CLC Exam Questions And Complete
Answers
1. contraindications for breastfeeding: -HIV positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
2. BF became recognized as a public health priority in the US in what year?: -
1990
3. Nursing a baby for a year or more decreases the risk of hypertension, diabetes, hyperlipidemia, and
cardiovascular disease when postmenopausal by %.: 10-15%
4. Women who do NOT BF are at greater risk for these 3 cancers: breast, ovarian, endometrial
5. UNICEF stands for: United Nations International Children's Emergency Fund
6. The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and duration in every
country: breastfeeding protection, breastfeeding promotion, breastfeeding support
7. Breastfeeding protection focuses on: government, manufacturer and social responsibility to assure breastfeeding's
ability to compete with commercial interests
8. Breastfeeding promotion focuses on: advantages of breastfeeding on a per- sonal, community, country or global
level
9. Breastfeeding protection also includes: addressing improper marketing prac- tices as described in "The
,international code"
10. In the US, state and local BF legislation addresses BF in public, em- ployment issues, jury duty, family
law, mothers in prison etc. is an example of: breastfeeding protection
11. Breastfeeding support: focuses on interaction of helpers with family, as well as program development and
implementation.
12. This forms the basis of the Baby-Friendly Hospital Initiative: The Ten Steps to Successful Breastfeeding
13. The Ten Steps to Successful Breastfeeding (critical management proce- dures): 1a. comply with the
International code of marketing of breast-milk substi- tutes & relevant world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to staff & parents
1c. est. ongoing monitoring & data-management systems
2. ensure that staff have sufficient knowledge, competence, and skills to support BF
14. The Ten Steps to Successful Breastfeeding (key clinical practices ): 3. discuss the importance & mgmt of
BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24 hr/day
, 8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
15. Highest level of evidence: meta-analysis an systematic review
16. An international health policy framework to regulate the marketing of breastmilk substitutes in order to
protect breastfeeding, published by the WHO in 1981: The International Code of Marketing of Breastmilk
Substitutes (The code)
17. The code: regulates the marketing of BM substitutes which includes formulas, teats and bottles
18. The World Breastfeeding Trends Initiative is intended to: track, assess and monitor the implementation of the
"Global Strategy" at the country and sub-country level
19. How to support exclusive BFing: -expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
20. levels go down in b/t nursing's and rise during nursing: prolactin
21. Infrequent nursing leads to lower levels of this hormone even with the same amount of nipple contact:
prolactin
22. after delivery of the placenta: progesterone goes down and prolactin goes up
23. Nipple stretching increases this hormone: oxytocin
Answers
1. contraindications for breastfeeding: -HIV positive mother
-Mother is infected with human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)
-Mother has untreated ebola virus
-Drug abuse by mother
-Infant galactosemia
2. BF became recognized as a public health priority in the US in what year?: -
1990
3. Nursing a baby for a year or more decreases the risk of hypertension, diabetes, hyperlipidemia, and
cardiovascular disease when postmenopausal by %.: 10-15%
4. Women who do NOT BF are at greater risk for these 3 cancers: breast, ovarian, endometrial
5. UNICEF stands for: United Nations International Children's Emergency Fund
6. The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and duration in every
country: breastfeeding protection, breastfeeding promotion, breastfeeding support
7. Breastfeeding protection focuses on: government, manufacturer and social responsibility to assure breastfeeding's
ability to compete with commercial interests
8. Breastfeeding promotion focuses on: advantages of breastfeeding on a per- sonal, community, country or global
level
9. Breastfeeding protection also includes: addressing improper marketing prac- tices as described in "The
,international code"
10. In the US, state and local BF legislation addresses BF in public, em- ployment issues, jury duty, family
law, mothers in prison etc. is an example of: breastfeeding protection
11. Breastfeeding support: focuses on interaction of helpers with family, as well as program development and
implementation.
12. This forms the basis of the Baby-Friendly Hospital Initiative: The Ten Steps to Successful Breastfeeding
13. The Ten Steps to Successful Breastfeeding (critical management proce- dures): 1a. comply with the
International code of marketing of breast-milk substi- tutes & relevant world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to staff & parents
1c. est. ongoing monitoring & data-management systems
2. ensure that staff have sufficient knowledge, competence, and skills to support BF
14. The Ten Steps to Successful Breastfeeding (key clinical practices ): 3. discuss the importance & mgmt of
BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice rooming-in 24 hr/day
, 8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
15. Highest level of evidence: meta-analysis an systematic review
16. An international health policy framework to regulate the marketing of breastmilk substitutes in order to
protect breastfeeding, published by the WHO in 1981: The International Code of Marketing of Breastmilk
Substitutes (The code)
17. The code: regulates the marketing of BM substitutes which includes formulas, teats and bottles
18. The World Breastfeeding Trends Initiative is intended to: track, assess and monitor the implementation of the
"Global Strategy" at the country and sub-country level
19. How to support exclusive BFing: -expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
20. levels go down in b/t nursing's and rise during nursing: prolactin
21. Infrequent nursing leads to lower levels of this hormone even with the same amount of nipple contact:
prolactin
22. after delivery of the placenta: progesterone goes down and prolactin goes up
23. Nipple stretching increases this hormone: oxytocin
