CLC Exam with 100% Correct Answers 2023

What are green/shiny stools a sign of? - Correct answer--sign of overproduction leading to less fat in milk, faster digestion causing not enough time for lactase to digest the lactose in milk. An improved latch could allow for more fat flow Signs of oversupply - Correct answer-Rapid weight gain in infant, unsettled baby after feeding, recurrent plugged ducts and mastitis, painful feedings, voluminous (huge volumes of) stools- often green & shiny What causes nipple pain? - Correct answer-Improper latch-- need lactation support to help with proper latch on, good seal True/false: baby should be pulled into breast. - Correct answer-False! Do not pull baby into breast, let baby tilt head back for optimal latch. Hand on back of baby's head can interfere baby's interoral function by restricting the movement of the cranio-cervical spine-- causes nipple trauma. Make sure crook of arm in cradle position does not block baby from being able to fully tilt back. Should a latch be symmetric or asymmetric? - Correct answer-Asymmetric! A baby should form a teat with breast tissue underneath the nipple as part of a latch What is a symmetric latch - Correct answer-Not a good latch, causes nipple damage Asymmetric latch - Correct answer-Optimal attachment to the breast, where the baby's lips are not centered in relationship to the areolar, but rather vertically off-centered with the baby's chin and lower lip closer to the edge of the areola than the baby's upper lip. A baby should form a teat with breast tissue underneath the nipple as part of a latch Do nipple creams work? - Correct answer-Continued questions of effectiveness, fear of ingestion by baby Should a frenotomy be suggested for tongue tie? - Correct answer-No study was able to report that frenotomy led to better long term breastfeeding Tongue tied breastfeeder - Correct answer--complete feeding assessment and suggest ways to optimize latch. -refer onward for diagnosis (have PCP diagnose TT) -provide support