CERTIFIED LACTATION COUNSELOR Questions with Correct Solutions
Question:
1. Predominant Breastfeeding
Answer:
Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds).
Question:
2. Breastfeeding
Answer:
Baby receives human milk, as well as other foods or fluids, including formula.
Question:
3. Complementary Feeding
Answer:
Process starts when BM alone or infant formula alone is no longer sufficient to meet
nutritional requirements of infants, therefore other foods or liquids are introduced. Typically
child is between 6-23 months
Question:
4. 3 strategies for increasing BF initiation and duration
Answer:
Promotion, Protection, Support
Question:
5. Promotion
Answer:
Focuses on advantages of BF on a personal, community, country, or global level. BF to the
community.
Question:
6. Protection
Answer:
Focuses on government, manufacturer, and social responsibility to assure BF ability to
compete with commercial interests. Includes state, local, an national laws regarding BF.
Question:
7. International Code of Marketing of Breast-milk Subsitutes
,Answer:
Addresses improper marketing practices by formula companies. It is not currently a law in
the US.
Question:
8. What does the International Code Prohibit?
Answer:
Distributing free formula Giving coupons for formula
Question:
9. What did the AAP resolution state in regards to the International Code?
Answer:
No distributing formula, discharge bags, industry written handouts.
Question:
10. Support
Answer:
Focuses on interaction of helpers with family, as well as program development and
implementation.
Question:
11. 10 steps to successful BF
Answer:
1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Question:
12. Healthcare staff responsibility for working with lactating mothers include what?
Answer:
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
,Question:
13. What are the indications for providing supplementation other than breast milk?
Answer:
1. Medical condition
2. Parents request after being informed of consequences
Question:
14. Protocol for calculating Baby's daily needs
Answer:
Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP decides
what the multiplier is!!!
Question:
15. What should be assessed 3-5 days after birth by PCP?
Answer:
Hydration (elimination patterns) Body weight (no more than 7% loss) Observe Feeding
Maternal or infant issues
Question:
16. What is a CLC?
Answer:
Nationally recognized designation awarded by the ALPP. Practice parameters are designated
by professional scope of practice.
Question:
17. How many stools per day should a breast fed newborn have?
Answer:
4, some yellow by day 4.
Question:
18. When should a baby be back to birth weight?
Answer:
12-14 days post birth
Question:
19. How much weight should a baby gain daily?
Answer:
Approximately 1 ounce
, Question:
20. Why do women supplement with formula when there is no medical need?
Answer:
1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
Question:
21. Alveoli
Answer:
Small glands in the breast that produce milk
Question:
22. At-Breast Supplementer
Answer:
a device that allows a supplement to be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
Question:
23. Atopy
Answer:
hypersensitive or allergic state involving an inherited predisposition
Question:
24. What is the BFHI Baby Friendly Hospital Initiative
Answer:
Initiative by UNICEF and WHO (1991) to support breastfeeding in hospitals and maternity
centers. "The 10 Steps". Unicef. Baby-Friendly Hospital Initiative. Available online:
Question:
25. Bilirubin
Answer:
an orange-yellow pigment formed in the liver by the breakdown of hemoglobin and excreted
in bile.
Question:
26. CCK (cholecystokinin)
Answer:
Hormone that regulates the emptying of the gallbladder and secretion of enzymes by the
pancreas.
Question:
1. Predominant Breastfeeding
Answer:
Babies who receive breastmilk and other liquids (e.g. water, minerals, vitamins, oral meds).
Question:
2. Breastfeeding
Answer:
Baby receives human milk, as well as other foods or fluids, including formula.
Question:
3. Complementary Feeding
Answer:
Process starts when BM alone or infant formula alone is no longer sufficient to meet
nutritional requirements of infants, therefore other foods or liquids are introduced. Typically
child is between 6-23 months
Question:
4. 3 strategies for increasing BF initiation and duration
Answer:
Promotion, Protection, Support
Question:
5. Promotion
Answer:
Focuses on advantages of BF on a personal, community, country, or global level. BF to the
community.
Question:
6. Protection
Answer:
Focuses on government, manufacturer, and social responsibility to assure BF ability to
compete with commercial interests. Includes state, local, an national laws regarding BF.
Question:
7. International Code of Marketing of Breast-milk Subsitutes
,Answer:
Addresses improper marketing practices by formula companies. It is not currently a law in
the US.
Question:
8. What does the International Code Prohibit?
Answer:
Distributing free formula Giving coupons for formula
Question:
9. What did the AAP resolution state in regards to the International Code?
Answer:
No distributing formula, discharge bags, industry written handouts.
Question:
10. Support
Answer:
Focuses on interaction of helpers with family, as well as program development and
implementation.
Question:
11. 10 steps to successful BF
Answer:
1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Question:
12. Healthcare staff responsibility for working with lactating mothers include what?
Answer:
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
,Question:
13. What are the indications for providing supplementation other than breast milk?
Answer:
1. Medical condition
2. Parents request after being informed of consequences
Question:
14. Protocol for calculating Baby's daily needs
Answer:
Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP decides
what the multiplier is!!!
Question:
15. What should be assessed 3-5 days after birth by PCP?
Answer:
Hydration (elimination patterns) Body weight (no more than 7% loss) Observe Feeding
Maternal or infant issues
Question:
16. What is a CLC?
Answer:
Nationally recognized designation awarded by the ALPP. Practice parameters are designated
by professional scope of practice.
Question:
17. How many stools per day should a breast fed newborn have?
Answer:
4, some yellow by day 4.
Question:
18. When should a baby be back to birth weight?
Answer:
12-14 days post birth
Question:
19. How much weight should a baby gain daily?
Answer:
Approximately 1 ounce
, Question:
20. Why do women supplement with formula when there is no medical need?
Answer:
1. Lack of preparation for what the newborn period would be like.
2. Lack of timely interventions
Question:
21. Alveoli
Answer:
Small glands in the breast that produce milk
Question:
22. At-Breast Supplementer
Answer:
a device that allows a supplement to be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
Question:
23. Atopy
Answer:
hypersensitive or allergic state involving an inherited predisposition
Question:
24. What is the BFHI Baby Friendly Hospital Initiative
Answer:
Initiative by UNICEF and WHO (1991) to support breastfeeding in hospitals and maternity
centers. "The 10 Steps". Unicef. Baby-Friendly Hospital Initiative. Available online:
Question:
25. Bilirubin
Answer:
an orange-yellow pigment formed in the liver by the breakdown of hemoglobin and excreted
in bile.
Question:
26. CCK (cholecystokinin)
Answer:
Hormone that regulates the emptying of the gallbladder and secretion of enzymes by the
pancreas.
