CLC Exam Study Guide Exam New Version/
ALPP CLC Exam Study Guide Updated
Version Actual Exam
Which factor is higher in colostrum than in mature milk?
a) Fat
b) Lactose
c) Protein
d) Oligosaccharides Correct Answer c) Protein
A 1-month-old infant who has malaria probably acquired the
disease:
a) Through breast milk
b) Via the placenta during the pregnancy
c) Via exposure to the vaginal secretions at the time of brith
d) Via exposure to the anopheles mosquitos Correct Answer d)
Via exposure to the anopheles mosquito
The most common cause of sore nipples is related to:
a) Incorrect positioning of the baby at the breast
b) Concurrent infection of both mother and baby with yeast
c) Feeds lasting longer than 15 minutes on each breast
d) Oral abnormalities of the infant such as ankyloglossia Correct
Answer a) Incorrect positioning of the baby at the breast
For a mother to fractionate (lactoengineer) her milk she needs to:
a) Pump every 1-1.5 hours
b) Use hand expression, not a breast pump
c) Have an abundant milk supply
d) Use only one collection container Correct Answer c) Have an
abundant milk supply
Which matters the most in regards to which women will attend a
breastfeeding class?
,a) If she has some kind of insurance
b) Mother's race or ethnicity
c) Middle or higher class income
d) Education beyond high school Correct Answer a) If she has
some kind of insurance
A short lingual frenulum is referred to as:
a) Labioglossia
b) Ankyloglossia
c) Retracted tongue
d) Labial tongue-tie Correct Answer b) Ankyloglossia
According to WHO literature, mastitis is more common in first time
breastfeeding mothers. The primary reason for this trend may be
that first time mothers are more:
a) Stressed about breastfeeding and childcare
b) Likely to have latch problems resulting in sore nipples
c) Reluctant to call their physicians or seek help
d) Prone to infection in general due to fatigue Correct Answer b)
Likely to have latch problems resulting in sore nipples
Georgia asks you how long Mimosa should breastfeed each time.
What do you tell her?
a) At least 10 minutes on the first side and as long as she wants
on the second.
b) She doesn't need to breastfeed any longer than about 7
minutes on a side because 90% of the milk is gone by then.
c) At least 15 minutes on each breast to make sure the breasts
receive equal stimulation
d) Until Mimosa stops breastfeeding on the first side, then offer
the second. Correct Answer d) Until Mimosa stops breastfeeding
on the first side, then offer the second
Which category of drugs is a breastfeeding mother most likely to
take?
,a) Antibiotics
b) Antidepressants
c) Analgesics
d) Antiemetics Correct Answer c) Analgesics
The AAP Statement recommends pacifiers for infants in the
following situations:
a) Whenever the infant is in a prone position
b) All infants under 4 weeks of age
c) Breastfed infants over 4 weeks of age
d) Families with a history of SIDS Correct Answer c) Breastfed
infants over 4 weeks of age
Which of the following nutritional advice for breastfeeding women
is evidence-based?
a) Increase caloric intake by 500 calories per day
b) Drink enough fluids to satisfy thirst
c) Avoid spicy foods as they will affect the baby's digestion
d) Drink at least 2, 8 oz. glasses of milk per day Correct Answer
b) Drink enough fluids to satisfy thirst
The birth spacing effects of breastfeeding are most beneficial for:
a) Infant well-being
b) Lactational amenorrhea
c) Maternal recovery from childbirth
d) Increasing ovulation Correct Answer c) Maternal recovery from
childbirth
Lactoferrin is a whey protein that is protective against infection
through:
a) Preventing the bacteria from ingesting fat
b) Destabilizing the outer cell membrane of bacteria
c) Attaching itself to the bacteria, thus preventing replication
d) Increasing the amount of IgA available to the infant Correct
Answer b) Destabilizing the outer cell membrane of bacteria
, You are an IBCLC that is due to recertify by exam at your 10 year
mark. On your way to the exam site, you are in a car accident
which lands you in the hospital for a couple of days, so you miss
the exam. Which of the following is your first best course of ethical
action?
a) Continue to use your IBCLC designation and sign up for the
exam the next time it's offered
b) Call IBCLC as soon as possible to explain what happened;
abide by their directives regarding use of the IBCLC designation
c) Stop working as an IBCLC once your certification expires until
you are able to retake the exam
d) Continue to work as an IBCLC, but not use the designation
until you are able to retake the exam Correct Answer b) Call
IBCLC as soon as possible to explain what happened; abide by
their directives regarding use of the IBCLC designation
The volume of milk a mother produces can be affected by:
a) A weight loss of 1-2 lbs. per week
b) Reduction of caloric intake to 1800 kcal/day
c) 10% or more dehydration in the mother
d) Short-term nutritional supplementation of the mother Correct
Answer c) 10% or more dehydration in the mother
The recovery of S. Aureus in human milk is most likely to be a
result of:
a) Not being careful in storing and saving pumped milk
b) Reoccurring breast milk stasis
c) Mastitis with fever over 102 degrees F
d) Allowing pumped milk to sit at room temperature for more than
6 hours Correct Answer a) Not being careful in storing and saving
pumped milk
The most common deterrent to choosing breastfeeding in the U.S.
is:
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