CERTIFIED LACTATION CONSULTANT EXAM

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CERTIFIED LACTATION CONSULTANT EXAM

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -78 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Colic

Answer:

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

Question 2: Storing fresh expressed or pumped breast milk

Answer:

Up to 4 hours on the countertop Up to 4 days in the refrigerator Within 6 months but up to 12 months in the freezer

Question 3: Procedural Knowing

Answer:

The position at which techniques and procedures for acquiring, validating, and evaluating knowledge claims are developed and honored Invested learning, constantly taking in new information Interested in obtaining and applying knowledge Want to understand other people's points of view Assume that every one including themselves can be wrong Will read a variety of books with different points of view May attend several classes and change health care providers easily May be viewed as inconsistent by others May want very technical information about breastfeeding

To develop a relationship with Procedural knowers:

Be prepared to back up statements with evidence Be knowledgeable about multiple sources of reference Limit personal stories Understand that options and change are part of the process

Question 4: What is the second way oxytocin can be triggered?

Answer:

Nipple stretching that occurs with a proper latch

Question 5: Increased worry of stress my diminish milk supply

Answer:

Not necessarily, worry/stress may alter behavior which could alter supply but not nursing enough or removing milk often enough

Question 6: If mother is infected with HIV

Answer:

Breastfeeding or feeding at the breast is not advisable

Question 7: If mother has an active herpes lesion on the breast

Answer:

Can breastfeed from unaffected side if affected side is completely covered If both sides are affected mother should temporarily not breastfeed or feed expressed breastmilk

Question 8: Engorgement

Answer:

Breasts hard, hot, and shiny Temp above normal Feels discomfort in the breast 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

Question 9: The International Code of Marketing of Breast milk Substitutions

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.

Question 10: What contributes to low rates of exclusive breastfeeding globally?

Answer:

Caregiver 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

Question 11: If mother has active TB

Answer:

Mother should temporarily not breastfeed but can feed expressed breast milk

Question 12: How to support exclusive breastfeeding

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

Question 13: How does iron effect baby's gut

Answer:

Low iron in the gut is good, breastmilk has relativly low iron content Tons of different bacteria thrives on excess iron so having to much can cause issues

Question 14: Storing thawed, previously frozen breast milk

Answer:

Up to 1-2 hours on the countertop Up to 24 hours in the refrigerator Never re-freeze previously thawed milk

Question 15: Storing breast milk that is leftover from a feeding

Answer:

Use within 2 hours after the baby is done feeding

Question 16: Receivers of knowledge

Answer:

Believe that all authorities tell the truth Like to learn the right answer and repeat it to the teacher Can not tolerate ambiguity Submit to the command of authority-not inner voice Sense of self is embedded in external definitions and roles Live at the behest of those around them

To develop a relationship with Receivers of knowledge:

Teacher or counselor must project authority Never be ambiguous Advantages must be concrete and appropriate for her Teaching should be centered on the right way and include return demo

Question 17: How does pH of the gut effect babies

Answer:

Gut pH of breastfed babies is higher than those who are formula fed or even mixed fed. Higher pH means less harmful bacteria is able to grow which helps have less issues with diarrhea

Question 18: Weight loss in breastfed infant

Answer:

No more than 7% weight loss from with birth weight and no more weight loss by day 5 and should be back to birth weight by 2 weeks Weight loss greater than 7% from birth weight indicates a possible breastfeeding problem and requires more intensive evaluation of breastfeeding and possibly intervention (not supplementation!) to correct problems and improve milk production and transfer