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Exam (elaborations)

CLC Practice Exam QUESTIONS AND ANSWERS A GRADED

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According to the 2015 U.S. Department of Health and Human Service guidelines, how long can breast milk be stored in the refrigerator? a) 24 hours b) 72 hours c) 5 days d) 8 days c) 5 days Crying is more frequent in infants who are: a) Not held for at least 90 minutes immediately after birth b) Picked up immediately when they start crying c) Between birth and 6 weeks of age d) Between 6 weeks and 3 months of age c) Between birth and 6 weeks of age Which of the following would be perceived as a conflict of interest for an IBCLC) a) Working as a lactation consultant for a non-Baby Friendly Hospital b) Suggesting the use of formula to supplement a low weight gaining baby c) Including her name on a list of private practice IBCLCs given out at the hospital d) Speaking at a conference where her honoria is paid by a formula company d) Speaking at a conference where her honoria is paid by a formula company The most important reason to provide breast milk to infants during a disaster is: a) Unavailability of ready-to-feed formula b) Prevention of GI diseases such as diarrhea c) Breast milk will be at the correct temperature d) Water for reconstitution of formula may not be available or safe b) Prevention of GI diseases such as diarrhea Slade is able to stick his tongue out over his lower gum because of which nerve? a) Trigeminal b) Hypoglossal c) Facial d) Glossopharyngeal b) Hypoglossal A pregnant woman who attended your breastfeeding class calls to tell you that she has found out that she is HIV positive and she has been told she can't breastfeed. What is the first thing you would say to her? a) As long as you take the AZT, you can go ahead and breastfeed b) It's a good thing you live in the U.S. where you can bottle-feed without any problems c) If you determine that you will exclusively breastfeed without giving any supplements, you can go ahead and breastfeed d) I'm so sorry to hear that. You must be devastated. I know how much you were looking forward to breastfeeding your baby d) I'm so sorry to hear that. You must be devastated. I know how much you were looking forward to breastfeeding your baby Christie comes in for a breastfeeding assessment, and it's evident that her baby is getting too much milk at a feeding. Which of the following would be the best advice to give her? a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before switching sides b) Pump off some of the breast milk before you put the baby to the breast to lessen the let-down c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally d) Drink two cups of sage tea per day to decrease your milk supply a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before switching sides The amount of weight a mother gains during her pregnancy may have an impact on breastfeeding because: a) A large weight gain during the pregnancy may encourage the mother to try to diet while lactating b) Fat stored during pregnancy is more easily mobilized for breast milk content than the fat stored before the pregnancy c) A low weight gain may indicate an eating disordeer d) A weight gain of over 38 lbs. may decrease the protein in her breast milk b) Fat stored during pregnancy is more easily mobilized for breast milk content than the fat stored before the pregnancy Of the following, which is the most important issue for the lactation consultant to address with the mother in the first few days postpartum? a) Teach the mother how to prevent sore nipples b) Teach the mother how to treat her engorgement once she goes home c) Teach the mother ways of coping with a crying baby d) Teach the mother how to determine if the infant is getting enough breast milk d) Teach the mother how to determine if the infant is getting enough milk The FIL (Feedback Inhibitor of Lactation) is: a) Required for increasing milk production b) Is only stimulated during engorgement c) A suppressor peptide that signals the brain to make less milk d) An integral part of the endocrine control of milk production c) A suppressor peptide that signals the brain to make less milk Women of childbearing age should consume at least 400 mcg of folate per day in order to reduce the incidence of: a) Tetrology of Fallot b) Neural tube defects c) Bilateral club feet d) Cleft lip and/or palate b) Neural tube defects

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CLC Practice Exam QUESTIONS AND ANSWERS A GRADED
According to the 2015 U.S. Department of Health and Human Service guidelines,
how long can breast milk be stored in the refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days Correct Answer: c) 5 days

Crying is more frequent in infants who are:
a) Not held for at least 90 minutes immediately after birth
b) Picked up immediately when they start crying
c) Between birth and 6 weeks of age
d) Between 6 weeks and 3 months of age Correct Answer: c) Between birth and 6
weeks of age

Which of the following would be perceived as a conflict of interest for an IBCLC)
a) Working as a lactation consultant for a non-Baby Friendly Hospital
b) Suggesting the use of formula to supplement a low weight gaining baby
c) Including her name on a list of private practice IBCLCs given out at the hospital
d) Speaking at a conference where her honoria is paid by a formula company
Correct Answer: d) Speaking at a conference where her honoria is paid by a
formula company

The most important reason to provide breast milk to infants during a disaster is:
a) Unavailability of ready-to-feed formula
b) Prevention of GI diseases such as diarrhea
c) Breast milk will be at the correct temperature
d) Water for reconstitution of formula may not be available or safe Correct
Answer: b) Prevention of GI diseases such as diarrhea

Slade is able to stick his tongue out over his lower gum because of which nerve?
a) Trigeminal
b) Hypoglossal
c) Facial
d) Glossopharyngeal Correct Answer: b) Hypoglossal

A pregnant woman who attended your breastfeeding class calls to tell you that she
has found out that she is HIV positive and she has been told she can't breastfeed.
What is the first thing you would say to her?

, a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without any
problems
c) If you determine that you will exclusively breastfeed without giving any
supplements, you can go ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby Correct Answer: d) I'm so sorry to
hear that. You must be devastated. I know how much you were looking forward to
breastfeeding your baby

Christie comes in for a breastfeeding assessment, and it's evident that her baby is
getting too much milk at a feeding. Which of the following would be the best
advice to give her?
a) Feed on just one side per feeding and let the infant nurse for several feedings on
that side before switching sides
b) Pump off some of the breast milk before you put the baby to the breast to lessen
the let-down
c) Stop breastfeeding for a couple of days to let some of your supply decrease
naturally
d) Drink two cups of sage tea per day to decrease your milk supply Correct
Answer: a) Feed on just one side per feeding and let the infant nurse for several
feedings on that side before switching sides

The amount of weight a mother gains during her pregnancy may have an impact on
breastfeeding because:
a) A large weight gain during the pregnancy may encourage the mother to try to
diet while lactating
b) Fat stored during pregnancy is more easily mobilized for breast milk content
than the fat stored before the pregnancy
c) A low weight gain may indicate an eating disordeer
d) A weight gain of over 38 lbs. may decrease the protein in her breast milk
Correct Answer: b) Fat stored during pregnancy is more easily mobilized for
breast milk content than the fat stored before the pregnancy

Of the following, which is the most important issue for the lactation consultant to
address with the mother in the first few days postpartum?
a) Teach the mother how to prevent sore nipples
b) Teach the mother how to treat her engorgement once she goes home
c) Teach the mother ways of coping with a crying baby
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