CLC Practice Exam #9 (Questions and Answers A+ Graded 100% Verified)

CLC Practice Exam #9 (Questions and Answers A+ Graded 100% Verified) The CDC has accepted the WHO growth charts for use on breastfed infants. The reason for this change is: a) The WHO growth chart was developed for all babies including formula-fed babies b) The WHO growth chart is based on the biological norm c) The WHO growth charts take into account that not all babies are weighed on accurate digital scale d) The WHO growth charts are based on babies born in sub-Saharan Africa CORRECT ANSWER: b) The WHO growth chart is based on the biological norm Nadia calls you and tells you she is so engorged that the baby is unable to latch. Which of the following techniques to relieve engorgement would you recommend first? a) Reverse pressure softening for 60-120 seconds on each side b) Fresh cabbage leaves for 2 hours or until the breast is soft c) Hot, moist compression to the breast for 15-20 minutes prior to feeds d) Icy cold compresses to breast after feeds for 15-20 minutes CORRECT ANSWER: a) Reverse pressure softening for 60-120 seconds on each side Jessie has come into the outpatient lactation clinic with 3-week-old baby Ryan, complaining of yet another episode of plugged ducts. You suspect that Jessie may have over supply. Which of the following symptoms would most support that diagnosis? a) Ryan has frequent yellow, seedy stools b) Ryan is 15 oz. above birth weight c) After nursing, Jessie's residual is a total of 80 mL d) Jessie had mastitis last week CORRECT ANSWER: c) After nursing, Jessie's residual is a total of 80 mL Leslie doesn't think she has enough breast milk for 2-week-old Chelsea. You know which of the following is most likely to be cited in the literature as an indication of the baby not getting enough milk. a) Frequent sucking on hands b) Crying for prolonged periods of time c) Sleeping for short periods of time d) Fewer than 3 sizable stools in 24 hours CORRECT ANSWER: d) Fewer than 3 sizable stools in 24 hours You are working with a mother who has low milk supply and you believe she would benefit from using a prescription drug to increase the supply. Her physician will not prescribe this particular drug. What is the best thing you can do? a) Drop the issue of this drug and ask the physician to prescribe another drug instead b) Give the mother the URL for obtaining the drug over the internet without a prescription c) Purchase the medication yourself over the internet and give the mother a week's worth to see if ti works for her d) Encourage the mother to seek out more written information on this drug to share with her physician CORRECT ANSWER: d) Encourage the mother to seek out more written information on this drug to share with her phsycian Brandi is nursing her daughter in company with several of her friends when one of them asked her why she chose to breastfeed. Which of the following is a true statement that she can share with her friends? a) Breastfeeding prevents a child from getting fractures due to higher amounts of calcium in breast milk b) Breastfeeding will decrease the risk of Brandi getting breast cancer c) Mothers who breastfeed for at least 4 months are less likely to suffer from hair loss during menopause d) Breastfeeding infants have earlier communication skills CORRECT ANSWER: b) Breastfeeding will decrease the risk of Brandi getting breast cancer Effective treatments for postpartum mood disorders include which of the following? a) Avoid all pro-inflammatory foods b) Counseling with a supportive psychologist c) Slow weaning (over a month) from the breast d) Encourage partner to do all night-time feeds CORRECT ANSWER: b) Counseling with a supportive psychologist Nicole says she has been good for 9 months, but is "dying" for a margarita. Your best advice is: a) "You should pumps some milk ahead of time and then pump and dump for several hours after you have any kind of alcohol before going back to nursing" b) "I'm sure you would love to have a drink, but drinking decreases your oxytocin levels which in turn decreases the amount of milk the baby gets" c) "We really advise that you stay on the same diet you were on during your pregnancy which means staying away from alcohol" d) "Generally speaking, having an occasional drink is not a problem. You can wait for 2 hours to breastfeed after each ounce of absolute alcohol" CORRECT ANSWER: d) "Generally speaking, having an occasional drink is not a problem. You can wait for 2 hours to breastfeed after each ounce of absolute alcohol" Mary, who is at 36 weeks gestation, is seeing you for a prenatal visit. When you ask is she has had any breast changes she says her breasts haven't gotten bigger yet and her areolas as still the same color as when she got pregnant. Which hormone are you concerned may be low? a) Estrogen b) Cortisone c) Insulin d) Progesterone CORRECT ANSWER: d) Progesterone Of the following skills, which is the most important for Frankie, the new IBCLC, to have? a) Ability to set goals for herself and others b) Listening, counseling, and communication skills c) How to do referrals, when, and to whom should she refer d) Knowledge of current medical terminology CORRECT ANSWER: b) Listening, counseling, and communication skills You are teaching a prenatal breastfeeding class, and Simone tells you that with her first baby she became terribly engorged. She wants to know the best way to prevent that this time. What is your first, best advice? a) Breastfeed in the birthing room and as often as possible thereafter b) Pump after every breastfeed to make sure the breasts are completely empty c) Wear a good fitting, supportive bra as soon as she moves to postpartum d) Avoid drinking excessive fluids to keep edema to a minimum CORRECT ANSWER: a) Breastfeed in the birthing room and as often as possible thereafter Mary Grace just delivered as full-term baby. She has been in an insulin-dependent type 1 diabetic since she was 15-years-old. She has many questions and concerns about breastfeeding and her diabetes. Which of the following is true about diabetes and breastfeeding? a) Because of the increased sugar in her milk, t he baby will need to be supplemented with formula to prevent obesity b) Mary Grace will most likely find that her insulin needs are decreased so she will have to watch her glucose carefully c) In order to keep her blood glucose levels stabilized, Mary Grace should plan on formula-feeding the baby d) Breastfeeding will have no impact on her diabetes, so there is really nothing to be concerned about CORRECT ANSWER: b) Mary Grace will most likely find that her insulin needs are decreased so she will have to watch her glucose carefully You work in a family practice clinic and are looking for ways to help the women who are breastfeeding to nurse longer. In your research which of the following do you find has the most positive relationship with a longer duration of breastfeeding? a) Positive support from health care professionals b) Membership in mother or mother support groups c) Providing information to mothers about the dangers of formula d) Mother was enrolled in WIC CORRECT ANSWER: a) Positive support from health care professionals When interviewed most mothers who were breastfeeding said which of the following would help them most with breastfeeding? a) Private breastfeeding classes b) Hands-on help with breastfeeding c) Not having professional people all telling them different things d) To have been given a quality breast pump when discharged from the hospital CORRECT ANSWER: b) Hands-on help with breastfeeding Chloe comes to you in tears. You have been working with her to get one-week-old baby Jonathan latched well, and finally things seem to be OK. The physician has just told her that Jonathan's bilirubin level is high enough that she wants her to stop breastfeeding and give formula for 48 hours to bring it down. What is your best advice? a) "It sounds as though it is breast milk jaundice. You really don't have to stop breastfeeding for that. The bilirubin will come down on its own." b) "Pump until your breasts are empty and then feed the baby with formula using a feeding tube at the breast." c) "I recommend that you pump and dump for the next 48 hours, feeding your baby with formula using a cup." d) "I know you are sad about having to stop breastfeeding, but if you use a bottle that has a bulbous base and a short nipple, you won't have any problems getting the baby back to the breast. CORRECT ANSWER: b) "Pump until your breasts are empty and then feed the baby with formula using a feeding tube at the breast." What is the most important factor that impacts duration of breastfeeding when a mother returns to work? a) The timing of when she returns to work b) Lack of private places to pump c) The amount of pumped milk she stored ahead of time d) Negative comments by co-workers CORRECT ANSWER: a) The timing of when she returns to work You get a call from Maya who is complaining of nipple pain. After you commiserate with her, what do you say first? a) "Sore nipples are hard to handle over the phone. I can give you an appointment tomorrow at 9:30 am. b) "Do you know if you insurance company covers lactation visits?" c) "Can you describe the type of pain you are having?" d) Describe how are you latching the baby to your breast?" CORRECT ANSWER: c) Can you describe the type of pain you are having?" Monique delivered a male infant at 30 week gestation. In reviewing her history, which would be considered a risk factor for premature births? a) Maternal stature less than 60" b) History of scarlet fever c) Breech presentation d) Periodontal disease CORRECT ANSWER: d) Periodontal disease One of the most important responsibilities of the IBCLC who is working in a hospital is to: a) Teach mothers how to cup feed their infants b) Make sure there is consistency in breastfeeding information disseminated to mothers c) Change all the breastfeeding policies and procedures in the hospital to reflect current evidence d) Teach all the mothers safe preparation of formula in case they need to use it CORRECT ANSWER: b) Make sure there is consistency in breastfeeding information disseminated to mothers Which of the following is an expectation of breastfeeding babies in the first two days of life? a) Good first feed, followed by 24 hours of poor feeds b) At least 3 "scoopable poops" per day c) Copious audible swallows by the second day of life d) Consumption of 10-15 mL colostrum per feeding the first 24 hours CORRECT ANSWER: a) Good first feed, followed by 24 hours of poor feeds Samantha is going back to work and is trying to decide how to pump at work. Which of the following statements is true? a) If she double pumps, she will save herself time b) She will get less milk pumping if she pumps one side at a time c) Mother can stop pumping once the milk has stopped flowing d) Mothers should pump more often than she would be nursing at home CORRECT ANSWER: a) If she double pumps, she will save herself time In recent years, additional federal funds have been provided to the WIC programs to: a) Be able to purchase special needs formulas b) Develop programs to teach the negative effects of formula discharge bags c) Provide more support for breastfeeding d) Develop information on the hazards of early cereal feeding CORRECT ANSWER: c) Provide more support for breastfeeding Drugs generally enter the milk through a process known as: a) Osmosis b) Passive diffusion c) Convection d) Infusion CORRECT ANSWER: b) Passive diffusion The primary reason mothers who are using a nipple shield should pump after feedings is: a) To insure a full milk supply b) To obtain milk for supplementation c) To elongate an inverted nipple d) To eliminate use of the shield sooner CORRECT ANSWER: a) To insure a full milk supply Which of the following is true regarding sexual abuse? a) Women may fear exposure during breastfeeding in public b) Health care providers are reluctant to care for women who have been abused c) Abused women are less likely to initiate breastfeeding d) Childbirth will heal memories of sexual abuse CORRECT ANSWER: a) Women may fear exposure during breastfeeding in public Infants with a congenital deficiency of zinc should be breastfed because: a) Breast milk contains higher quantities of zinc than do infant formulas b) Breast milk contains prostaglandin E, which enhances the absorption of zinc c) Without breast milk, the infant is likely to diet from pemphigus infantalis d) The linolenic acid in breast milk enhances the myelin sheath laid down CORRECT ANSWER: b) Breast milk contains prostaglandin E, which enhances the absorption of zinc You are working with Elizabeth, who has given birth at 35 weeks to baby Sam. Which of the following would be good advice to give to her regarding nursing Sam? a) Gently wake him to nurse every 2 hours b) Make sure he takes both breasts at each feeding c) Limit him to nursing twice a day at the breast and feed him with his bottle the rest of the time d) Observe him for feeding cues, making sure he gets at least 6 feedings in every 24 hours CORRECT ANSWER: d) Observe him for feeding cues, making sure he gets at least 6 feedings in every 24 hours One method of care that works across many different cultures is: a) Teaching manual expression b) Facilitated group discussions c) Peer counselor support d) Using olive oil for sore nipples CORRECT ANSWER: a) Teaching manual expression Which of the following is covered by the International Code of the Marketing of Breast-Milk Substitutes? a) Breast pumps b) Tomato juice c) Tube feeding devices d) Bottles and nipples (teats) CORRECT ANSWER: d) Bottles and nipples (teats) Henry was diagnosed with Hirschsprung's disease when he was 12-months-old. Which of the following would be a reason why there was a delay in establishing his diagnosis? a) Henry is still being breastfed b) The bacteria in Henry's gut is different than if he had been formula-fed c) Henry has frequent bouts of diarrhea d) Henry has not yet received any immunizations CORRECT ANSWER: a) Henry is still being breastfed Sweet Baby Ray, who was born at 33 weeks gestation, needs to be supplemented by bottle when his mother is not in the NICU to breastfeed him. Which of the following fluids will he tolerate best in his bottle? a) 5% dextrose b) Breast milk c) Ready-to-feed Special Care Formula d) Sterile water CORRECT ANSWER: b) Breast milk Mary Ellen tells you that she wants to lose 15 lbs. after having her baby 3 weeks ago. She says to do this she has been fasting one day a week. Your main concern is: a) The effectiveness of this method of weight loss b) Her milk supply will decrease on that day c) The sodium levels in her milk will increase the days she fasts d) She will lose weight too quickly and the toxin levels in her breast milk will increase CORRECT ANSWER: a) The effectiveness of this method of weight loss Gail comes into your office saying she has been having difficulty getting 5-day-old Elia latched on effectively. Which of the following is MOST LIKELY the reason Elia is having problems? a) Gail is waking the baby to feed every 2-2.5 hours b) Elia was 7 lbs. at birth and has a small mouth c) Elia has ankyloglossia (tongue-tie) d) Gail is keeping Elia skin-to-skin most of the day CORRECT ANSWER: a) Gail is waking the baby to feed every 2-2.5 hours Randi, who weighs 322 lbs. and is nursing her 2-day-old daughter, asks if her weight will be a problem? Which of the following do you know to be a concern related to obesity and breastfeeding? a) Mothers are more likely to have sore nipples due to problems with positioning b) Women who are obese are more likely to have elevated fat levels in their breast milk causing their infants to be obese c) Mothers who were obese at the time of conception and who gained less than 10 lbs. with the pregnancy had a longer duration of breastfeeding d) Obese women have a lower prolactin level in response to their infant's suckling CORRECT ANSWER: d) Obese women have a lower prolactin level in response to their infant's suckling Infants who breastfeed exclusively for at least one month are: a) 50% less likely to die of SIDS b) Known to sleep less at night than formula or mixed-fed infants c) Have longer deep sleep periods during the night d) More likely to die of SIDS during the day, but not at night CORRECT ANSWER: a) 50% less likely to die of SIDS Which of the following is an evidence-based practice? a) Giving babies a test feed of sterile water as a first feed b) Giving glucose water to prevent hyperbilirubinemia c) Waking the baby to feed at least every 3 hours d) Keeping mothers and babies skin-to-skin until the first feed is accomplished CORRECT ANSWER: d) Keeping mothers and babies skin-to-skin until the first feed is accomplished It has been 4 hours since baby Grace has nursed. You help her mother gently wake her up. Which of the following must Grace display in order for the feeding to be successful? a) Eyes wide open b) Quiet alert state c) Toes curled d) Mouthing movements CORRECT ANSWER: d) Mouthing movements Confidence is higher for mothers when they view breastfeeding as manageable. One thing mothers have identified as helping them achieve this confidence is: a) Receiving a formula discharge bag before going home b) Assistance from the nurses while in the hospital c) Early discharge from the hospital d) Accessibility to lactation support after discharge CORRECT ANSWER: d) Accessibility to lactation support after discharge Which of the following practices is protective against early termination of breastfeeding? a) Breastfeeding within the first hour b) Supplementing with formula no more than twice in 48 hours c) Giving no pain medication to mother in labor d) Using sucrose drops during painful procedures CORRECT ANSWER: a) Breastfeeding within the first hour The hormonal trigger for breast milk production is due to: a) Release of prolactin from the anterior hypothalamus b) Release of oxytocin from the posterior pituitary c) Release of oxytocin from the posterior hypothalamus d) Release of prolactin from the anterior pituitary CORRECT ANSWER: d) Release of prolactin from the anterior pituitary An effective strategy ti improve public health in the U.S. is: a)Increased funding for health care b) An increase in breastfeeding duration c) To provide nutritional guidelines for fast food d) To increase the requirements for PE in schools CORRECT ANSWER: b) An increase in breastfeeding duration Wanda comes into the lactation clinic with a macerated left nipple that she has had for over a week. Which of the following is a recommended technique to help macerated nipples heal? a) Dry with hair dryer b) Vitamin E oil c) Coconut oil d) Vegetable oil CORRECT ANSWER: c) Coconut oil In order to facilitate the best first feed: a) The baby should be placed on the mother's abdomen and crawl to the mother's breast b) The baby should be placed on his abdomen between mother's breasts c) The head of the mother's bed should be no more than a 20 degree angle d) The baby should be placed with his head on the left breast CORRECT ANSWER: b) The baby should be placed on his abdomen between mother's breasts You are taking a history from Sheila concerning her possible mastitis. Which of the following is most likely to have occurred in the previous 48 hours? a) Nipple trauma b) Fever of unknown origin c) A severely stressful situation d) A report of extended fatigue CORRECT ANSWER: a) Nipple trauma Causes of postpartum depression can include which of the following? a) Clinical depression in maternal 2nd degree relatives b) Having a difficult relationship with the mother-in-law c) Being diagnosed with hyperthyroidism d) Mom has a negative birth experience CORRECT ANSWER: d) Mom has a negative birth experience One of the consequences of induction sing synthetic oxytocin for breastfeeding women is: a) Decreased likelihood of infant suckling effectively while skin-to-skin in first labor b) Increase in the rate of suckling for the newborn c) Decrease in rates of neonatal jaundice the third day after birth d) Decrease in the rates of neonatal weight loss post-birth CORRECT ANSWER: a) Decreased likelihood of infant suckling effectively while skin-to-skin in first labor Rose and Lisa have just had their first baby. Rose, the birth mother, has a history of PCOS. Which of the following could potentially be of concern? a) Confusion with latch if both mothers choose to breastfeed the baby b) Low milk supply that may need to be treated with galactogogues c) The hair around her areola will cause problems for the baby's latch d) Delay in lactogenesis 2 requiring supplementation of the baby CORRECT ANSWER: b) Low milk supply that may need to be treated with galactogogues If you need to supplement a baby during the first 18 hours of life, what would you do? a) Hand express colostrum into a spoon and feed the baby b) Have the mother pump every 3 hours and feed milk obtained c) Pump, and add enough formula to make sure the baby is taking at least 15 mL every 3 hours d) Give the baby at least an ounce of formula at each feeding after attempting to breastfeed CORRECT ANSWER: a) Hand express colostrum into a spoon and feed the baby Which of the following can be an early consequences of tongue-tie? a) Lack of association of tongue-tie with breastfeeding challenges b) Increase in early speech difficulties c) Shortened feedings related to maternal nipple pain d) Necessity for orthodonture in middle school CORRECT ANSWER: c) Shortened feedings related to maternal nipple pain The professional organization for lactation consultants is known as: a) The International Board of Lactation Consultant Examiners b) The Professional Association of Lactation Consultants c) The Academy of Breastfeeding Medicine d) The International Lactation Consultant Association CORRECT ANSWER: d) The International Lactation Consultant Association