CLC EXAM TEST BANK 2023 CERTIFIED
LACTATION CONSULTANT EXAM TEST BANK 300
QUESTIONS AND CORRECT ANSWERS(VERIFIED
ANSWERS)
According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems.
Weight loss of less than 7% from birth weight is a sign of hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. – ANSWERWeight loss of more than 7% from birth weight indicates possible breastfeeding
problems.
When undernourished mothers were supplemented with extra energy in their diet, they:
Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately – ANSWER- Responded to their infants
more appropriately
Harmful bacteria have difficulty growing in the breastfed infants’ gut because the
composition of breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine – ANSWER- Fosters the growth of good
bacteria that crowd out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
False – ANSWER- F
Lactogenesis 2 occurs after the complete delivery of the placenta. True
False – ANSWER- T
Lactogenesis 3 is also called Galactocemia.
True
False – ANSWER- F
It is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent’s fluid intake. – ANSWER- It is driven by the nursing
parent’s fluid intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk
supply.
True
False – ANSWER- F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement.
True
False – ANSWER- T
For all breastfeeding individuals, bras are essential for comfort during lactation.
True
False – ANSWER- F
Breast surgery can potentially impact breastfeeding.
True
False – ANSWER- T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True
False – ANSWER- False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction surgery:
The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is key.
It is important to assure nutrition of the infant.
All of the above – ANSWER- All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as
a “red flag” for close assessment and follow up. True
False – ANSWER- T
Hypoplastic breasts always make ample milk.
True
False – ANSWER- F
There is no concern when a client reports a breast implant on only one side.
True
False – ANSWER- F
This could indicate history of discrepant breast size.
With flat and inverted nipples, there will be inadequate production of milk-making
hormones because prolactin involves nipple stretching while oxytocin involves nipple
stroking.
True
False – ANSWER- F
Prolactin = nipple stroking
Oxytocin = nipple stretching
The nipple stretches to four times its resting length in the baby’s mouth, according to
Smith’s research.
True
False – ANSWER- F
Stretches to 2x its length
An everted nipple is necessary for babies to attach to the breast. Unlike other
mammals, they cannot form a teat.
True
False – ANSWER- F
When counseling someone who has had a breast surgery, it is important to consider:
If the milk ducts are patent
If the nipple pores are patent
The need to monitor the baby’s weight gain very closely
All of the above – ANSWER- All of the above
Grade 3 inverted nipples are difficult or impossible to pull out/evert.
True
False – ANSWER- T
You can tell looking at a nipple at rest how it will function.
True
False – ANSWER- F
One concern about Grade 3 inverted nipples involves:
Prolactin levels
Oversupply issues
Engorgement
All of the above – ANSWER- Prolactin levels (decreased nipple stroking/stretching)
Almost all mothers have grade 3 inverted nipples.
True
False – ANSWER- F
Prenatal nipple preparation should be recommended for all women. True
False – ANSWER- F
No research supports, in fact research showed that the non-treatment group BF for
longer duration
Jo Alexander’s research indicates that 1 out of 5 women have inverted nipples.
True
False – ANSWER- F
3/5 mothers has inverted nipples.
The best way to prepare and inverted nipple for breastfeeding is: Doing nothing to the
nipple during pregnancy
Stretching the nipple and areola during pregnancy
Using a breast shell during pregnancy
Stretching the nipple and using a breast shell during pregnancy – ANSWER- Doing
nothing to the nipple during pregnancy
The women who used a breast shell had the best breastfeeding outcomes at 6 weeks in
the Alexander study.
True
False – ANSWER- F
The Alexander study has implications for postpartum care. Sometimes true
Always true
Sometimes false
False – ANSWER- F
Anemia is a marker for an ample milk supply.
True
False – ANSWER- F
Henley’s research showed 1 in 10 mothers may be anemic.
True
False – ANSWER- False.
1 in 5 mother’s may be anemic.
Even a well-managed hemorrhage can result in Sheehan’s syndrome. True
False – ANSWER- T
Some research suggests that women who are obese may have a delay in lactogenesis
2.
True
False – ANSWER- T
One concern about corticosteroids used to prepare the baby’s lungs for breathing during
threatened preterm labor is:
An increase in engorgement Sheehan’s syndrome
A possible delay in lactogenesis 1
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CLC PRACTICE EXAM (PRACTICE EXAM 1- 9)
COMPILATION ACTUAL EXAM 450 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) | ALREADY GRADED
A+||BRAND NEW!!
What is the most important factor that impacts duration of breastfeeding when a
mother returns to work?
a) The timing of when she returns to work
b) Lack of private places to pump
c) The amount of pumped milk she stored ahead of time
d) Negative comments by co-workers – ANSWER- a) The timing of when she
returns to work
You get a call from Maya who is complaining of nipple pain. After you
commiserate with her, what do you say first?
a) “Sore nipples are hard to handle over the phone. I can give you an appointment
tomorrow at 9:30 am.
b) “Do you know if you insurance company covers lactation visits?”
c) “Can you describe the type of pain you are having?”
d) Describe how are you latching the baby to your breast?” – ANSWER- c) Can
you describe the type of pain you are having?”
Monique delivered a male infant at 30 week gestation. In reviewing her history,
which would be considered a risk factor for premature births?
a) Maternal stature less than 60″
b) History of scarlet fever
c) Breech presentation
d) Periodontal disease – ANSWER- d) Periodontal disease
One of the most important responsibilities of the IBCLC who is working in a
hospital is to:
a) Teach mothers how to cup feed their infants
b) Make sure there is consistency in breastfeeding information disseminated to
mothers
c) Change all the breastfeeding policies and procedures in the hospital to reflect
current evidence
d) Teach all the mothers safe preparation of formula in case they need to use it –
ANSWER- b) Make sure there is consistency in breastfeeding information
disseminated to mothers
Which of the following is an expectation of breastfeeding babies in the first two
days of life?
a) Good first feed, followed by 24 hours of poor feeds
b) At least 3 “scoopable poops” per day
c) Copious audible swallows by the second day of life
d) Consumption of 10-15 mL colostrum per feeding the first 24 hours – ANSWERa) Good first feed, followed by 24 hours of poor feeds
Samantha is going back to work and is trying to decide how to pump at work.
Which of the following statements is true?
a) If she double pumps, she will save herself time
b) She will get less milk pumping if she pumps one side at a time
c) Mother can stop pumping once the milk has stopped flowing
d) Mothers should pump more often than she would be nursing at home –
ANSWER- a) If she double pumps, she will save herself time
In recent years, additional federal funds have been provided to the WIC programs
to:
a) Be able to purchase special needs formulas
b) Develop programs to teach the negative effects of formula discharge bags
c) Provide more support for breastfeeding
d) Develop information on the hazards of early cereal feeding – ANSWER- c)
Provide more support for breastfeeding
Drugs generally enter the milk through a process known as:
a) Osmosis
b) Passive diffusion
c) Convection
d) Infusion – ANSWER- b) Passive diffusion
The primary reason mothers who are using a nipple shield should pump after
feedings is:
a) To insure a full milk supply
b) To obtain milk for supplementation
c) To elongate an inverted nipple
d) To eliminate use of the shield sooner – ANSWER- a) To insure a full milk
supply
Which of the following is true regarding sexual abuse?
a) Women may fear exposure during breastfeeding in public
b) Health care providers are reluctant to care for women who have been abused
c) Abused women are less likely to initiate breastfeeding
d) Childbirth will heal memories of sexual abuse – ANSWER- a) Women may fear
exposure during breastfeeding in public
Infants with a congenital deficiency of zinc should be breastfed because:
a) Breast milk contains higher quantities of zinc than do infant formulas
b) Breast milk contains prostaglandin E, which enhances the absorption of zinc
c) Without breast milk, the infant is likely to diet from pemphigus infantalis
d) The linolenic acid in breast milk enhances the myelin sheath laid down –
ANSWER- b) Breast milk contains prostaglandin E, which enhances the
absorption of zinc
You are working with Elizabeth, who has given birth at 35 weeks to baby Sam.
Which of the following would be good advice to give to her regarding nursing
Sam?
a) Gently wake him to nurse every 2 hours
b) Make sure he takes both breasts at each feeding
c) Limit him to nursing twice a day at the breast and feed him with his bottle the
rest of the time
d) Observe him for feeding cues, making sure he gets at least 6 feedings in every
24 hours – ANSWER- d) Observe him for feeding cues, making sure he gets at
least 6 feedings in every 24 hours
One method of care that works across many different cultures is:
a) Teaching manual expression
b) Facilitated group discussions
c) Peer counselor support
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