pg. 1 CLC Assessment Test/ Knowledge Test Questions with Correct Verified Answers /Latest Version 2024.
The International Code - Correct Answer - addresses improper marketing practices ex hospital giving out discharge packages with formula
Levels of evidence based pyramid - Correct Answer - 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? - Correct Answer - 3-7 days (after going home from hospital)
Top reasons people stop breastfeeding - Correct Answer - baby won't latch, breast pain/soreness, work/school
Russ Labs Marketing Survey - Correct Answer - survey 1965-2001 formula company tracking breastfeeding goals
Races in Order most likely to BF - Correct Answer - spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding - Correct Answer - 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 - Correct Answer - help track how they are doing on global outcomes
innocenti ospitale -florence - Correct Answer - BF orphan babies increased rate of survival-today UNICEF child resource nutrition center
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pg. 2 path of messages to make milk - Correct Answer - message to breast-to nervous system -to brain- to hormones to travel to breast- then to blood stream
what cells make milk - Correct Answer - alveolar cells
what are alveolar cells?what are they surrounded by - Correct Answer - layer of cells with milk inside, surrounded by myoepitheal cells
Myoepitheal cells will contract when what hits them - Correct Answer - oxytocin
Are the ducts in breast evenly spaced? - Correct Answer - No varies woman to woman
How many nipple pores each breast? - Correct Answer - 3-5
Milk is ____ &_____ from sebaceous gland - Correct Answer - antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from? - Correct Answer - oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for? - Correct Answer - Milk production
What is the passage of prolactin being produced - Correct Answer - baby suckles- message to nervous system tells brain to secrete prolacin in blood- then tranverse into mother body into milk cells where milk is produced
When doe humans have prolactin in them - Correct Answer - all the time (non pregnant, non lactating breast and nipples increase level of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during nursing. - Correct Answer - down, rise
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pg. 3 _______ nursing leads to lower levels of prolactin and less rise with same amount of contact. - Correct Answer - 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 ______ _______. - Correct Answer - low, not, start shutting down
What is in receptor site during pregnancy? - Correct Answer - Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the receptor sites? - Correct Answer - 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? - Correct Answer - Prolactin
If prolactin is not set during first few hours after birth- - Correct Answer - there will be fewer sites and cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after birth - Correct Answer - 2
For mothers with preemies initation of milk expression before _______ hours resulted in significantly more milk by day 7 - Correct Answer - one
What hormone T3, T4, T5 - Correct Answer - Oxytocin
When oxytocin hits myoepitheal cells what happens? - Correct Answer - They start retracting
Oxytocin helps ducts to ______ in size and lumen to get ______ - Correct Answer - increase, smaller
What triggers oxytocin? - Correct Answer - 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
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