PCE CERTIFIED BREASTFEEDING
COUNSELOR EXAM REAL EXAM 150
QUESTIONS AND VERIFIED DETAILED
ANSWERS GUARANTEED GRADED A+
What is the normal weight loss for the infant during the first few days ? - - 57% in the first 24hrs and below 10% in the first week
How many calories does a lactating mom need - Moms need approximately 500 extra calories/day when breastfeeding. Range is 1,800-2,700 with most mons consuming around 2,200
What type of supplement do most lactating vegans / bariatric patients take ? - - supplement Vitamin B12
How much vitamin D does a baby need ? When do they need to be supplemented ? - Babies need 400 IU of Vitamin D per day . They should be supplemented if moms are deficient ; there is vitamin D in formula , so if they are being formula - fed they do NOT require additional vitamin D supplementation .
Where is the milk produced ? - ANSWER- In the alveoli
How long after cessation of breast feeding does milk production ( involution ) stop ? - - Approximately 40 days
What are the common signs of milk " let down " ? - Tingling , warmth , fullness , dripping and contractions
How is preterm milk different than term milk ? - - It is higher in protein and immune factors ( because the body KNOWS this is what the preemie needs ! )
What component of breast milk is the most variable ? - Lipids
What component of human milk is destroyed by freezing ? - Macrophages When is the side - lying position helpful ? - In moms that are sleepy or have lacerations / repairs that put pressure and cause discomfort on the perineal area
What position is centered around the infant attaching themselves to the breast ? - - The laid back position ( aka the biological position )
When is the Australian / Saddle position helpful ? - When moms are experiencing active let - down
What is the dancer hand ? - Mom would have hand below the breast in a " U " shape ; this is good for infants who need good jaw support
What are signs of milk transfer ? - Swallowing - harsh " Ca " sound ; air from nose felt , neck movement visualized
What are the stool transition colors ? - Black to green to yellow
What can affect a hc professionals presentation about breastfeeding ? - Experience , philosophy , credentials
What are responsibilities of staff ? - Provide education and foster environment -Baby friendly practices -Evidence based knowledge - Help preterms w / moms milk or donor -Culturally and developmentally sensitive -WHO growth charts -Legislation
International code of marketing substitutes - -No advertising -No free sample - Scientific info Not law but should be use
Baby friendly 10 steps - -- Written policy -Proper training -Proper education Initiation w in 1 hr -Maintain lactation even if separated -Breastmilk only unless medically required
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