Certified Lactation Consultant Exam Study Guide
- Predominant Breastfeeding
: Babies who receive breastmilk and other liquids
(e.g. water, minerals, vitamins, oral meds). - Breastfeeding
: Baby receives human milk, as well as other foods or fluids, including
formula. - Complementary Feeding
: Process starts when BM alone or infant formula alone is no longer sufficient to
meet nutritional requirements of infants, therefore other foods or liquids are
introduced. Typically child is between 6-23 months - 3 strategies for increasing BF initiation and duration
: Promotion, Protection, Support
Promotion
: Focuses on advantages of BF on a personal, community, country, or global
level. BF to the community.
- Protection
: Focuses on government, manufacturer, and social responsibility to assure BF
ability to compete with commercial interests.
Includes state, local, an national laws regarding BF. - International Code of Marketing of Breast-milk Subsitutes
: Addresses im- proper marketing practices by formula companies. It is not
currently a law in the US. - What does the International Code Prohibit
?: Distributing free formula Giving coupons for formula - What did the AAP resolution state in regards to the International Code
?: No distributing formula, discharge bags, industry written handouts.
- Support
: Focuses on interaction of helpers with family, as well as program
development and implementation. - 10 steps to successful BF
: 1. Written BF policy. Skin to Skin immediately after birth. - Train healthcare staff
- Inform pregnant women about benefits and management of BF
- Help all mothers initiate BF within 1 hour after birth
- Show mother’s how to BF and maintain lactation
- Exclusive breast milk only
- Practice rooming in 24 hours a day
- Encourage BF on demand
- No artificial teats or pacifiers
- Establishment of BF support groups
- Healthcare staff responsibility for working with lactating mothers include
what
?: 1. Training - Minimum of 20 hours of training
- 3 hours of competency verification
- What are the indications for providing supplementation other than breast
Milk
?: 1. Medical condition - Parents request after being informed of consequences
- Protocol for calculating Baby’s daily needs
: Baby’s weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily
ounces. PCP decides what the multiplier is!!! - What should be assessed 3-5 days after birth by PCP
?: Hydration (elimina- tion patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues - What is a CLC
?: Nationally recognized designation awarded by the ALPP. Practice
parameters are designated by professional scope of practice. - How many stools per day should a breast fed newborn have
?: 4, some yellow by day 4
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