula 5. soy formula Storage of fresh expressed milk ✔✔table for up to four hours, fridge up to four days, freezer best within 6 months Storage of thawed breastmilk ✔✔table 1-2 hours, fridge up to 1 day, never refreeze Minimum temperature to heat water for formula ✔✔158F What percent of infants have a true formula intolerance? ✔✔2-15% What percent of infants change formulas in the first year? ✔✔33-50% What risks are associated with "formula" made from goat milk? ✔✔electrolyte imbalances, acidosis, folate deficiency, and antigenicity What risks are associated with "formula" made from almond milk? ✔✔Vitamin C deficiency How do hormone levels differ in moms who smoke? ✔✔prolactin levels do not rise as high Moms who smoke may... ✔✔have decreased milk supply Babies of moms who smoke sleep... ✔✔less, even if same amount of milk on a day did not smoke

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