By Linda J. Smith
In line with the path of the IBLCE examination board, the 3rd variation of Linda Smith s hugely winning entire Lactation advisor examination overview is now prepared round the chronological phases of the mother-baby dyad s improvement. With over 800 questions and over 30 new medical photographs, the 3rd variation encourages an in-depth exploration of every level of the mother-baby dyad s improvement, and poses questions which are frequently special to that specific level. It comprises entire perform assessments and provides 13 real scientific Case stories, each one asking numerous questions about the case. This overview advisor is ideal for starting lactation specialists and people re-certifying, in addition to dietitians, childbirth educators, nurses, and breastfeeding counselors! New Key gains: info equipped via Chronological levels; Over a hundred extra questions and over 30 new medical images; perform assessments that keep on with the 2010 IBLCE examination layout via having a hundred seventy five multiple-choice questions, of which, a hundred questions have medical photos
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Extra info for Comprehensive Lactation Consultant Exam Review, Third Edition
Pdf 5/24/10 3:53 PM Page 19 CASE 3 • 19 I also had mastitis during the first week, so I am afraid of going too long without pumping in case I have a relapse. I just don’t know what to do anymore, and I feel like the milk will just never dry up. I am tired of being chained to a pump and not being able to go out freely. ” Lactation consultant’s e-mail reply: “At 2 weeks, your breasts are still adjusting. ” Questions for Case 3 1. ” Your FIRST response to her should be: a. You sound desperate! At 2 weeks, your breasts are still adjusting to making milk.
B. Your milk has many components that support brain growth, even if some medication is in the milk. c. You followed the best advice at the time with your other children, so don’t feel guilty. d. Your milk’s nutritional properties are not changed by the medication that might be present. Answers for Case 8 1. The answer is D. A current, referenced text designed for lactation professionals is the most reliable of the above sources. For example, the database LactMed from the National Library of Medicine, the American Academy of Pediatrics publication Transfer of Drugs into Human Milk, or Medications and Mothers’ Milk by Hale are considered reputable sources of information.
The answer is B. A retained placental fragment is the most likely factor associated with delayed onset of lactogenesis. Cesarean surgery may also delay onset of lactogenesis. (B. Physiology; 2. Prenatal; Application; Difficulty: 3) 9. The answer is C. Overweight or obese women are more likely to have a lower prolactin response to suckling, which is a major factor negatively affecting breastfeeding. Repeat pregnancies, underweight, or age over 35 years are not documented risk factors per se, but could be indicators of other maternal problems that might affect lactation.