CLC PRACTICE EXAM 7 2024. COMPLETE QUESTIONS AND ANSWERS.LATEST UPDATE|RATED A+

CLC PRACTICE EXAM 7 2024. COMPLETE QUESTIONS AND ANSWERS.LATEST UPDATE|RATED A+ You are discussing allergies in a prenatal breastfeeding class. One of the facts you want to point out is that many of the babies who are allergic to cow's milk protein can also be sensitive to: a) Wheat b) Corn c) Soy d) Eggs - - CORRECT ANSWER- c) Soy Julie, a first time mom, tells you that her baby was very fussy last night, which was the baby's second night. You know that this is most likely due to: a) Her milk isn't in yet, and the baby is hungry b) She's exhausted and is magnifying the situation c) The mom is uptight and transmitting her nervousness to the baby d) Overwhelming CNS stimulation in the baby - - CORRECT ANSWER- d) Overwhelming CNS stimulation in the baby Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to breastfeed. Which of the following would be the most helpful advice? a) Room-in with Ethan, watching him for feeding cues b) Wake him by washing his face with a cool, damp cloth c) Make sure the nurses bring him in as soon as he cries d) Coax him to the breast using drops of glucose water on the nipple - - CORRECT ANSWER- a) Room-in with Ethan, watching him for feeding cues Babies who have early contact with their mothers and who were provided with postpartum support are more likely to: a) Have a faster weight gain than babies who are separated from mom b) Be able to sleep in their own room by one month c) Be breastfed long enough to meet the mother's goals d) Breastfeed more frequently at night - - CORRECT ANSWER- d) Breastfeed more frequently at night On the physical exam of a 28-week preterm infant , which of the following is likely to be found? a) Lanugo all over the body b) Dry and peeling skin c) Palpable breast buds d) Ability to coordinate suck, swallow, and breathe - - CORRECT ANSWER- a) Lanugo all over the body Cherie, a new mother, with a 4-week-old infant, visits you for a breastfeeding evaluation. In the process of taking her history, you find that Cherie eats mostly chips, cookies and soda "because she is just too busy to prepare anything". Your MOST IMPORTANT concern with Cherie's diet is: a) The quality of her breast milk b) The quantity of her breast milk c) The health of the baby d) The depletion of Cherie's nutrient stores - - CORRECT ANSWER- d) The depletion of Cherie's nutrient stores Halli is now 2-hours-old and still has not shown any interest in nursing. You do a blood sugar test on Halli, and find that it's 38 mg/dL, which is lower than your hospital standard of 40 mg/dL. What should you do first? a) Put her under the warmer as she is most likely hypothermic b) Give her 1 oz. of formula by finger-feeding c) Have mom hand express colostrum and feed her with a spoon d) Wait about 30 seconds and use a second reagent strip to check the glucose - - CORRECT ANSWER- d) Wait about 30 seconds and use a second reagent strip to check the glucose Mothers with breastfeeding problems may be hesitant to seek help from a professional for the following reason: a) Lack of insurance coverage for lactation services b) Having to leave her home to seek help c) Stress of having to repeat "her story" to multiple people d) Having problems is in conflict with the image of being a super-mom, which she wants to portray - - CORRECT ANSWER- d) Having problems is in conflict with the image of being a super-mom, which she wants to portray A type of research that focuses on relationships among variables is called: a) Qualitative b) Quantitative c) Statistically significant d) Randomized controlled trials - - CORRECT ANSWER- b) Quantitative Nipple erection is induced by which of the following? a) Myoepithelial cells contracting the lactiferous sinuses b) Somatic parasympathetic stimuli c) Autonomic sympathetic stimuli d) Adequate levels of aphrodisiacs - - CORRECT ANSWER- b) Somatic parasympathetic stimuli Which of the following drug categories are contraindicated for use during breastfeeding? a) Pseudoephedrine b) Oral contraceptives c) Cancer chemotherapeutic agents d) Diuretics - - CORRECT ANSWER- c) Cancer chemotherapeutic agents You are a nurse who works at St. Beneficial Hospital. You have just delivered preterm twins. A formula representative offers you samples of a new formula, which provides specific nutrients for your low birth weight infants. In what way is this a violation of the International Code of the Marketing of Breast-Milk Substitutes (WHO Code)? a) This isn't a violation as the WHO Code provides for samples of specialized formulas for low birth weight babies b) The WHO Code states that no personal samples of formula may be given to health care workers c) As an employee of a not-for-profit hospital, you cannot accept gifts from formula companies d) This isn't a violation because you are unable to breastfeed your twins, so accepting formula isn't an issue - - CORRECT ANSWER- b) The WHO Code states that no personal samples of formula may be given to health care workers Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz. Helen-Clare says Reuben nurses all the time and never seems satisfied. When you do ac/pc weights, he transfers a total of 37 mL. When Helen-Clare pumps for residual milk, she gets an additional 3 mL. Which suggestion will you make first? a) You need to make sure the feedings are finished within 45 minutes so both of you can get rest b) Reuben needs a supplement, which will provide him with additional calories c) You need to use a nursing supplementer to give Reuben the extra calories he needs and provide some breast stimulation at the same time d) To increase your milk supply, you are going to need to pump with a quality breast pump and take some galactogogues - - CORRECT ANSWER- b) Reuben needs a supplement, which will provide him with additional calories Infants who have a higher than average number of bowel movements during the first 3 DOL will probably exhibit which of the following: a) Dehydration as evidenced by poor skin turgor b) Later transition to yellow stools c) Higher bilirubin levels on day 5 d) Weight loss greater than 10% on day 4 - - CORRECT ANSWER- d) Weight loss greater than 10% on day 4 For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU to the baby, she needs to: a) Use a sun screen of less than SPF 30 when out in the sun b) Have a 25-(OH)-D serum level of at least 58 ng/mL c) Take 400 IU of vitamin D each day of her pregnancy d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D 2x/week - - CORRECT ANSWER- b) Have a 25-(OH)-D serum level of at least 58 ng/mL A "nursing strike" may occur because of: a) Introduction of solid foods b) Infant no longer has an interest in the breast c) Start of mother's menses d) Mother starts a food reduction program - - CORRECT ANSWER- c) Start of mother's menses Florence birthed Josh at 32 weeks of gestation. Which of the following would be the first thing to include as a part of her pumping plan? a) Begin expressing within the first hour post-birth b) Determine her nipple size to provide her with the appropriate flange c) Use a hospital grade breast pump d) Pump using a double pumping system - - CORRECT ANSWER- a) Begin expressing within the first hour post- birth Increased rates of autism spectrum disorders (ASD) are seen in children who: a) Received less than 1 hour of skin-to-skin after birth b) Received formula supplements in the firs