CERTIFIED LACTATION CONSULTANT REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

CERTIFIED LACTATION CONSULTANT
REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS
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 - ANS ✔✔✔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) - ANS ✔✔✔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. - ANS ✔✔✔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 - ANS ✔✔✔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. - ANS
✔✔✔Frequent milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is
determined is:
The number of feedings in 24 hours The speed/efficiency with
which the baby removes milk
The amount of fat in the mother's diet
The amount of liquid in the mother's diet - ANS ✔✔✔The
speed/efficiency with which the baby removes milk
Which of the following is the MOST effective at increasing
gastrin and CCK and decreasing somatostatin in the baby?
Increasing stress/anxiety
Crying before sleep
Focusing on objects 8-12 inches away
Feeding with species-specific milk - ANS ✔✔✔Feeding with
species-specific milk
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. - ANS ✔✔✔Weight 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 - ANS
✔✔✔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 - ANS
✔✔✔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 - ANS ✔✔✔F
Lactogenesis 2 occurs after the complete delivery of the
placenta. True
False - ANS ✔✔✔T
Lactogenesis 3 is also called Galactocemia.
True
False - ANS ✔✔✔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. - ANS ✔✔✔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 - ANS ✔✔✔F
The more time spent breastfeeding in the first 48 hours, the less
chance there is for engorgement.
True
False - ANS ✔✔✔T
For all breastfeeding individuals, bras are essential for comfort
during lactation.
True
False - ANS ✔✔✔F
Breast surgery can potentially impact breastfeeding.
True
False - ANS ✔✔✔T
Peri-areolar incisions with breast surgery are least significantly
associated with milk insufficiency. True
False - ANS ✔✔✔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 - ANS ✔✔✔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 - ANS ✔✔✔T