CERTIFIED LACTATION CONSULTANT REAL
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS
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?
- ANS ✔✔✔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 - 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
Women how do not breastfeed are at a greater risk for what diseases? - ANS
✔✔✔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 - ANS ✔✔✔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 - ANS ✔✔✔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
The International Code of Marketing of Breast milk Substitutions - ANS ✔✔✔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? - ANS ✔✔✔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 - ANS ✔✔✔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? - ANS ✔✔✔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
How to support exclusive breastfeeding - ANS ✔✔✔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? - ANS ✔✔✔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.
How in prolactin produced? - ANS ✔✔✔Breast stimulation
Nipple stimulation (makes the most)
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