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(IBCLC) Certification Exam Review Solutions 2022
1.% of breastmilk that is carbohydrates: Approximately
7% Wikipedia. en.wikipedia.org/wiki/Breast_milk.
2.% of breastmilk that is fat: Approximately 4%
Hale and Hartman, 2007. Textbook of Human Lactation, page 50.
3.% of breastmilk that is protein: Approximately .8 - 1 %
Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Prac- tice (2nd ed.), page 272.
4.% of calories in breastmilk from carbohydrates: Approximately
40% Hale and Hartman, 2007. Textbook of Human Lactation, page 69.
5.% of calories in breastmilk from fat: Approximately 50%
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 124.
6.% of calories in breastmilk from protein: Approximately 10%
Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Prac- tice (2nd ed.), page 272.
7.Acinus: Any of the small sacs or alveoli that terminate the ducts and
are lined with secretory cells.
Merriam-Webster Medical Dictionary. Available online:
http://www.merriam-web- ster.com/medical/acinus?
show=0&t=1296699192
8.Acrocyanosis: Bluish discoloration of the hands and feet in the
newborn; pe- ripheral cyanosis. Should not persist beyond 24 hours after birth.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
9.Active immunity: Immunity conferred by the production of antibodies
by one's own immune system.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 868.
10.Active transport: Passage of drug into breastmilk assisted by
components in breastmilk. 1 / 4
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Hale & Hartman, 2007. Textbook of Human Lactation, page 470.
11.Acyclovir/Zovirax: Antiviral used to treat herpes infections, L2.
Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.
12.Aerobic bacteria: Bacteria requiring air for metabolic processes.
The breast is colonized with this type of bacteria. 2 / 4
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Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
13.AGA: Appropriate for Gestational Age. Having a birth weight
between the 10th and 90th percentile on intrauterine growth charts.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 671.
14.Alcohol and breastfeeding: Alcohol can decrease milk supply.
Breastfeeding must be interrupted for 1 hour per drink, or until mother is sober.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 171 & 188.
15.Aldomet/Methyldopa: Antihypertensive, L2. Frequently used to treat
hyper- tension during pregnancy. No concerns reported via breastmilk.Hale, 2010. Medications and Mother's Milk (14th ed.), page 667.
16.Allergen: A substance that causes an allergic response, such as
foods, drugs, inhalants. Cow's milk is common source for infants.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
17.‘lphalactalbumin: A major protein found in human milk whey.
Assists in pro- cessing lactose.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
18.Alveolar ridge: The ridges on the upper and lower jaw where infant's
teeth will grow.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863.
19.Alveolus, alveoli: Secrete and store milk for let down. Surrounded by
myoep- ithelial cells, contractile cells and connective tissue.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 80.
20.Amenorrhea: A natural phase of infertility that takes place when a
mother is exclusively breastfeeding. Menstruation has not returned.Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 707 &865.
21.Amoxicillin: Antibiotic, L2. Observe for change in intestinal flora, 3 / 4
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compatible. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177.
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