CLC EXAM QUESTIONS WITH COMPLETE
SOLUTION
Galactosemia
The only absolute infant contraindication to breastfeeding
Phenylketonuria (PKU)
Infants with this condition may be partially breastfed, but also must receive
a special formula. The amount of breastfeeding allowable will be
determined by monitoring infant blood levels.
Predominant Breastfeeding
Babies who receive breastmilk and other liquids (e.g. water, minerals,
vitamins, oral meds) but do not receive any other foods or drinks including
infant formula or other animal milks.
Breastfeeding
Means that the infant is receiving human milk as well as any other foods or
fluids, including formula.
Complementary Feeding
Means that the child is between 6 and 23 months of age and is receiving
both human milk and solid or semisolid food.
How many times a day should infants receive complementary foods
according to the WHO?
Start introducing at 6 months, 2x per day between 6 and 8 months,
minimum of 3 times daily between 9 and 24 months.
According to the WHO complementary feeding should be:
Timely (start at 6 months), Adequate (nutritional value), Safely stored,
prepared and served, Appropriate in texture and given in sufficient quantity.
Reasons why breastfeeding is stopped even when continuation is
desirable:
Concerns about milk quality/quantity, feeding problems during the first
week, problems with the infant latching on or sucking, lack of appropriate
information and support.
The Healthy Children Project's Approach to Lactation Counseling is:
to observe, explore, and coach
As the dyad learns to breastfeed together, the self-attached feedings
give way to
those that are more collaborative
When labor analgesia has been used, it may take how long for the
baby to find the breast and self-attach?
,More than 2 hours
Widstrom's 9 Stages
1. Birth Cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/Sliding
7. Familiarization
8. Suckling
9. Sleeping
When the feeding ends, the baby is:
relaxed, hands are open, arms are floppy, brow is smooth, toes are curled.
The ultimate proof of the success of a breastfeeding baby is:
a baby who is responsive and interactive, growing well, producing enough
wet and dirty diapers.
How much weight should a breastfed baby gain?
1 ounce per day after the 5th day of life
How many wet diapers should a baby have beginning on day 4 of life?
6
How many dirty diaper should a baby have starting on day 4 of life?
4
Step 1 of the Ten Steps to Successful Breastfeeding
Comply fully with the International Code of Marketing of Breastmilk
Substitutes, have a written infant feeding policy that is routinely
communicated to staff and parents, establish ongoing monitoring and data-
management systems
Step 2 of the Ten Steps to Successful Breastfeeding
Ensure that staff have sufficient knowledge, competence, and skills to
support breastfeeding
Step 3 of the Ten Steps to Successful Breastfeeding
Discuss the importance and management of breastfeeding with pregnant
women and their families
Step 4 of the Ten Steps to Successful Breastfeeding
Facilitate immediate and uninterrupted skin to skin contact and support
mothers to initiate breastfeeding as soon as possible after birth
Step 5 of the Ten Steps to Successful Breastfeeding
Support mothers to initiate and maintain breastfeeding and manage
common difficulties
Step 6 of the Ten Steps to Successful Breastfeeding
, Do not provide breastfed newborns any food or fluids other than breastmilk,
unless medically indicated.
Step 7 of the Ten Steps to Successful Breastfeeding
Enable mothers and their infants to remain together and to practice
rooming in 24 hours a day
Step 8 of the Ten Steps to Successful Breastfeeding
Support mothers to recognize and respond to their infants' cues for feeding
Step 9 of the Ten Steps to Successful Breastfeeding
Counsel mothers on the use and risks of feeding bottles, teats, and
pacifiers
Step 10 of the Ten Steps to Successful Breastfeeding
Coordinate discharge so that parents and their infants have timely access
to ongoing support and care.
What is the "Code"
The International Code of Marketing of Breastmilk Substitutes which was
adopted by the World Health Assembly in 1981
Newborn babies move into REM how often?
About every 20-30 minutes
After an initial weight loss of [blank]% or less, there should be no
further weight loss after day [blank]
7%, 5
What area of the spine is related to breastfeeding?
T1-T6
Some known drugs with a negative effect on milk production include
pseudoephedrine, corticosteroids, early administration of hormonal birth
control, and high doses of Vitamin B6
How long does it take for cow's milk whey to exit breastmilk after
eliminating it from the maternal diet?
10 - 14 days
When should you counsel moms on return to work breastfeeding
plans?
2-3 weeks before
What number of hours is considered sleeping through the night
5 to 6
Rule of 3 (Colic)
bouts of high-pitched crying lasting more than 3 hours/day for more than 3
day/week, and for more than 3 weeks.
Colic typically starts
after 2 weeks of age and resolves by 4 months
Kernicterus
SOLUTION
Galactosemia
The only absolute infant contraindication to breastfeeding
Phenylketonuria (PKU)
Infants with this condition may be partially breastfed, but also must receive
a special formula. The amount of breastfeeding allowable will be
determined by monitoring infant blood levels.
Predominant Breastfeeding
Babies who receive breastmilk and other liquids (e.g. water, minerals,
vitamins, oral meds) but do not receive any other foods or drinks including
infant formula or other animal milks.
Breastfeeding
Means that the infant is receiving human milk as well as any other foods or
fluids, including formula.
Complementary Feeding
Means that the child is between 6 and 23 months of age and is receiving
both human milk and solid or semisolid food.
How many times a day should infants receive complementary foods
according to the WHO?
Start introducing at 6 months, 2x per day between 6 and 8 months,
minimum of 3 times daily between 9 and 24 months.
According to the WHO complementary feeding should be:
Timely (start at 6 months), Adequate (nutritional value), Safely stored,
prepared and served, Appropriate in texture and given in sufficient quantity.
Reasons why breastfeeding is stopped even when continuation is
desirable:
Concerns about milk quality/quantity, feeding problems during the first
week, problems with the infant latching on or sucking, lack of appropriate
information and support.
The Healthy Children Project's Approach to Lactation Counseling is:
to observe, explore, and coach
As the dyad learns to breastfeed together, the self-attached feedings
give way to
those that are more collaborative
When labor analgesia has been used, it may take how long for the
baby to find the breast and self-attach?
,More than 2 hours
Widstrom's 9 Stages
1. Birth Cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/Sliding
7. Familiarization
8. Suckling
9. Sleeping
When the feeding ends, the baby is:
relaxed, hands are open, arms are floppy, brow is smooth, toes are curled.
The ultimate proof of the success of a breastfeeding baby is:
a baby who is responsive and interactive, growing well, producing enough
wet and dirty diapers.
How much weight should a breastfed baby gain?
1 ounce per day after the 5th day of life
How many wet diapers should a baby have beginning on day 4 of life?
6
How many dirty diaper should a baby have starting on day 4 of life?
4
Step 1 of the Ten Steps to Successful Breastfeeding
Comply fully with the International Code of Marketing of Breastmilk
Substitutes, have a written infant feeding policy that is routinely
communicated to staff and parents, establish ongoing monitoring and data-
management systems
Step 2 of the Ten Steps to Successful Breastfeeding
Ensure that staff have sufficient knowledge, competence, and skills to
support breastfeeding
Step 3 of the Ten Steps to Successful Breastfeeding
Discuss the importance and management of breastfeeding with pregnant
women and their families
Step 4 of the Ten Steps to Successful Breastfeeding
Facilitate immediate and uninterrupted skin to skin contact and support
mothers to initiate breastfeeding as soon as possible after birth
Step 5 of the Ten Steps to Successful Breastfeeding
Support mothers to initiate and maintain breastfeeding and manage
common difficulties
Step 6 of the Ten Steps to Successful Breastfeeding
, Do not provide breastfed newborns any food or fluids other than breastmilk,
unless medically indicated.
Step 7 of the Ten Steps to Successful Breastfeeding
Enable mothers and their infants to remain together and to practice
rooming in 24 hours a day
Step 8 of the Ten Steps to Successful Breastfeeding
Support mothers to recognize and respond to their infants' cues for feeding
Step 9 of the Ten Steps to Successful Breastfeeding
Counsel mothers on the use and risks of feeding bottles, teats, and
pacifiers
Step 10 of the Ten Steps to Successful Breastfeeding
Coordinate discharge so that parents and their infants have timely access
to ongoing support and care.
What is the "Code"
The International Code of Marketing of Breastmilk Substitutes which was
adopted by the World Health Assembly in 1981
Newborn babies move into REM how often?
About every 20-30 minutes
After an initial weight loss of [blank]% or less, there should be no
further weight loss after day [blank]
7%, 5
What area of the spine is related to breastfeeding?
T1-T6
Some known drugs with a negative effect on milk production include
pseudoephedrine, corticosteroids, early administration of hormonal birth
control, and high doses of Vitamin B6
How long does it take for cow's milk whey to exit breastmilk after
eliminating it from the maternal diet?
10 - 14 days
When should you counsel moms on return to work breastfeeding
plans?
2-3 weeks before
What number of hours is considered sleeping through the night
5 to 6
Rule of 3 (Colic)
bouts of high-pitched crying lasting more than 3 hours/day for more than 3
day/week, and for more than 3 weeks.
Colic typically starts
after 2 weeks of age and resolves by 4 months
Kernicterus
