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

According to the archetype displayed by Marissa, an appropriate remark by Lisa would be…

Case 1You are the lactation care provider in Marley Elizabeth’s prenatal care providers’ office.Marley Elizabeth Jones is a 33-year-old single pregnant woman at 36 weeks gestation. An attorney, she works for an organization that advocates and seeks justice for low-income families who are facing eviction. This is her first pregnancy.Marley Elizabeth’s plans are to take her full 4-month maternity leave and then work from home for another 4 to 6 months. She would like to give her baby breastmilk for the first full year, although she is concerned about the amount of time that breastfeeding will take. She is convinced that breastmilk would be the healthiest choice for her baby, based on the books and research articles she has read.

Counseling Marissa and Landon could include…

Marley Elizabeth has not been in contact with her family since she graduated from high school, has few friends outside of work and has not notified the baby’s father of her pregnancy and impending birth. She has, however, attended childbirth classes with the doula she hired, attended two breastfeeding classes and has been to a La Leche League meeting. There have been no complications with her pregnancy and she intends to work until her due date.

Take away messages for Marissa should include…

_________ is the serous membrane that line the inside of the thoracic cavity.

If someone had an a disease that hindered the mucociliary system, which of the following would be most likely to happen.

The ____________ is the amount of air moved in and out of the lungs. It can be found by multiplying the respiration rate by the tidal volume.