CERTIFIED LACTATION COUNSELOR
(CLC) STUDY QUESTIONS WITH
COMPLETE SOLUTIONS
AAPc-cans✔✔AmericancAcademycofcPediatrics
ABMc-cans✔✔AcademycofcBreastfeedingcMedicine
AGAc-cans✔✔Appropriatecforcgestationalcage.
Alveolic-cans✔✔Smallcglandscincthecbreastcthatcproducecbreastcmilk.
Amenorrheac-cans✔✔Thecabsencecofcmenstruation.
Aysemmetricclatchc-
cans✔✔Optimalcattachmentctocthecbreast,cwherecthecbabiesclipscarecnotccenteredcincrelatio
nshipctocthecareola,cbutcrathercverticallycoffccentered,cwithcthecbabiescchincandclowerclipcclos
erctocthecedgecofcthecareolacandcthecbabiescupperclip.
Atopyc-
cans✔✔Andcallergycforcwhichcthereciscacgeneticcpredisposition, csuchcascasthma,ceczema,co
rcrhinitis.
(BFHI)cBabycFriendlycHospitalcInitiativec-
cans✔✔ThecUNICEFcbabycfriendlychospitalcinitiative,cancinternationalcprogramcrecognizing
chospitalscandcbirthccenterscthatcimplementcthec10cstepsctocsuccessfulcbreastfeeding.
Bilirubinc-
cans✔✔Thecbyproductcofcthecbreakdowncofcthechemoglobincportioncofcredcbloodccells.
BilirubincEncephalopathyc-
cans✔✔Damagectocthecbraincandccentralcnervouscsystemcrelatedctochyperbilirubinemia c(Ja
undice);cAlsocknowncasc"Kernicterus."
,MilkcBlebc-
cans✔✔Acfirm,csmall,cwhitecspotcnearcthecnipplecporecopeningccontainingcaccumulatedcmil
kcsolids.cAlsocreferredctocascacmilkcblister.
BlockcFeedingc-cans✔✔Acpatterncofcfeeding:cusedctocdealcwithcancover-
abundantcmilkcsupply.cIncblockcfeeding,cthecmothercofferscthecbabyconlyconecbreastcforcone,
ctwo,corcthreecfeedingsctocgeneratecmildclocalcpressurectocslowcdowncmilkcproduction.cThenc
shecofferscthecothercbreastcforcanothercblockcofctime.
BlockedcDuctc-
cans✔✔Acconditioncincwhichcmilkcfromconecpartcofcthecbreastcdoescnotcflowcwellcandcformsc
aclumpcofcsolidifiedcmilkcthatcblockscthecmilkcduct.
BrachialcPlexuscInjuryc-
cans✔✔Decreasedcmovementcorcsensationcincthecarmccausedcbycinjuryctocthecbundlecofcne
rvescpassingcthroughcthecshouldercarea.cThiscmaycbeccausedcduringcbirthcbycpressurectocth
ecshouldercarea.
Bradycardiac-cans✔✔Slowcheartcrate,clesscthanc100cbpmcincancinfant.
BreastcAbscessc-
cans✔✔Ancareacincthecbreastcthatcfeelschotcandcpainfulcandciscfullcofcfluid.cTypicallycresultin
gcfromcunresolvedcmastitis.
BreastcCompressionc-cans✔✔Achands-
oncmethodcusedcduringcnursingcorcpumpingctocincreasecthecflowcofcmilk.cThecmothercgentlyc
sneezes,corccompressescgently,chercbreast.cTypicallycusedcwhencmilkcflowcstopscorcslows,c
tocincreasecmilkcflowcagain.cAlsoccalledc"alternatecmassage."
BreastmilkcJaundicec-cans✔✔Jaundicecoccurringcincthecbreastcfedcinfantcafterc10-
14cdayscofclife.cTheccausecofcbreastmilkcjaundiceciscunknowncandcthecincidentcisclesscthanc1
%.
Brucellosisc-
cans✔✔BacterialcinfectioncfromccontactcwithcanimalsccarryingcthecBrucellacbacteria.cInfecti
onccausescancundulatingcfevercthatcspikescincwaves.
Candidac-
cans✔✔Acfamilycofcparasiticcfungicoccurringcespeciallycincthecmouth,cvagina,candcintestinalc
tract.cTheycarecusuallycbenigncbutccancbecomecpathogeniccandcincludectheccaustivecagentc
(candidacalbicans)cofcthrush.
CaputcSuccedaneumc-
cans✔✔Swellingcofcthecsoftctissuescofcacnewborncbaby'scscalpcthatcdevelopscascacbabyctrav
elscthroughcthecbirthccanal.
, CDCc-cans✔✔CenterscforcDiseasecControlcandcPrevention
Cephalohematomac-
cans✔✔Aclumpcthatcrisesconcthecheadcofcacnewborncwithcanchourscofcbirthcduectocbleedingcb
eneathcthecbonescofcthecskull.
Chorioamniotisc-cans✔✔Inflammationcofcthecfetalcmembranecduectocinfection.
CleftcLipcand/orcPalatec-
cans✔✔Accongenitalcbirthcdefectccausingcacdivisioncorcopeningcincthecroofcofcthecmouthcand
/orcsplitcinctheclip.
Cyanosisc-cans✔✔Acbluishcdiscolorationcofcthecskincandcmucouscmembranes.
Colostrumc-
cans✔✔Thecfirstcmilk,cproducedcincthecbreastcbycthecseventhcmonthcofcpregnancy.cItciscthick
,csticky,candcclearctocyellowishcinccolor;cischighcincproteincandcvitamincA;ccausescaclaxativecef
fect,cthus,chelpingcthecbabyctocpasscmeconiumcstools.cImmunoglobulinsc(mostlycIgA)cInccol
ostrumcprovidecancanti-infectioncprotectionctocthecbabycandctheircgutcmicrobiome.
Contraindicationc-cans✔✔Acconditioncorcfactorcthatcmakescsomethingcincadvisable.
Craniofacialc-cans✔✔Involvingcthecheadcandcskull.
Cooper'scLigamentsc-cans✔✔Thectriangular-shapedcligamentscunderlyingcthecbreasts.
Cytomegalovirusc-
cans✔✔Acviruscofcthecherpescfamilycthatciscrelativelycharmlesscandcadultscbutccanccausecse
verecsystemiccinfectioncincinfants,cparticularlycthosecborncpremature.
DehydrationcSignsc-
cans✔✔Symptomscinclude,cbutcarecnotclimitedctocthecfollowing:cDrycorcstickycmouth,clowcorc
nocurinecoutput,cconcentratedcurinecthatcappearscdarkcyellow,cnon-
productioncofctears,csunkenceyes,cmarkedlycsunkencfontanellescincancinfant,clethargiccorcco
mac(severe).
DiabetescMellitusc-
cans✔✔Acgroupcofcdiseasescincwhichcthecbodychascdifficultycmanagingcstablecbloodcsugar.
DiscordantcTwinsc-cans✔✔Twincpairscwithcacmarkedcdifferencecincsizecatcbirth.
DiscrepancycBreastsc-
cans✔✔Acconditioncincwhichcacwoman'scbreastcarecmarkedlycdifferentcincsizecand/
orcshape.cThisciscassociatedcwithcpotentialcmilkcsupplycproblems.cAlsoccalledc"asymmetricc
"breasts.
(CLC) STUDY QUESTIONS WITH
COMPLETE SOLUTIONS
AAPc-cans✔✔AmericancAcademycofcPediatrics
ABMc-cans✔✔AcademycofcBreastfeedingcMedicine
AGAc-cans✔✔Appropriatecforcgestationalcage.
Alveolic-cans✔✔Smallcglandscincthecbreastcthatcproducecbreastcmilk.
Amenorrheac-cans✔✔Thecabsencecofcmenstruation.
Aysemmetricclatchc-
cans✔✔Optimalcattachmentctocthecbreast,cwherecthecbabiesclipscarecnotccenteredcincrelatio
nshipctocthecareola,cbutcrathercverticallycoffccentered,cwithcthecbabiescchincandclowerclipcclos
erctocthecedgecofcthecareolacandcthecbabiescupperclip.
Atopyc-
cans✔✔Andcallergycforcwhichcthereciscacgeneticcpredisposition, csuchcascasthma,ceczema,co
rcrhinitis.
(BFHI)cBabycFriendlycHospitalcInitiativec-
cans✔✔ThecUNICEFcbabycfriendlychospitalcinitiative,cancinternationalcprogramcrecognizing
chospitalscandcbirthccenterscthatcimplementcthec10cstepsctocsuccessfulcbreastfeeding.
Bilirubinc-
cans✔✔Thecbyproductcofcthecbreakdowncofcthechemoglobincportioncofcredcbloodccells.
BilirubincEncephalopathyc-
cans✔✔Damagectocthecbraincandccentralcnervouscsystemcrelatedctochyperbilirubinemia c(Ja
undice);cAlsocknowncasc"Kernicterus."
,MilkcBlebc-
cans✔✔Acfirm,csmall,cwhitecspotcnearcthecnipplecporecopeningccontainingcaccumulatedcmil
kcsolids.cAlsocreferredctocascacmilkcblister.
BlockcFeedingc-cans✔✔Acpatterncofcfeeding:cusedctocdealcwithcancover-
abundantcmilkcsupply.cIncblockcfeeding,cthecmothercofferscthecbabyconlyconecbreastcforcone,
ctwo,corcthreecfeedingsctocgeneratecmildclocalcpressurectocslowcdowncmilkcproduction.cThenc
shecofferscthecothercbreastcforcanothercblockcofctime.
BlockedcDuctc-
cans✔✔Acconditioncincwhichcmilkcfromconecpartcofcthecbreastcdoescnotcflowcwellcandcformsc
aclumpcofcsolidifiedcmilkcthatcblockscthecmilkcduct.
BrachialcPlexuscInjuryc-
cans✔✔Decreasedcmovementcorcsensationcincthecarmccausedcbycinjuryctocthecbundlecofcne
rvescpassingcthroughcthecshouldercarea.cThiscmaycbeccausedcduringcbirthcbycpressurectocth
ecshouldercarea.
Bradycardiac-cans✔✔Slowcheartcrate,clesscthanc100cbpmcincancinfant.
BreastcAbscessc-
cans✔✔Ancareacincthecbreastcthatcfeelschotcandcpainfulcandciscfullcofcfluid.cTypicallycresultin
gcfromcunresolvedcmastitis.
BreastcCompressionc-cans✔✔Achands-
oncmethodcusedcduringcnursingcorcpumpingctocincreasecthecflowcofcmilk.cThecmothercgentlyc
sneezes,corccompressescgently,chercbreast.cTypicallycusedcwhencmilkcflowcstopscorcslows,c
tocincreasecmilkcflowcagain.cAlsoccalledc"alternatecmassage."
BreastmilkcJaundicec-cans✔✔Jaundicecoccurringcincthecbreastcfedcinfantcafterc10-
14cdayscofclife.cTheccausecofcbreastmilkcjaundiceciscunknowncandcthecincidentcisclesscthanc1
%.
Brucellosisc-
cans✔✔BacterialcinfectioncfromccontactcwithcanimalsccarryingcthecBrucellacbacteria.cInfecti
onccausescancundulatingcfevercthatcspikescincwaves.
Candidac-
cans✔✔Acfamilycofcparasiticcfungicoccurringcespeciallycincthecmouth,cvagina,candcintestinalc
tract.cTheycarecusuallycbenigncbutccancbecomecpathogeniccandcincludectheccaustivecagentc
(candidacalbicans)cofcthrush.
CaputcSuccedaneumc-
cans✔✔Swellingcofcthecsoftctissuescofcacnewborncbaby'scscalpcthatcdevelopscascacbabyctrav
elscthroughcthecbirthccanal.
, CDCc-cans✔✔CenterscforcDiseasecControlcandcPrevention
Cephalohematomac-
cans✔✔Aclumpcthatcrisesconcthecheadcofcacnewborncwithcanchourscofcbirthcduectocbleedingcb
eneathcthecbonescofcthecskull.
Chorioamniotisc-cans✔✔Inflammationcofcthecfetalcmembranecduectocinfection.
CleftcLipcand/orcPalatec-
cans✔✔Accongenitalcbirthcdefectccausingcacdivisioncorcopeningcincthecroofcofcthecmouthcand
/orcsplitcinctheclip.
Cyanosisc-cans✔✔Acbluishcdiscolorationcofcthecskincandcmucouscmembranes.
Colostrumc-
cans✔✔Thecfirstcmilk,cproducedcincthecbreastcbycthecseventhcmonthcofcpregnancy.cItciscthick
,csticky,candcclearctocyellowishcinccolor;cischighcincproteincandcvitamincA;ccausescaclaxativecef
fect,cthus,chelpingcthecbabyctocpasscmeconiumcstools.cImmunoglobulinsc(mostlycIgA)cInccol
ostrumcprovidecancanti-infectioncprotectionctocthecbabycandctheircgutcmicrobiome.
Contraindicationc-cans✔✔Acconditioncorcfactorcthatcmakescsomethingcincadvisable.
Craniofacialc-cans✔✔Involvingcthecheadcandcskull.
Cooper'scLigamentsc-cans✔✔Thectriangular-shapedcligamentscunderlyingcthecbreasts.
Cytomegalovirusc-
cans✔✔Acviruscofcthecherpescfamilycthatciscrelativelycharmlesscandcadultscbutccanccausecse
verecsystemiccinfectioncincinfants,cparticularlycthosecborncpremature.
DehydrationcSignsc-
cans✔✔Symptomscinclude,cbutcarecnotclimitedctocthecfollowing:cDrycorcstickycmouth,clowcorc
nocurinecoutput,cconcentratedcurinecthatcappearscdarkcyellow,cnon-
productioncofctears,csunkenceyes,cmarkedlycsunkencfontanellescincancinfant,clethargiccorcco
mac(severe).
DiabetescMellitusc-
cans✔✔Acgroupcofcdiseasescincwhichcthecbodychascdifficultycmanagingcstablecbloodcsugar.
DiscordantcTwinsc-cans✔✔Twincpairscwithcacmarkedcdifferencecincsizecatcbirth.
DiscrepancycBreastsc-
cans✔✔Acconditioncincwhichcacwoman'scbreastcarecmarkedlycdifferentcincsizecand/
orcshape.cThisciscassociatedcwithcpotentialcmilkcsupplycproblems.cAlsoccalledc"asymmetricc
"breasts.
