CLC EXAM Questions with 100% Correct
Answers Latest Updated 2024 TOP
RATED A+
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
What is a fissure straight down the nipple evidence of? -
Correct Answer-A symmetric latch. Top lip needs to have good
seal, moist part of lip should be touching nipple, can roll out
top lip, to reduce injury during BF
Is there a deep latch with nipple stretching? - Correct Answer-
If nipple not stretched deeply into mouth, less oxytocin flows,
less fat is in mix. With less fat, milk digested quicker = not
enough time for baby to make enough lactase to digest
lactose in milk.
What to do for oversupply? - Correct Answer-Decrease
additional stimulation/milk removal if possible
Consider block feeding (only nursing on one side only per
feeding)
Watch for mastitis
Try australian posture (mother down under, baby on top)
Consider donating to milk bank
, Consult with HCP for medical dx
How many mL considered oversupply? - Correct Answer-
normal milk production = 750-1000 mL/day
Thrush during BF - Correct Answer-painful for mother & baby.
may be visible or may not (whiteness that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - Correct Answer--nystatin
first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
-flucanazole oral capsules may be used to clean yeast vectors
due to the biofilm created on pacifiers by candida
What to do if antifungal treatment for yeast doesn't work? -
Correct Answer-Not candida infection!
Answers Latest Updated 2024 TOP
RATED A+
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
What is a fissure straight down the nipple evidence of? -
Correct Answer-A symmetric latch. Top lip needs to have good
seal, moist part of lip should be touching nipple, can roll out
top lip, to reduce injury during BF
Is there a deep latch with nipple stretching? - Correct Answer-
If nipple not stretched deeply into mouth, less oxytocin flows,
less fat is in mix. With less fat, milk digested quicker = not
enough time for baby to make enough lactase to digest
lactose in milk.
What to do for oversupply? - Correct Answer-Decrease
additional stimulation/milk removal if possible
Consider block feeding (only nursing on one side only per
feeding)
Watch for mastitis
Try australian posture (mother down under, baby on top)
Consider donating to milk bank
, Consult with HCP for medical dx
How many mL considered oversupply? - Correct Answer-
normal milk production = 750-1000 mL/day
Thrush during BF - Correct Answer-painful for mother & baby.
may be visible or may not (whiteness that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - Correct Answer--nystatin
first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
-flucanazole oral capsules may be used to clean yeast vectors
due to the biofilm created on pacifiers by candida
What to do if antifungal treatment for yeast doesn't work? -
Correct Answer-Not candida infection!
