CLC EXAM TEST BANK 2023 CERTIFIED LACTATION CONSULTANT EXA M 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. - ANSWER - Weigh t 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 bab ies 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 G alactocemia. 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 mi lk 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 MO ST 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 nutrit ion 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 nippl es, 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. T rue 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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