CLC Exam Success: Comprehensive Test Bank & Study
Guide for Breastfeeding & Lactation Mastery – Based on
Breastfeeding and Human Lactation by Wambach &
Spencer
Section 1: Latch and Positioning
Chapter 5
1. Which positioning technique helps correct asymmetric latch in
a newborn with a shallow latch?
A) Cradle hold
B) Cross-cradle hold
C) Side-lying position
D) Football hold
Answer: B
Explanation: The cross-cradle hold allows better control of the
infant’s head to adjust alignment (Chapter 5).
2. A mother complains of nipple pain during latch. What is the
FIRST step in assessment?
A) Check for thrush
B) Observe the infant’s latch and oral anatomy
C) Recommend a nipple shield
D) Assess maternal hormone levels
Answer: B
Tip: Poor latch is the most common cause of nipple pain. Review
infant oral reflexes in Chapter 5.
Section 2: Milk Supply Management and Supplementation
,Chapter 7
3. Which scenario indicates the need for supplementation with
donor milk or formula?
A) Infant has 3 wet diapers in 24 hours
B) Infant loses 12% of birth weight by day 5
C) Mother experiences transient engorgement
D) Infant feeds 8 times daily
Answer: B
Explanation: Weight loss >10% may require supplementation. Review
"Indications for Supplementation" (Chapter 7).
4. A mother wants to relactate after stopping breastfeeding.
What is the MOST critical intervention?
A) Domperidone prescription
B) Frequent breast stimulation (nursing/pumping)
C) Herbal galactagogues
D) Skin-to-skin contact
Answer: B
Study Tip: Relactation success hinges on frequent milk removal
(Chapter 7).
Section 3: Maternal/Infant Nutrition and Anatomy
Chapter 8 (Maternal Nutrition) & Chapter 3 (Anatomy)
5. Which maternal dietary deficiency is MOST likely to affect milk
vitamin B12 levels?
A) Iron
B) Vegan diet without B12 supplementation
C) Low calcium intake
D) Excessive caffeine
Answer: B
Explanation: Vitamin B12 is primarily found in animal products
(Chapter 8).
, 6. The alveoli in the breast are primarily responsible for:
A) Milk ejection
B) Milk production
C) Storing milk
D) Nipple protraction
Answer: B
Tip: Review mammary gland anatomy diagrams (Chapter 3).
Section 4: Counseling Techniques and Ethical Guidelines
Chapter 9 (Counseling) & Chapter 12 (Ethics)
7. A mother is anxious about returning to work and continuing
breastfeeding. Which counseling approach is BEST?
A) Dismiss her concerns as normal
B) Collaboratively develop a pumping and storage plan
C) Recommend switching to formula
D) Share personal experiences
Answer: B
Explanation: Use a strengths-based, solution-focused approach
(Chapter 9).
8. A father insists the lactation consultant persuade his partner to
stop breastfeeding. The consultant should:
A) Advocate for the mother’s autonomy
B) Facilitate a family-centered discussion to explore concerns
C) Defer to the father’s wishes
D) Report coercion to authorities
Answer: B
Ethical Focus: Prioritize informed decision-making and family
dynamics (Chapter 12).
Section 5: Public Health Strategies and Breastfeeding Advocacy
Guide for Breastfeeding & Lactation Mastery – Based on
Breastfeeding and Human Lactation by Wambach &
Spencer
Section 1: Latch and Positioning
Chapter 5
1. Which positioning technique helps correct asymmetric latch in
a newborn with a shallow latch?
A) Cradle hold
B) Cross-cradle hold
C) Side-lying position
D) Football hold
Answer: B
Explanation: The cross-cradle hold allows better control of the
infant’s head to adjust alignment (Chapter 5).
2. A mother complains of nipple pain during latch. What is the
FIRST step in assessment?
A) Check for thrush
B) Observe the infant’s latch and oral anatomy
C) Recommend a nipple shield
D) Assess maternal hormone levels
Answer: B
Tip: Poor latch is the most common cause of nipple pain. Review
infant oral reflexes in Chapter 5.
Section 2: Milk Supply Management and Supplementation
,Chapter 7
3. Which scenario indicates the need for supplementation with
donor milk or formula?
A) Infant has 3 wet diapers in 24 hours
B) Infant loses 12% of birth weight by day 5
C) Mother experiences transient engorgement
D) Infant feeds 8 times daily
Answer: B
Explanation: Weight loss >10% may require supplementation. Review
"Indications for Supplementation" (Chapter 7).
4. A mother wants to relactate after stopping breastfeeding.
What is the MOST critical intervention?
A) Domperidone prescription
B) Frequent breast stimulation (nursing/pumping)
C) Herbal galactagogues
D) Skin-to-skin contact
Answer: B
Study Tip: Relactation success hinges on frequent milk removal
(Chapter 7).
Section 3: Maternal/Infant Nutrition and Anatomy
Chapter 8 (Maternal Nutrition) & Chapter 3 (Anatomy)
5. Which maternal dietary deficiency is MOST likely to affect milk
vitamin B12 levels?
A) Iron
B) Vegan diet without B12 supplementation
C) Low calcium intake
D) Excessive caffeine
Answer: B
Explanation: Vitamin B12 is primarily found in animal products
(Chapter 8).
, 6. The alveoli in the breast are primarily responsible for:
A) Milk ejection
B) Milk production
C) Storing milk
D) Nipple protraction
Answer: B
Tip: Review mammary gland anatomy diagrams (Chapter 3).
Section 4: Counseling Techniques and Ethical Guidelines
Chapter 9 (Counseling) & Chapter 12 (Ethics)
7. A mother is anxious about returning to work and continuing
breastfeeding. Which counseling approach is BEST?
A) Dismiss her concerns as normal
B) Collaboratively develop a pumping and storage plan
C) Recommend switching to formula
D) Share personal experiences
Answer: B
Explanation: Use a strengths-based, solution-focused approach
(Chapter 9).
8. A father insists the lactation consultant persuade his partner to
stop breastfeeding. The consultant should:
A) Advocate for the mother’s autonomy
B) Facilitate a family-centered discussion to explore concerns
C) Defer to the father’s wishes
D) Report coercion to authorities
Answer: B
Ethical Focus: Prioritize informed decision-making and family
dynamics (Chapter 12).
Section 5: Public Health Strategies and Breastfeeding Advocacy
