CLC EXAM QUESTIONS WITH COMPLETE
SOLUTION
Human Milk Storage Guidelines - Countertop Temperature
77 or colder
Human Milk Storage Guidelines - Countertop Hours for Freshly
Pumped
up to 4 hours
Human Milk Storage Guidelines - Countertop hours for thawed
1-2 hours
Human Milk Storage Guidelines - Refrigerator Temperature
40 or colder
Human Milk Storage Guidelines - Refrigerator freshly pumped time
up to 4 days
Human Milk Storage Guidelines - Refrigerator thawed
up to 1 day
Human Milk Storage Guidelines - Freezer temperature
0 degrees or colder
Human Milk Storage Guidelines - Freezer freshly pumped time
within 6 months is best but up to 12 is ok
Human Milk Storage Guidelines - Freezer, thawed
never refreeze human milk after it has been thawed
Post Birth Reasons to Call 911
Pain in chest
Obstructed breathing or shortness of breath
Seizures
Thoughts of hurting yourself or baby
Post Birth Reasons to Call Healthcare Provider
Bleeding through one pad / hour or blood clots the size of an egg or bigger
Incision that is not healing
Red or swollen leg, that is painful or warm to touch
Temperature of 100.4 degrees or higher
Headache that does not get better, even after taking medicine or bad
headache with vision changes
Medical Attention Needed for the Mom
Visible red ares of the breast
Fever higher than 101
, Persistent bleeding from nipples between feedings
Symptoms of infection
Extreme breast discomfort
Extreme lethargy, incoherence or delirium
Symptoms of infection
redness or puss at the site of bleeding, fever, chills, achiness, malaise
Medical Attention Needed for Baby - Urine
No urine in 6 hours
Brick dust urine after 2 days of life (uric acid crystals)
Dark colored urine
Fewer than 4 urinations daily in the breastfed newborn after day 5
Medical Attention Needed for Baby - Bowel Movements
Meconium after 5 days of life
Fewer than 3 bowel movements daily in breastfed newborn after the first 2
days of life
Fewer than 4 bowel movements (some yellow) on day 4 for the breastfed
baby
Medical Attention Needed for Baby - Not Urine / BM / Weight / Fever
Extreme lethargy
Unable to wake or rouse baby
Extreme irritability
Doesn't calm, even with cuddles
Sudden change in baby's muscle tone
Repetitive jerking movements
Sudden decreased activity
Sudden disinterest inn feeding
Sudden cessation of movement of legs or arms
Noticeably sunken fontanelles
Circumoral cyanosis while feeding / crying
Medical Attention Needed for Baby - Weight
Baby below birthweight at 10-14 days
Cessation of weight gain
Medical Attention Needed for Baby - Fever
Fever above 100 and under 3 months
Fever above 101 and over 3 months
Protocolitis
Rectal bleeding
Standard Treatment for Protocolitis
Exclusion of the offending protein from the mother's diet (usually cow's milk
whey but could be soy, corn, egg or chocolate)
SOLUTION
Human Milk Storage Guidelines - Countertop Temperature
77 or colder
Human Milk Storage Guidelines - Countertop Hours for Freshly
Pumped
up to 4 hours
Human Milk Storage Guidelines - Countertop hours for thawed
1-2 hours
Human Milk Storage Guidelines - Refrigerator Temperature
40 or colder
Human Milk Storage Guidelines - Refrigerator freshly pumped time
up to 4 days
Human Milk Storage Guidelines - Refrigerator thawed
up to 1 day
Human Milk Storage Guidelines - Freezer temperature
0 degrees or colder
Human Milk Storage Guidelines - Freezer freshly pumped time
within 6 months is best but up to 12 is ok
Human Milk Storage Guidelines - Freezer, thawed
never refreeze human milk after it has been thawed
Post Birth Reasons to Call 911
Pain in chest
Obstructed breathing or shortness of breath
Seizures
Thoughts of hurting yourself or baby
Post Birth Reasons to Call Healthcare Provider
Bleeding through one pad / hour or blood clots the size of an egg or bigger
Incision that is not healing
Red or swollen leg, that is painful or warm to touch
Temperature of 100.4 degrees or higher
Headache that does not get better, even after taking medicine or bad
headache with vision changes
Medical Attention Needed for the Mom
Visible red ares of the breast
Fever higher than 101
, Persistent bleeding from nipples between feedings
Symptoms of infection
Extreme breast discomfort
Extreme lethargy, incoherence or delirium
Symptoms of infection
redness or puss at the site of bleeding, fever, chills, achiness, malaise
Medical Attention Needed for Baby - Urine
No urine in 6 hours
Brick dust urine after 2 days of life (uric acid crystals)
Dark colored urine
Fewer than 4 urinations daily in the breastfed newborn after day 5
Medical Attention Needed for Baby - Bowel Movements
Meconium after 5 days of life
Fewer than 3 bowel movements daily in breastfed newborn after the first 2
days of life
Fewer than 4 bowel movements (some yellow) on day 4 for the breastfed
baby
Medical Attention Needed for Baby - Not Urine / BM / Weight / Fever
Extreme lethargy
Unable to wake or rouse baby
Extreme irritability
Doesn't calm, even with cuddles
Sudden change in baby's muscle tone
Repetitive jerking movements
Sudden decreased activity
Sudden disinterest inn feeding
Sudden cessation of movement of legs or arms
Noticeably sunken fontanelles
Circumoral cyanosis while feeding / crying
Medical Attention Needed for Baby - Weight
Baby below birthweight at 10-14 days
Cessation of weight gain
Medical Attention Needed for Baby - Fever
Fever above 100 and under 3 months
Fever above 101 and over 3 months
Protocolitis
Rectal bleeding
Standard Treatment for Protocolitis
Exclusion of the offending protein from the mother's diet (usually cow's milk
whey but could be soy, corn, egg or chocolate)
