CLC- Certified Lactation Counselor Exam
What duration of breastfeeding is associated with significantly reduced incidence of acute
otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than 4-6 months -
ANSWER C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to children fed
nonhuman milk from a bottle. True of False? - ANSWER True
Does breastfeeding lower the risk of NEC in preterm infants? - ANSWER Yes
Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - ANSWER Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - ANSWER Yes
True of False. Lactational amenorrhea, or the delay in return of menses after birth, is not
associated with exclusive breastfeeding. - ANSWER False
What are the physical benefits of breastfeeding to the lactating parent? - ANSWER Lower
risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2 diabetes,
reduced risk of cardiovascular disease
What are the 3 main steps of Evidence-Based Practice (EBP)? - ANSWER Best available
clinical evidence, Clinical expertise, Patient concerns and needs
What are the benefits of breastfeeding for infants? - ANSWER Protective against
respiratory infections, asthma, gastrointestinal infections and diarrhea, ear infections,
dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes, higher performance
on intelligence tests
What are hypotonic lips in an infant? - ANSWER Abnormally LOW muscle tone or
weakness in lips- may impact amount of suction, increase work of feeding, can contribute
to milk loss and fatigue during feedings
What are hypertonic lips in an infant? - ANSWER Abnormally HIGH muscle tone or
overuse of lips- increased lip activity to hold breast in mouth
What can hypertonic lips be an indication of? - ANSWER 1. Neurological abnormality or
injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for muscular
weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility secondary to
a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature (hypo- or
hypersensitive)
What duration of breastfeeding is associated with significantly reduced incidence of acute
otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than 4-6 months -
ANSWER C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to children fed
nonhuman milk from a bottle. True of False? - ANSWER True
Does breastfeeding lower the risk of NEC in preterm infants? - ANSWER Yes
Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - ANSWER Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - ANSWER Yes
True of False. Lactational amenorrhea, or the delay in return of menses after birth, is not
associated with exclusive breastfeeding. - ANSWER False
What are the physical benefits of breastfeeding to the lactating parent? - ANSWER Lower
risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2 diabetes,
reduced risk of cardiovascular disease
What are the 3 main steps of Evidence-Based Practice (EBP)? - ANSWER Best available
clinical evidence, Clinical expertise, Patient concerns and needs
What are the benefits of breastfeeding for infants? - ANSWER Protective against
respiratory infections, asthma, gastrointestinal infections and diarrhea, ear infections,
dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes, higher performance
on intelligence tests
What are hypotonic lips in an infant? - ANSWER Abnormally LOW muscle tone or
weakness in lips- may impact amount of suction, increase work of feeding, can contribute
to milk loss and fatigue during feedings
What are hypertonic lips in an infant? - ANSWER Abnormally HIGH muscle tone or
overuse of lips- increased lip activity to hold breast in mouth
What can hypertonic lips be an indication of? - ANSWER 1. Neurological abnormality or
injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for muscular
weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility secondary to
a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature (hypo- or
hypersensitive)
