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CLC EXAM 2024 QUESTIONS WITH CORRECT ANSWERS
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CLC EXAM 2024 QUESTIONS WITH CORRECT ANSWERS
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CLC EXAM 2024 QUESTIONS WITHCORRECT ANSWERS
Whatjarejgreen/shinyjstoolsjajsignjof?j-jcorrectjanswer--
signjofjoverproductionjleadingjtojlessjfatjinjmilk,jfasterjdigestionjcausingjnotjenoughjtimejforjlactasejtojdigest
jthejlactosejinjmilk.jAnjimprovedjlatchjcouldjallowjforjmorejfatjflow
Signsjofjoversupplyj-jcorrectjanswer-
Rapidjweightjgainjinjinfant,junsettledjbabyjafterjfeeding,jrecurrentjpluggedjductsjandjmastitis,jpainfuljfeedin
gs,jvoluminousj(hugejvolumesjof)jstools-joftenjgreenj&jshiny
Whatjcausesjnipplejpain?j-jcorrectjanswer-Improperjlatch--
>jneedjlactationjsupportjtojhelpjwithjproperjlatchjon,jgoodjseal
True/false:jbabyjshouldjbejpulledjintojbreast.j-jcorrectjanswer-
False!jDojnotjpulljbabyjintojbreast,jletjbabyjtiltjheadjbackjforjoptimaljlatch.jHandjonjbackjofjbaby'sjheadjcanjin
terferejbaby'sjinteroraljfunctionjbyjrestrictingjthejmovementjofjthejcranio-cervicaljspine--
>jcausesjnipplejtrauma.jMakejsurejcrookjofjarmjinjcradlejpositionjdoesjnotjblockjbabyjfromjbeingjablejtojfullyj
tiltjback.
Shouldjajlatchjbejsymmetricjorjasymmetric?j-jcorrectjanswer-
Asymmetric!jAjbabyjshouldjformjajteatjwithjbreastjtissuejunderneathjthejnipplejasjpartjofjajlatch
Whatjisjajsymmetricjlatchj-jcorrectjanswer-Notjajgoodjlatch,jcausesjnipplejdamage
Asymmetricjlatchj-jcorrectjanswer-
Optimaljattachmentjtojthejbreast,jwherejthejbaby'sjlipsjarejnotjcenteredjinjrelationshipjtojthejareolar,jbutjrat
herjverticallyjoff-
centeredjwithjthejbaby'sjchinjandjlowerjlipjcloserjtojthejedgejofjthejareolajthanjthejbaby'sjupperjlip.jAjbabyjs
houldjformjajteatjwithjbreastjtissuejunderneathjthejnipplejasjpartjofjajlatch
Dojnipplejcreamsjwork?j-jcorrectjanswer-Continuedjquestionsjofjeffectiveness,jfearjofjingestionjbyjbaby
Shouldjajfrenotomyjbejsuggestedjforjtonguejtie?j-jcorrectjanswer-
Nojstudyjwasjablejtojreportjthatjfrenotomyjledjtojbetterjlongjtermjbreastfeeding
,Tonguejtiedjbreastfeederj-jcorrectjanswer--
completejfeedingjassessmentjandjsuggestjwaysjtojoptimizejlatch.j
-referjonwardjforjdiagnosisj(havejPCPjdiagnosejTT)
-providejsupport
Whatjisjajfissurejstraightjdownjthejnipplejevidencejof?j-jcorrectjanswer-
Ajsymmetricjlatch.jTopjlipjneedsjtojhavejgoodjseal,jmoistjpartjofjlipjshouldjbejtouchingjnipple,jcanjrolljoutjtopj
lip,jtojreducejinjuryjduringjBF
Isjtherejajdeepjlatchjwithjnipplejstretching?j-jcorrectjanswer-
Ifjnipplejnotjstretchedjdeeplyjintojmouth,jlessjoxytocinjflows,jlessjfatjisjinjmix.jWithjlessjfat,jmilkjdigestedjquic
kerj=jnotjenoughjtimejforjbabyjtojmakejenoughjlactasejtojdigestjlactosejinjmilk.
Whatjtojdojforjoversupply?j-jcorrectjanswer-Decreasejadditionaljstimulation/milkjremovaljifjpossible
Considerjblockjfeedingj(onlyjnursingjonjonejsidejonlyjperjfeeding)
Watchjforjmastitis
Tryjaustralianjposturej(motherjdownjunder,jbabyjonjtop)
Considerjdonatingjtojmilkjbank
ConsultjwithjHCPjforjmedicaljdx
HowjmanyjmLjconsideredjoversupply?j-jcorrectjanswer-normaljmilkjproductionj=j750-1000jmL/day
ThrushjduringjBFj-jcorrectjanswer-painfuljforjmotherj&jbaby.j
mayjbejvisiblejorjmayjnotj(whitenessjthatjcan'tjbejwipedjoff)
-motherjwilljhavejitchy,jflaky,jshinyjskin
-candidajnotjfoundjinsidejthejductsjorjmilk
Treatmentjofjcandidajonjbreastj-jcorrectjanswer--nystatinjfirstjline
-flucanizolejsecondjline
,-throwjoutjalljyeastjvectorsj(pacifiersjsterilizejbreastjpumps)
-
flucanazolejoraljcapsulesjmayjbejusedjtojcleanjyeastjvectorsjduejtojthejbiofilmjcreatedjonjpacifiersjbyjcandid
a
Whatjtojdojifjantifungaljtreatmentjforjyeastjdoesn'tjwork?j-jcorrectjanswer-Notjcandidajinfection!
Reynaud'sjPhenomenonj-jcorrectjanswer--vasospasmjofjnipple,jrecognizedjbyjtriplejcolorjsign:jfromjwhite--
>jblue-->jraspberryjorjbicolorjsignjwhitej-->jraspberry.j
painjisjextremejandjspasmodicj(notjcontinuous)
-thisjhappensjafterjfeedingjoncejbaby'sjmouthjcomesjoffjnipplejhasjvasospasm,jfeelsjlikejfrostbite
treatmentjofjreynaudsj-jcorrectjanswer--prevent/decreasejcoldjexposure
-avoidjvasoconstrictivejdrugsjsuchjasjcaffeinejandjhypertensivejdrugs,jnicotine
-canjusejnifedipinejorjcalciumjchanneljblocker
Nipplejpainjandjpoorjmilkjtransferjthatjisjpersistentjdespitejoptimaljlatchj-jcorrectjanswer--
canjusejnipplejshieldjasjajtestjtojseejifjbabyjexertingjtoojmuchjpressure?
-OTjinvolvement
-injrarejcasesjbabyjhavejajstrongjsuckingjvacuumjasjmeasuredjbyjajpressurejtransducerjorjnipplejshield
Clogs/plugsj-jcorrectjanswer-
Palpablejlumpsjofjmilkjwithinjthejlumenjorjductjsystem,jusuallyjnotjvisible.jSolidsjdontjgetjabsorbed...couldjb
ejtoojtightjofjajbrajslowingjflowjofjmilk
whatjtojdojforjclogs/plugsj-jcorrectjanswer-
Encouragejmassagejusingjsidejofjhandjandjwarmjcompresses.jDojdoublejnursingjbyjdoublingjupjonjsidejofjclo
gjtojpushjitjout.jpointjbaby'sjchinjtowardjclog
SeejPCPjifjclogjhasntjmovedjinj24-48jhoursjorjsystemicjsymptomsjofjinflammationj(flujlikejs/s)
WhenjtojcalljPCPjforjclog/plugj-jcorrectjanswer-Ifjplugjhasn'tjmovedjinj24-
48jhrsjorjsystemicjsignsjofjinflammationj(flujlikejs/s)
, Causesjofjclogs/plugj-jcorrectjanswer-toojtightjnursingjbra
whatjisjajblebj-jcorrectjanswer-smalljwhitejspotsjonjthejfacejofjthejnipplejthatjlookjlikejmilk-
filledjblisters.jonejductjopeningjisjusuallyjcovered
whatjdoesjajblebjfeeljlikej-jcorrectjanswer-painfuljstabbingjpinpointjpain
howjtojgetjridjofjblebsj-jcorrectjanswer-Samejasjclogjtreatment.jSometimesjneedjtjbejlancedjbyjHCP
Commonjmastitisj-jcorrectjanswer--canjbejnon-infectivejorjinfectivej
-
blockedjductsjfromjengorgment,jhurriedjfeedings,jnipplejshieldj(pressurejwilljbuildjuntiljmilkjsneaksjoutjofjsp
ace,jbodyjreactsjtojthisjlikejinvader)
causesjofjcommonjmastitisj-jcorrectjanswer--tightjbraj(lookjforjindentationjofjbreastjstraps)
-usejofjbreastjshelljorjnipplejshell
-attachmentjdifficulties
-anemiajinjthejmother
-tonguejtiejinjbabyj(ineffectivejmilkjemptying)
s/sjcommonjmastitisj-jcorrectjanswer-systemic-jfever,jill,jmalaise,jredness,jpain,jonejinflamedjbreast
Whatjbacteriajcausesjinfectivejmastitisj-jcorrectjanswer-Staphylococcus
txjcommonjmastitisj-jcorrectjanswer-NSAIDSjfirstjlinejbutjmakejsurejdiagnosedjbyjPCP
-
mustjkeepjpumping/breastfeedingjtojkeepjmilkjflowing.jkeepsjbreastsjsoft/comfortablejtojavoidjabscessjdev
elopment
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