CERTIFIED BREASTFEEDING COUNSELOR PCE EXAM
.WITH 100% VERIFIED QUESTIONS AND
ANSWERS.A+ GRADED..
How is milk ejected into ducts from alveoli ? aka let down --CORRECT ANSWER--- Myoepitheal
cells encase the aveoli , contract in response to oxytocin . In response to sucking oxytocin
increases
Different stages of breast development --CORRECT ANSWER--- embryogenesis : Mammary
gland while embryo
- Mammogenesis : @ puberty , estrogen influences growth of ducts and buds
-Lactogensesis 1 : Fullness and tenderness while pregnant . Ducts stimulated .
Lactogenesis 2 : Secretory activation when placenta out . D / t increase of prolactin when
progestrone decreases .
Lactogenesis 3 : Milk removal =production . Infant sucking- oxytocin = let down .
How long after cessation of breast feeding does milk production stop ? - --CORRECT ANSWER---
40 days
What happens to estrogen and progesterone during pregnancy and birth ? --CORRECT
ANSWER--- Increase during pregnancy , decreases after birth Helps development of lobes .
Signs of letdown ? --CORRECT ANSWER--- Tingling , warmth , fullness , dripping , contractions
Accessory tissue : Where are they found ? --CORRECT ANSWER--- Diagonal line from axilla to
groin area . Can lactate and undergo malignant change .
Flat / inverted nipples : possible issues and solutions ? What is short shank ? --CORRECT
ANSWER--- Difficulty w / latch . Nipple shield may help . Short shank- retraction w / stimulation
Hypoplasia , what is it ? --CORRECT ANSWER--- Underdevelopment , insufficient glandular
tissue . No changes during pregnancy , insufficient milk .
What is breast milk composed of ? --CORRECT ANSWER--- Fats : higher in mature milk and
evenings -Protein : Casein- allows for iron to be absorbed , mature milk . Whey early milk , IGA
kills bacteria Carbs : Lactose , makes up alories / energy . Vitamins : A , D , E , K , C , thiamin ,
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