PCE Certified Breastfeeding Counselor Exam Latest Update 2024-2025 Questions and Verified Correct Answers Guaranteed A+
Breast Anatomy - CORRECT ANSWER:
Breast development during menstruation - CORRECT ANSWER: - Estrogen: Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
Does stress play a role in hormone release? - CORRECT ANSWER: stress can inhibit hormonal release
- high levels of cortisol/catacholamines reduce oxytocin and prolactin levels
How long does Lactogenesis 2 last? - CORRECT ANSWER: 2-4 days
How many stages of Lactogensis are there? - CORRECT ANSWER: 4
How often does the let-down reflex occur? - CORRECT ANSWER: several times during a feeding
Lactogenesis 1 - CORRECT ANSWER: Ductal and Lobular-Alveolar systems grow at
an accelerated rate (influenced by hormones)
- breasts enlarge
- high progesterone levels cause an increase in alveoli
- colostrum begins to produce in the alveoli
Lactogenesis 2 - CORRECT ANSWER: The placenta is released from the uterus and
progesterone levels drop
- this causes the alveolar cells to begin to release milk and allows them to continue to
produce more milk
Lactogenesis 3 - CORRECT ANSWER: also known as galactopoiesis
- the resupply of mature milk that occurs when milk is removed from the breast
Lactogenesis 4 - CORRECT ANSWER: involution
- milk production is decreased by apoptosis of the milk making epithelial cells
List some ways to reduce stress for breastfeeding - CORRECT ANSWER: remove
visitors turn lights out skin to skin sleep massage aroma therapy 1 / 2
side lying
Name some of the stimuli used to release both Oxytocin and Prolactin - CORRECT
ANSWER: - nipple stretching
- massaging the breasts
- Seeing/Touching/Smelling/Hearing the infant
Remaining fragments of placenta can cause what problem in breastfeeding? -
CORRECT ANSWER: delay/decrease the release of prolactin
What are Alveoli? - CORRECT ANSWER: multiple alveolus
What are Lactiferous Ducts? - CORRECT ANSWER: connects mammary lobules/intra-
lobular ducts to the nipple
What are Montgomery's Tubercles? - CORRECT ANSWER: Glands that secrete an
antibacterial-like substance that protects the nipples and areola.
- found on the nipple and areola
- enlarge during pregnancy
What are some other purposes of prolactin? - CORRECT ANSWER: - keeps alveoli
glued together
- inhibits ovulation
What are some signs of Prolactin/Oxytocin release? - CORRECT ANSWER: cramping
thirst leaking pins and needles increased bleeding sleepy sometimes, nothing
What are the 2 main hormonal influences of breastfeeding? - CORRECT ANSWER:
Prolactin and Oxytocin
What are the 2 types of breast tissue and what are they composed of? - CORRECT ANSWER: - Parenchyma: ductal and lobular-alveolar structures
- Strom: connective tissue (fat, vascular, nerve, lymphatic)
What are the 3 stages of early breast development? - CORRECT ANSWER: 1. In utero
- First 2 months of life
- Puberty
What are the 5 main areas of the breast? - CORRECT ANSWER: - Upper Inner
- Lower Inner
- Upper Outer
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