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16 PCE Certified Breastfeeding Counselor Exam Questions and Answers (Verified Answers) 1.Different stages of breast development -Embryogenesis -Mammogensis -Lactogenesis 1 -Lactogenesis 2 -Lactogenesis 3 : Embryogenesis: mammary gland devo while 5 wk embryo
Mammogenesis: @ puberty, estrogen influences growth of ducts and
buds Lactogenesis 1: completion of mammary development from
placenta stimulation; ducts stimulated + colostrum secretion at 16 wks
Lactogenesis 2: Secretory activation when placenta out --> decr
progesterone --> inc prolactin --> inc milk supply
Lactogenesis 3: Milk removal --> mature milk prod; Infant sucking= ^
oxytocin= let down. 1 / 3
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16 2.Estrogen Progesterone Prolactin Oxytocin TSH
: Estrogen - ^ during pregnancy; stim growth in ductile system
Progesterone - ^ during pregnancy; stim alveoli and lobes Prolactin - frm ant pituitary gland; lands on prolactin receptor sites to start milk prod Oxytocin - from post pituitary gland; cause LETDOWN TSH - ^ responsiveness of mammary cells
3.Tail of spence: What is it, symptoms
: Mammary gland tissue that extends to axillary area, connected to
milk ducts --> can cause swollen armpits & mastitis
4.Accessory tissue: Where are they found? Can they lactate
?: Diagonal line from axilla to groin area
-can lactate & undergo malignant change - 5.Flat nipples Pseudo inverted nipple 2 / 3
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16 Retracted nipple Inverted nipple -possible issues, short shank, solutions
: Flat - remains flat after stimulation or retract with compression (short
shank) --> diff w/ latch Pseudo - seems inverted but erect upon stimulation Retracted - retracts upon stimulation Inverted - retracted at rest &s stimulation Nipple shield may help.
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