Certified Breastfeeding Counselor (CBC) Practice

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Prepare for the Certified Breastfeeding Counselor (CBC) Exam with our comprehensive quiz. Reinforce your knowledge through engaging questions and explanations. Ensure you're ready for your counseling career!

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What triggers lactogenesis II, leading to a decline in progesterone and the onset of copious milk secretions?

  1. Placenta expulsion

  2. Nipple assessments

  3. Breast reduction considerations

  4. Major components of breastfeeding

The correct answer is: Placenta expulsion

Lactogenesis II, also known as the secretory activation stage, is triggered by the expulsion of the placenta after childbirth. This causes a decline in progesterone levels and a rapid increase in prolactin, the hormone responsible for milk production. Nipple assessments and breast reduction considerations do not directly affect the onset of copious milk secretions. While major components of breastfeeding, such as frequent and effective breastfeeding, can help maintain milk supply, they do not trigger the onset of Lactogenesis II. Therefore, the correct answer is A.

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