Identify the letter located at the lowest latitude location on the map.

What might be a result of a newborn infant being “helped” onto the breast during the first hour before it shows readiness to latch on?

Identify the letter located at the highest latitude location on the map.

When thinking of solutions to potential breastfeeding problems, how might you characterize the “unicorn” problem?

From the discussion, the counselor can infer that Marissa’s primary Archetype is…

Recognition of Goldsmith’s Sign can:

Refer to Case 3 AboveGiven the brief history above, you suspect that Apple’s reluctance to feed is:

In counseling about cues for optimal feeding, Marissa should be taught that…

CASE 2 UPDATE: Sarah attempted to breastfeed her four other children (all girls), but she stopped before they were two weeks old because of sore nipples. She tells you that she would like to breastfeed this baby (her first son) for one year. Everyone is excited because not only is Jordan her first boy, he is the first male grandchild in her husband’s family. She explains that her daughters all had problems with formula, spit up at lot and cried all the time. Sarah tells you that she loves being a mother and expects to have more children. She was a day-care worker before having her first baby, but has not returned to work since then.

Participant instructions for the exam This Video Competency Assessment is an important part of the Advanced Issues in Lactation Practice examination and is one of the required competencies to pass. Please use the case notes and LAT form contained in the tool below to write an assessment of what you observe in the video.  When the video is finished, you will have additional time to complete your assessment and notes. You will first answer 16 Multiple-Choice questions based on what you observed in the video. During this portion of the exam, you may refer to your case notes and LAT form while completing the examination. Open the Notes Tool