IBCLC Exam Questions and answers. Graded A+. 100% pass rate. 2022 % of breastmilk that is carbohydrates - ✔✔Approximately 7% Wikipedia. en.wikipedia.org/wiki/Breast_milk. % of breastmilk ... that is fat - ✔✔Approximately 4% Hale and Hartman, 2007. Textbook of Human Lactation, page 50. % of breastmilk that is protein - ✔✔Approximately .8 - 1 % Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272. % of calories in breastmilk from carbohydrates - ✔✔Approximately 40% Hale and Hartman, 2007. Textbook of Human Lactation, page 69. % of calories in breastmilk from fat - ✔✔Approximately 50% Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 124. % of calories in breastmilk from protein - ✔✔Approximately 10% Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 272. 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-webster.com/medical/acinus?show=0&t=1296699192 Acrocyanosis - ✔✔Bluish discoloration of the hands and feet in the newborn; peripheral cyanosis. Should not persist beyond 24 hours after birth. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. 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. Active transport - ✔✔Passage of drug into breastmilk assisted by components in breastmilk. Hale & Hartman, 2007. Textbook of Human Lactation, page 470. Acyclovir/Zovirax - ✔✔Antiviral used to treat herpes infections, L2. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177. Aerobic bacteria - ✔✔Bacteria requiring air for metabolic processes. The breast is colonized with this type of bacteria. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. 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. 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. Aldomet/Methyldopa - ✔✔Antihypertensive, L2. Frequently used to treat hypertension during pregnancy. No concerns reported via breastmilk. Hale, 2010. Medications and Mother's Milk (14th ed.), page 667. 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. Αlphalactalbumin - ✔✔A major protein found in human milk whey. Assists in processing lactose. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. 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. Alveolus, alveoli - ✔✔Secrete and store milk for let down. Surrounded by myoepithelial cells, contractile cells and connective tissue. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 80. 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. Amoxicillin - ✔✔Antibiotic, L2. Observe for change in intestinal flora, compatible. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177. Ampicillin - ✔✔Antibiotic, L1. Observe for change in intestinal flora, compatible. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 177. Anaphylaxis - ✔✔Hypersensitivity (as to foreign proteins or drugs) resulting from sensitization following prior contact with the causative agent. Merriam-Webster Medical Dictionary. www.merriam-webster.com/medical/anaphylaxis. Anchor scar - ✔✔Surgical technique for breast reduction, slang. Ankyglossia - ✔✔A tongue tie. Characterized by a thick, short, or tight frenulum under the tongue. Can cause breastfeeding issues, such as a painful latch or inefficient milk transfer. Anterior pituitary - ✔✔This gland releases prolactin into the blood effecting milk production and ejection. It is susceptible to stress. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 91. Anthrax - ✔✔Infectious disease caused by a spore-forming bacterium (Bacillus anthrax), characterized by external ulcerating nodules or by lesions in the lungs. Merriam Webster Medical Dictionary. www.merriam-webster.com/medical/anthrax. Antibody - ✔✔Immunoglobulin formed in response to an antigen, including bacteria and viruses. Antibodies attack those bacteria or viruses helping the body resist infection. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Antigen - ✔✔Substance that stimulates antibody production. May be dust, food, or bacteria. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Apgar score - ✔✔Index to evaluate the condition of a newborn infant based on a rating of 0, 1, or 2 for color, heart rate, reflex response, muscle tone, and respiration with 10 being a perfect score. Merriam-Webster Medical Dictionary. www.merriam-webster.com/medical/apgar%20score. Apocrine gland - ✔✔Sweat glands located on the areola that secrete a scent. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 197-198. Apoptosis - ✔✔Programmed normal cell death. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Applied research - ✔✔Research that focuses on solving or finding an answer to a clinical or practical problem. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Areola - ✔✔The darker pigmented skin that surrounds the nipple. Contains sebaceous glands (Montgomery Glands) Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Aspirin - ✔✔Salicylate analgesic, L3. Use associated with Reye's Syndrome in infants. Hale, 2010. Medications and Mother's Milk (14th ed.), page 87. Atopic eczema - ✔✔Inherited allergic tendency to skin rashes or inflammation. Exclusively breastfed infants are less likely to develop as cow's milk protein is a common allergen. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863. Autocrine control - ✔✔The point in lactation when milk supply is controlled by milk removal. Local control in the breast. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 92. Autonomy - ✔✔The capacity of a rational individual to make an informed, un-coerced decision. Wikipedia. en.wikipedia.org/wiki/Autonomy#Medicine. Average - ✔✔The middle value of a data set. Add all the numbers and divided by the amount of numbers in the set. Wikipedia. Available online: http://en.wikipedia.org/wiki/Average. Axilla - ✔✔Underarm. Breast tissue (the axillary tail) can sometimes extend into axilla. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 863-864. B Cell - ✔✔Lymphocyte produced in bone marrow and peripheral lymphoid tissue; found in breastmilk. Attacks antigens. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. β lactaglobin - ✔✔Major protein in bovine milk. Hale & Hartman, 2007. Textbook of Human Lactation, page 40. Back to sleep - ✔✔A campaign that significantly reduced SIDS. Babies are less prone to SIDS when sleeping on their back. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 632. Bactericidal - ✔✔Destroys bacteria. Merriam-Webster Medical Dictionary. www.merriam-webster.com/medical/bactericidal. Bacteriostatic - ✔✔Prevents the growth of bacteria. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Bactrim/Septra - ✔✔Sulfonamide antibiotic, L3. The mixture of trimethoprim and sulfamethoxazole. No concerns reported via breastmilk. Hale, 2010. Medications and Mother's Milk (14th ed.), page 249. BALT/GALT/MALT - ✔✔Bronchus/gut/mammary-associated immunocompetent lymphoid tissue. Intermammary pathway. IgA antibodies are transferred through breastmilk to the infant. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Basic research - ✔✔Research that generates knowledge for the sake of knowledge. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Bed-sharing - ✔✔Sharing adult bed with baby. Questioned safety in reduction of SIDS. Safe bed sharing has been shown to extend the duration of breastfeeding. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 282-283. Bellagio Consensus Conference - ✔✔Meeting to develop protocol for the Lactational Amenorrhea Method of birth control. 1988. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 714-715. Beneficence - ✔✔The duty to do good. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 31. BFHI Baby Friendly Hospital Initiative - ✔✔Initiative by UNICEF and WHO (1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps". Unicef. Baby-Friendly Hospital Initiative. Available online: http://www.unicef.org/programme/breastfeeding/baby.htm. Bioavailable - ✔✔The amount of a nutrient that is actually absorbed by the body. Nutrients found in breastmilk are easily absorbed by the infant's body. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Bisphenol A - ✔✔(BPA) organic compound found in plastics. Linked to disease in infants. Now banned. (BPA) organic compound found in plastics. Linked to disease in infants. Now banned. Bivariate - ✔✔Statistics derived from the analysis of the relationship between two variables. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Blessed thistle - ✔✔An herbal galactagogue. L3. Walker, 2009. Breastfeeding Management for the Clinician: Using the Evidence (2nd ed.), page 592. Bolus - ✔✔A quantity of medication given by IV, or a quantity of fluid (milk) given orally. Merriam-Webster Medical Dictionary. www.merriam-webster.com/medical/bolus. Bradycardia - ✔✔Relatively slow heart rate. Opposite of tachycardia. Merriam Webster Medical Dictionary. www.merriam-webster.com/medical/bradycardia. Breastfeeding dyad - ✔✔A breastfeeding mother and baby. Buccal pads - ✔✔Fat pads on the masseter muscles in an infant's cheeks giving them a plump cheeked appearance. Provide stability for the tongue during suckling. Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Calories in breastmilk - ✔✔Mature milk has approximately 20 cal/oz. Mannel, Martens & Walker, 2008. Core Curriculum for Lactation Consultant Practice (2nd ed.), page 227. Candidiasis - ✔✔Fungal infection caused by Candida albicans; also called "thrush." Riordan & Wambach, 2010. Breastfeeding and Human Lactation (4th ed.), page 864. Caput succedaneum - ✔✔Diffuse swelling or collection of serum under the scalp of the newborn from birth trauma. Differentiated from cephalhematoma by unrestriction [Show More]
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