✅ CLC Nursing Exam 2025/2026 | Verified
Questions and Correct Answers | Graded
A+ | Evidence-Based & Clinically Current
Verified, evidence-based, clinically aligned with 2025/2026 lactation standards
1. A mother reports nipple pain only during latch. What is
the most likely cause?
A. Engorgement
B. Shallow latch
C. Mastitis
D. Milk bleb
Correct Answer: B — Shallow latch
Rationale: Pain at the moment of latch is almost always caused by improper latch positioning.
2. Which hormone is responsible for the milk ejection
reflex?
A. Estrogen
B. Oxytocin
C. Prolactin
D. Progesterone
Correct Answer: B — Oxytocin
Rationale: Oxytocin triggers let-down by contracting myoepithelial cells.
,3. Colostrum is highest in which nutrient?
A. Fat
B. Protein
C. Carbohydrates
D. Fiber
Correct Answer: B — Protein
Rationale: Colostrum contains high levels of immunologic proteins (IgA, lactoferrin).
4. A newborn with jaundice should breastfeed how often?
A. Every 6–8 hours
B. 2 times per day
C. 8–12 times per day
D. Only when showing hunger cues
Correct Answer: C — 8–12 times per day
Rationale: Frequent feeds increase stooling → bilirubin excretion.
5. The best position for a mother with large breasts is
usually:
A. Supine
B. Football hold
C. Cradle hold
D. Side-lying
Correct Answer: B — Football hold
Rationale: Offers visibility and more control with larger breasts.
6. Which sign confirms adequate milk transfer?
A. Long pauses during suckling
B. Clicking sounds
, C. Dimpling of cheeks
D. Frequent unlatching
Correct Answer: A — Long pauses during suckling
Rationale: Pauses indicate swallowing and milk flow.
7. The best treatment for breast engorgement in the first
48 hours postpartum is:
A. Frequent feeding
B. Cold compress before feeding
C. Avoid feeding on affected side
D. Stop breastfeeding temporarily
Correct Answer: A — Frequent feeding
Rationale: Removing milk is the primary intervention.
8. A mother with mastitis should:
A. Stop breastfeeding
B. Increase feeding frequency
C. Pump and discard milk
D. Switch to formula
Correct Answer: B — Increase feeding frequency
Rationale: Continued milk removal helps resolve infection.
9. The most common cause of delayed lactogenesis II is:
A. Maternal obesity
B. High protein intake
C. Frequent breastfeeding
D. Lactose intolerance
Correct Answer: A — Maternal obesity
Rationale: Obesity is independently associated with delayed milk onset.
Questions and Correct Answers | Graded
A+ | Evidence-Based & Clinically Current
Verified, evidence-based, clinically aligned with 2025/2026 lactation standards
1. A mother reports nipple pain only during latch. What is
the most likely cause?
A. Engorgement
B. Shallow latch
C. Mastitis
D. Milk bleb
Correct Answer: B — Shallow latch
Rationale: Pain at the moment of latch is almost always caused by improper latch positioning.
2. Which hormone is responsible for the milk ejection
reflex?
A. Estrogen
B. Oxytocin
C. Prolactin
D. Progesterone
Correct Answer: B — Oxytocin
Rationale: Oxytocin triggers let-down by contracting myoepithelial cells.
,3. Colostrum is highest in which nutrient?
A. Fat
B. Protein
C. Carbohydrates
D. Fiber
Correct Answer: B — Protein
Rationale: Colostrum contains high levels of immunologic proteins (IgA, lactoferrin).
4. A newborn with jaundice should breastfeed how often?
A. Every 6–8 hours
B. 2 times per day
C. 8–12 times per day
D. Only when showing hunger cues
Correct Answer: C — 8–12 times per day
Rationale: Frequent feeds increase stooling → bilirubin excretion.
5. The best position for a mother with large breasts is
usually:
A. Supine
B. Football hold
C. Cradle hold
D. Side-lying
Correct Answer: B — Football hold
Rationale: Offers visibility and more control with larger breasts.
6. Which sign confirms adequate milk transfer?
A. Long pauses during suckling
B. Clicking sounds
, C. Dimpling of cheeks
D. Frequent unlatching
Correct Answer: A — Long pauses during suckling
Rationale: Pauses indicate swallowing and milk flow.
7. The best treatment for breast engorgement in the first
48 hours postpartum is:
A. Frequent feeding
B. Cold compress before feeding
C. Avoid feeding on affected side
D. Stop breastfeeding temporarily
Correct Answer: A — Frequent feeding
Rationale: Removing milk is the primary intervention.
8. A mother with mastitis should:
A. Stop breastfeeding
B. Increase feeding frequency
C. Pump and discard milk
D. Switch to formula
Correct Answer: B — Increase feeding frequency
Rationale: Continued milk removal helps resolve infection.
9. The most common cause of delayed lactogenesis II is:
A. Maternal obesity
B. High protein intake
C. Frequent breastfeeding
D. Lactose intolerance
Correct Answer: A — Maternal obesity
Rationale: Obesity is independently associated with delayed milk onset.
