I retook the exam last year, for the third time, and all I can say is that
most of the questions were ok. I didn't really study much except for a
last-minute brush-up using a friends study guide and looking through the
Atlas. If you are actively practicing as an LC and keeping up through
conferences/Lactnet/JHL/CE then you should not have a problem passing the
test.
Also, take advantage of the ability to critique questions that you think are
ambiguous or have no best answer. A certain number of questions are thrown
out each year based on these responses.
Sharon from New York, USA
On Fri, Jul 24, 2009 at 5:05 PM, Kershaw Jane <
[log in to unmask]> wrote:
> Can't answer all these questions - but on the meds - unless you take blood
> from the cord within a couple of minutes or less of administration, it is
> gone from the blood stream and into the brain.
>
> -----Original Message-----
> From: Lactation Information and Discussion [mailto:
> [log in to unmask]] On Behalf Of Shannon Theiss
> Sent: Friday, July 24, 2009 11:45 AM
> Subject: Re: exam practice L. Smith
>
> I am so glad you posted this. I too am about ready to pull my hair out with
> this book. I have found several text questions that I do not agree with and
> can find supporting rational for my "wrong" answer in other breast feeding
> books. I am mainly using Jan Riordan's "Breastfeeding and Human Lactation
> 3rd Ed" and Barbara Wilson-Clay & Kay Hoover's "The Breastfeeding Atlas 3rd
> Ed"
> and have but not using as much "Breastfeeding A guide For the Medical
> Professional" by Ruth and Robert Lawrence. I am at the point that I don't
> know which text to believe and follow? They all have slight variances from
> each other. I am getting questions wrong in the L. Smith practice exam book,
> and I don't completely understand her rational.
> In Riordan on pg 202 it suggests hypoglycemia from birth to day 1 to be
> under 30mg/dl and under 40mg/dl, but I get the answer wrong for the 6 hour
> old with a BS of 36mg/dl that needs immediate feeding. So what is the number
> I should go by?
> For the questions about no traces of pain killers being found in the infant
> or cord blood after the mother was given high doses before delivery. I don't
> understand why at least a trace wouldn't be found in blood if when the
> answer is because it is concentrated in the infant's brain. My level of
> thinking leads me to think there has to at least be a trace in order for it
> to get to the brain to concentrate anyway?
> Another questions says bf has no benefit to cardiovascular health, but I
> can find in Riordan as well as several Nutritional articles that bf is now
> being thought to decrease the risk of later cardiovascular disease with the
> thought that higher cholesterol levels in breast milk being a contributing,
> protective factor. AND I get another question wrong because according to L.
> Smith, there is absolutely no cholesterol in formula; however, even though
> it is a small amount, there is a small amount of cholesterol in at least
> cow- milk based infant formula. Even if small, it is still there. Also,
> according to L. Smith, the swallowing reflex develops at 26 weeks gestation,
> where B.WC, K.H, and Riordan all say this reflex is seen first seen
> developing between 10-14 weeks.
> I DON'T KNOW WHO TO BELIEVE or what to study anymore. I also agree, some of
> the pictures are also unfair. How many of you think POISON IVY as their
> first thought for a nipple rash (with no other information)? Also, why is
> flicking the feet of a newborn to arouse it worse than placing a cool cloth
> on the infants face? Maybe I am just thinking too much in terms of being a
> pediatric nurse where this practice (cold to the face) could trigger a vagal
> response which could slow the heart rate? And why is vit D supplements for a
> dark skin toned bf baby, located in an area with little sunlight always the
> wrong answer for treatment to prevent Rickets? How does "exposing the
> mothers face to at least 20 min of sunlight daily" have any measurable
> effect on the infant?
> Working in a pediatric clinic and reading in texts, this (Vit D supplement)
> is the common and recommended practice per the AAP.
> Please someone help me out here? I have had several people say " give the
> answer they want." The thing is, I don't know what "they" want anymore when
> there are so many inconsistencies between sources. How does this method help
> a person out in this career path?
>
> Shannon Theiss, BSN,RN
>
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