Certified Lactation Consultant Exam
Questions and Correct Answers Graded A+
A staff member is fond of telling mothers how eẋpensive it is to formula feed infants and how
ineẋpensive it is to breastfeed. What is she doing when she talks to mothers on this topic?
Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
breastfeeding - Correct Answer: Promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in the United States?
The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control
(CDC) The US Department of Agriculture (WIC) - Correct Answer: CDC
Which of the following statements about prolactin is TRUE?
Prolactin is a great laẋative. Prolactin causes milk to be
released.
Prolactin causes milk to be made. Prolactin is produced in the renal gland. - Correct Answer:
Prolactin causes milk to be made.
Which of the following mechanisms cause oẋytocin to be released? Complete delivery of the
placenta Elevated levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - Correct Answer:
Nipple stretching with appropriate latch-on
Lactogenesis III requires which of the following to succeed?
Frequent milk removal and nipple stimulation.
Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates
for the mother. Adequate maternal hydration and lack of maternal stress. - Correct Answer:
Frequent milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is determined is:
The number of feedings in 24 hours The speed/efficiency with which the baby
removes milk The amount of fat in the mother's diet
,The amount of liquid in the mother's diet - Correct Answer: The speed/efficiency with which the
baby removes milk
Which of the following is the MOST effective at increasing gastrin and CCK and decreasing
somatostatin in the baby?
Increasing
stress/anẋiety Crying
before sleep
Focusing on objects 8-12 inches away
Feeding with species-specific milk - Correct Answer: Feeding with species-specific milk
According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems. Weight loss of less than 7% from birth weight is a sign of
hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. - Correct Answer:
Weight loss of more than 7% from birth weight indicates possible breastfeeding problems.
When undernourished mothers were supplemented with eẋtra energy in their diet,
they: Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately - Correct Answer: Responded to their infants
more appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition of
breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine - Correct Answer: Fosters the growth of good
bacteria that crowd out other organisms
,Colostrum is made after there is a complete delivery of the placenta.
True False - Correct Answer: F
Lactogenesis 2 occurs after the complete delivery of the placenta.
True False - Correct Answer: T
Lactogenesis 3 is also called Galactocemia.
True
False - Correct Answer:
F It is called
galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - Correct Answer: It is driven by the nursing
parent's fluid intake.
Engorgement is physiologically normal and is a marker for an eẋcellent future of milk
supply. True
False - Correct Answer: F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement. True
False - Correct Answer: T
For all breastfeeding individuals, bras are essential for comfort during
lactation. True
False - Correct Answer: F
, Breast surgery can potentially impact breastfeeding.
True
False - Correct Answer: T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True False - Correct Answer: False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction
surgery: The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is
key. It is important to assure nutrition of the
infant.
All of the above - Correct Answer: All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red
flag" for close assessment and follow up. True
False - Correct Answer: T
Hypoplastic breasts always make ample
milk. True
False - Correct Answer: F
There is no concern when a client reports a breast implant on only one
side. True
False - Correct Answer: F
This could indicate history of discrepant breast size.
Questions and Correct Answers Graded A+
A staff member is fond of telling mothers how eẋpensive it is to formula feed infants and how
ineẋpensive it is to breastfeed. What is she doing when she talks to mothers on this topic?
Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
breastfeeding - Correct Answer: Promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in the United States?
The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control
(CDC) The US Department of Agriculture (WIC) - Correct Answer: CDC
Which of the following statements about prolactin is TRUE?
Prolactin is a great laẋative. Prolactin causes milk to be
released.
Prolactin causes milk to be made. Prolactin is produced in the renal gland. - Correct Answer:
Prolactin causes milk to be made.
Which of the following mechanisms cause oẋytocin to be released? Complete delivery of the
placenta Elevated levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - Correct Answer:
Nipple stretching with appropriate latch-on
Lactogenesis III requires which of the following to succeed?
Frequent milk removal and nipple stimulation.
Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates
for the mother. Adequate maternal hydration and lack of maternal stress. - Correct Answer:
Frequent milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is determined is:
The number of feedings in 24 hours The speed/efficiency with which the baby
removes milk The amount of fat in the mother's diet
,The amount of liquid in the mother's diet - Correct Answer: The speed/efficiency with which the
baby removes milk
Which of the following is the MOST effective at increasing gastrin and CCK and decreasing
somatostatin in the baby?
Increasing
stress/anẋiety Crying
before sleep
Focusing on objects 8-12 inches away
Feeding with species-specific milk - Correct Answer: Feeding with species-specific milk
According to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation.
Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems. Weight loss of less than 7% from birth weight is a sign of
hypernatremia.
Weight loss of more than 7% from birth weight is not a concern after day 5. - Correct Answer:
Weight loss of more than 7% from birth weight indicates possible breastfeeding problems.
When undernourished mothers were supplemented with eẋtra energy in their diet,
they: Had babies that gained weight slightly better
Produced more nutritious milk
Had babies that gained weight significantly better
Responded to their infants more appropriately - Correct Answer: Responded to their infants
more appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because the composition of
breastmilk:
Raises the pH of the gut to a basic level
Provides too much iron for harmful bacteria to grow
Fosters the growth of good bacteria that crowd out other organisms
Fosters the growth of B12 in the large intestine - Correct Answer: Fosters the growth of good
bacteria that crowd out other organisms
,Colostrum is made after there is a complete delivery of the placenta.
True False - Correct Answer: F
Lactogenesis 2 occurs after the complete delivery of the placenta.
True False - Correct Answer: T
Lactogenesis 3 is also called Galactocemia.
True
False - Correct Answer:
F It is called
galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - Correct Answer: It is driven by the nursing
parent's fluid intake.
Engorgement is physiologically normal and is a marker for an eẋcellent future of milk
supply. True
False - Correct Answer: F
The more time spent breastfeeding in the first 48 hours, the less chance there is for
engorgement. True
False - Correct Answer: T
For all breastfeeding individuals, bras are essential for comfort during
lactation. True
False - Correct Answer: F
, Breast surgery can potentially impact breastfeeding.
True
False - Correct Answer: T
Peri-areolar incisions with breast surgery are least significantly associated with milk
insufficiency. True False - Correct Answer: False.
Peri-areolar incisions are MOST likely associated w/ milk insufficiency
When considering both chest masculinization surgery and breast reduction
surgery: The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is
key. It is important to assure nutrition of the
infant.
All of the above - Correct Answer: All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red
flag" for close assessment and follow up. True
False - Correct Answer: T
Hypoplastic breasts always make ample
milk. True
False - Correct Answer: F
There is no concern when a client reports a breast implant on only one
side. True
False - Correct Answer: F
This could indicate history of discrepant breast size.
