{"id":119524,"date":"2023-09-11T19:30:16","date_gmt":"2023-09-11T19:30:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119524"},"modified":"2023-09-11T19:30:19","modified_gmt":"2023-09-11T19:30:19","slug":"certified-lactation-consultantclc-exam-bundle-with-complete-solution","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/11\/certified-lactation-consultantclc-exam-bundle-with-complete-solution\/","title":{"rendered":"Certified Lactation Consultant(CLC) exam BUNDLE With complete solution"},"content":{"rendered":"\n

Certified Lactation Consultant(CLC) exam BUNDLE With complete solution<\/p>\n\n\n\n

Certified Lactation Consultant Exam
The World Health Organization and UNICEF have set out three strategies needed for
increasing breastfeeding initiation and duration in every country. What are the 3
strategies? – Correct answer-Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Focuses on advantages of breastfeeding on a personal (personal connection),
community, country (amount spent on healthcare), or global level (waste from formula &
formula products)
Focuses on the good “advantages” of breastfeeding – Correct answer-Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to assure breast
feeding’s ability to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison,
etc.. – Correct answer-Breastfeeding Protection
Focuses on the interaction of “helpers” with family as well as program development and
implementation – Correct answer-Breastfeeding Support
Women how do not breastfeed are at a greater risk for what diseases? – Correct
answer-Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
Reason #1 why women do not exclusively breastfeed – Correct answer-Unrealistic
expectations from society about motherhood. Along with lack of preparation for what the
newborn period would be like.
Reason #2 why women do not exclusively breastfeed – Correct answer-Lack of timely
interventions. Mother’s problems at 3-7 days posed the greatest risk for stopping which
is when they are home from the hospital and alone with no support. The fastest drop-off
is in the first 10 days following discharge from the hospital<\/p>\n\n\n\n

The International Code of Marketing of Breast milk Substitutions – Correct answer-An
international health policy framework to regulate the marketing of breast milk substitutes
in order to protect breastfeeding. It was written in response to the marketing activities of
the infant feeding industry which were promoting formula feeding over breastfeeding,
which in turn was leading to a dramatic increase in maternal and infant morbidity and
mortality.
What does “The Code” do? – Correct answer-Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together with
feeding bottles, and teats, intended for babies and young children. Sets standards for
the labeling and quality of products and for how the law should be implemented and
monitored within countries. Aims to make sure that parental choices on feeding are
based on full, impartial information, rather than misleading, inaccurate or biased
marketing claims.
The Global Strategy for Infant & Young Child Feeding – Correct answer-Is intended as a
guide for action; it identifies interventions with a proven positive impact, it emphasizes
providing mothers and families the support they need to carry out their crucial roles, and
it explicitly defines the obligations and responsibilities in this regard of governments,
international organizations, and other concerned parties.
What contributes to low rates of exclusive breastfeeding globally? – Correct answerCaregiver and societal beliefs favoring mixed feedings (believing that breast milk is not
enough or that babies actions\/issues are related to the breast milk\/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than
promoting support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of proper
breastfeeding techniques
How to support exclusive breastfeeding – Correct answer-Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the baby-friendly
hospital initiative in health systems
Provide community based strategies including communication campaigns tailored to the
local context
Strengthen the monitoring, enforcement, and legislation related to “The Code” and
subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and
support
What is the role of the pituitary glade in milk making? – Correct answer-Messages from
certain stimulation travels through the breast to the pituitary gland which triggers it to
produce prolactin and oxytocin which are two hormones needed to make milk.<\/p>\n\n\n\n

Certified Lactation Consultant Exam
1 breast or 2? ans: There is no difference in baby’s net fat intake according to the number of breasts
suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn’t matter 1 breast or 2 whatever they want
1+ year of lactation ans: After one year of lactation the milk expressed has significantly increased fat and
energy contents, compared with milk expressed by women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older\/bigger because the composition of
the milk changes
Anemia and breastfeeding ans: Postpartum hemorrhage can cause sheehans syndrome which in turn
causes hormonal issues including milk making hormones
Retained placenta fragments prevents the shift from lactogenesis stage 1 to stage 2 which can affect
your mature milk coming in
Breast milk composition changes\u2026 ans: Over the course of lactation
Within the day there are variations on the composition of milk
Within a feeding
By the way it is taken during a feeding
and also between feedings
Canabis use and breastfeeding ans: Exposure of infant to any kind of passive smoke is a concern. There
is no safe threshold limit for cannabis use in pregnancy. Among pregnant women cannabis use was
significantly associated with an increased risk of preterm birth and low birth weight
The high fat solubility of cannabinoids make them difficult to analyze in breast milk. THC (delta-9-
tetrahydrocannabinol) is measurable in milk 6 days after maternal use
Colic ans: An easily identifiable childhood problem that has no clearly identified treatment
Does not seem to be associated with GERD
Colicky babies had more than double the abundance of microbia in the gut
Constructed Knowing ans: The position at which truth is understood to be contextual, knowledge is
tentative, and it is understood that the knower is part of the known
Have abandoned either\/or thinking
Have learned to live with conflict and have high tolerance for internal contradiction and ambiguity
Believe all knowledge is constructed and the knower is an intimate part of the known
Want to avoid compartmentalizing thought and feeling, home and work, self and other
Want to embrace all the pieces of the self in some ultimate sense of the whole: mother-daughter-wifeartist
Aspire to work that contributes to the empowerment and improvement in the quality of life of others
Believe that ideas and values must be nurtured
Have a unique and authentic voice
Engorgement ans: Breasts hard, hot, and shiny
Temp above normal
Feels discomfort in the breast
Certified Lactation Consultant exam Questions
and Answers<\/p>\n\n\n\n

Nipple difficult to grasp, makes difficult for baby to latch
Occurs most commonly day 3-5
As the pressure builds up inside the breast milk production decreases, this is natures early dry up
mechanism
Failure to effectively resolve prolonged symptomatic engorgement may have a negative impact on
continued adequate milk supply
Placing breasts in a bowl of warm water will stimulate the milk to flow out to relieve some pressure so
you can then feed
Fat content in breast milk ans: Longer times in between feedings made for a lower fat content but faster
feedings made for a higher fat content where as feedings lasting longer than 30 mins made for a lower
fat content
Breastfed babies can regulate fat intake quickly and thus mothers should be encouraged to practice
baby led feeding
Maximum fat levels were obtained 30 mins post-feed
Focuses on advantages of breastfeeding on a personal (personal connection), community, country
(amount spent on healthcare), or global level (waste from formula & formula products)
Focuses on the good “advantages” of breastfeeding ans: Breastfeeding Promotion
Focuses on government, manufacturer, and social responsibility to assure breast feeding’s ability to
compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison, etc.. ans:
Breastfeeding Protection
Focuses on the interaction of “helpers” with family as well as program development and
implementation ans: Breastfeeding Support
Formula preparation and storing ans: Formula needs to be mix with water that is at least 70\u00baC or 158\u00baF
in order to kill Enerobacter Sakazakii
Formula made with hot water need to be cooled quickly to body temperature if it is being fed to the
baby immediately
If the formula is not being fed immediately, refrigerate it right away and keep refrigerated until feeling
Hierarchy of infant feeding choices ans: 1. Baby at mothers breast<\/p>\n\n\n\n

    \n
  1. Mother’s own expressed milk<\/li>\n\n\n\n
  2. Milk from a milk bank<\/li>\n\n\n\n
  3. Cows milk forumla<\/li>\n\n\n\n
  4. Soy formula
    How do I know my baby is getting enough milk? ans: One wet diaper for how old the baby is (however
    this can be skewed by the diuresing process and is not a good indicator of adequate hydration)
    4 wets on day 4 and each day after
    Multiple poops each day that change in consistency and color
    How do we assure an adequate milk supply? ans: Universal understanding of how breastfeeding works
    Early initiation and adequate breastfeeding (10-12x per day)<\/li>\n<\/ol>\n\n\n\n

    CLC- Certified Lactation Counselor Exam
    What duration of breastfeeding is associated with significantly reduced incidence of acute
    otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than 4-6 months –
    ANSWER C) More than 4-6 months
    Breastfeeding lowers the risk for the incidence of dental caries compared to children fed
    nonhuman milk from a bottle. True of False? – ANSWER True
    Does breastfeeding lower the risk of NEC in preterm infants? – ANSWER Yes
    Is there a difference in the protective effect against SIDS between babies that are
    exclusively breastfed vs. non-exclusively? – ANSWER Yes, babies that are exclusively
    breastfed have a stronger protective effect against SIDS
    Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
    teeth)? – ANSWER Yes
    True of False. Lactational amenorrhea, or the delay in return of menses after birth, is not
    associated with exclusive breastfeeding. – ANSWER False
    What are the physical benefits of breastfeeding to the lactating parent? – ANSWER Lower
    risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2 diabetes,
    reduced risk of cardiovascular disease
    What are the 3 main steps of Evidence-Based Practice (EBP)? – ANSWER Best available
    clinical evidence, Clinical expertise, Patient concerns and needs
    What are the benefits of breastfeeding for infants? – ANSWER Protective against
    respiratory infections, asthma, gastrointestinal infections and diarrhea, ear infections,
    dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes, higher performance
    on intelligence tests
    What are hypotonic lips in an infant? – ANSWER Abnormally LOW muscle tone or
    weakness in lips- may impact amount of suction, increase work of feeding, can contribute
    to milk loss and fatigue during feedings
    What are hypertonic lips in an infant? – ANSWER Abnormally HIGH muscle tone or
    overuse of lips- increased lip activity to hold breast in mouth
    What can hypertonic lips be an indication of? – ANSWER 1. Neurological abnormality or
    injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for muscular
    weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility secondary to
    a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature (hypo- or
    hypersensitive)
    CLC- CERTIFIED LACTATION COUNSELOR EXAM QUESTIONS
    AND ANSWERS<\/p>\n\n\n\n

    2022 International Board Certified Lactation
    Consultant (IBCLC) Certification Exam
    1 gram of weight gain = 1ml of milk intake. The use of this formula for test weighing infants before and
    after feedings: ans: helps determine adequate intake in special situations of concern [p344-346]
    A breastfeeding mother comes into your office with a lump in her right breast. She reports that she has
    a hx of plugged ducts. Her doctor diagnosed a galactocele by US. You explain to her that a galactocele is
    a benign cyst in the ducts of the breast and ans: can be aspirated and refilled with milk [p301]
    A breastfeeding mother is going on vacation and is considering purchasing breastmilk from an internet
    website. Which statement is correct: ans: pasteurized breastmilk from a reputable milk bak is only
    available by physician prescription [443-444]
    A breastfeeding mother tells yo u that she is lactose intolerant. You inform her that _<\/strong> ans: primary
    lactose intolerance is rare in newborns & that she should continue to breastfeed [p 658-659]
    A LC is helping a mother with a 37 wk gestation baby who is 35 hours old and has a bilirubin of 10 and
    weight loss of 7%. The mother reports that the baby will not wake up and continues to sleep and will not
    latch onto the breast. Your immediate plan of care would include: ans: teach the mother wake up
    techniques, spoon feed colostrum, and attempt to breastfeed
    A mother comes to your new nothers support group and you observe her infant after a breastfeeding.
    You recommend that she: ans: make an appt with pedi for possible thrush [291]
    A mother of a 2 year old and a newborn contacts you about tandem nursing. The 2 year old wants to
    nurse frequently. You suggest: ans: breastfeed the infant 1st, then the toddler
    A mother who is 8 wk PP reports that she has had 2 episodes of mastitis. The following factors could
    contribute to this reoccurrence: ans: the mother stopped her antibiotics when she felt better
    a mother with diabetes IDDM should be advised ans: to breastfeed early and often and supplement with
    expressed breastmilk if neeed [516]
    a new mother asks you for suggestions about breastmilk storage recommendations for her full term
    infant. This new mother plans to collect as much extra breastmilk as possible as she must return to work
    in 2 weeks. Ideally, she’d like to use some of the collected pumped\/expressed milk so that her relatives,
    who will be helping care for the child, can feed the baby too. You tell mom: ans: breastmilk, cleanly
    collected, can be left for up to 6 hrs w\/o refrigeration [p 559]
    A new mother of twins would like to start tandem nursing before hospital discharge. A key point to
    discuss with the mother would be ans: each baby has to individually learn how to breastfeed and the
    mother needs to recognize that each baby is feeding effectively
    International board certified lactation consultant
    (IBCLC) CERTIFICATION EXAM QUESTIONS AND
    ANSWERS<\/p>\n\n\n\n

    A new mother tells her nurse that she has had breast reduction surgery. In her care plan, you would
    advise the mother : ans: to frequently feed her newborn and monitor the babys weight loss, urine, and
    stool output
    A new mother tells you that she has implants as she is beginning to breastfeed her infant. One of the
    most important factors in her health hx to predict successful breastfeeding is ans: the location of the
    implant did not damage any nerves to the breast [p 299-300]
    A new mother tells you that she is returning to work full time at 6 wks and that she wants to continue to
    breastfeed her baby. She has a pump for work and is already pumping and giving bottles of milk to her
    baby. Your 1st question to her would be: ans: What are your goals for breastfeeding after you return to
    work? [552]
    A parent of a 3 wk old baby born at 38 wks gestation is concerned because her baby spits up after every
    feeding. She reports that is seems to be “the entire feeding”. The babys weight gain is approx an ounce
    per day. The baby is nursing in cross cradle position at most feedings. The parents has begun to give the
    baby a bottle once q 3-4 days. What is the 1st suggestion to this parent? ans: suggest different
    positioning of the baby when nursing
    a professional relationship is established when a LC discusses a breastfeeding issue with a mother: ans:
    whether or not the LC is being paid [p.8]
    After breastfeeding this mother complains of extreme pain in both of her nipples. You may discuss with
    her the following causes: ans: she likely has Raynaud’s syndrome
    after reviewing this growth chart, you would give the mother the following advice: ans: breastfeed while
    increasing your milk supply and use temporarily supplementation [pg 347-348]
    Amy is concerned that her 3 month old may have lactose intolerance and is wondering about trying a
    lactose free formula instead of breastfeeding. You inquire what symptoms led her to this conclusion.
    Amy relates that her mother said she was lactose intolerant as an infant. Her baby is gassy and has loose
    stools. You best response to this mother would be: ans: Babies under 3 y\/o rarely have lactose
    intolerance. Tell me more about your baby’s behavior. [p 658-659]
    before a new mother begins to pump, you would recommend that she wash her hands, use a clean
    pump kit have available an appropriate storage container and ans: gently massage her breasts and begin
    pumping [pg 379]
    By placing this infant on his mothers chest, all of the following are true except: ans: you will lower the
    infants core temp [p 178-181]
    characteristic of a quantitative study are: ans: There are controlled variables [pg 683-685]
    domperidone and metoclopramide are galactagogues. both medications significantly: ans: raise
    prolactin levels by inhibiting the action of dopamine at its receptors
    During a prenatal breast exam, the expectant mother presents with widely spaced small breasts with
    mark asymmetry. This anatomical “red flag” is often associated with: ans: Insufficient lactation [p. 338]<\/p>\n\n\n\n

    Certified Lactation Consultant Exam
    Study Guide
    A staff member is fond of telling mothers how expensive it is to formula feed infants and
    how inexpensive it is to breastfeed. What is she doing when she talks to mothers on this
    topic?
    Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
    breastfeeding – ANSWER Promoting breastfeeding
    Who currently collects the most comprehensive breastfeeding statistics in the United
    States?
    The United States Breastfeeding Committee Ross Laboratories The Centers for
    Disease Control (CDC) The US Department of Agriculture (WIC) – ANSWER CDC
    Which of the following statements about prolactin is TRUE?
    Prolactin is a great laxative. Prolactin causes milk to be released.
    Prolactin causes milk to be made. Prolactin is produced in the renal gland. – ANSWER
    Prolactin causes milk to be made.
    Which of the following mechanisms cause oxytocin to be released? Complete delivery
    of the placenta Elevated levels of gastrointestinal hormones
    Frequent feeding and milk removal Nipple stretching with appropriate latch-on –
    ANSWER Nipple stretching with appropriate latch-on
    Lactogenesis III requires which of the following to succeed?
    Frequent milk removal and nipple stimulation.
    Adequate rest and alternating starting breast at each feed. Adequate protein and
    carbohydrates for the mother. Adequate maternal hydration and lack of maternal stress.<\/p>\n\n\n\n