CLC exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
Excessive pressure on the breast can result from - CORRECT ANSWERS
-vascular, lymphatic, and third spacing forces, especially early on
-secretory activation (lactogenesis II)
Normal fullness - CORRECT ANSWERS - breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple
Signs of engorgement - CORRECT ANSWERS Breast feels hard
Temp can be normal or high
Mom feels discomfort
Breasts hot, shiny
Baby has difficult grasping nipple
When do engorgement symptoms most commonly occur - CORRECT
ANSWERS Between days 3 and 5
Mothers who have had IV fluids during labor and postpartum have higher levels
of swelling up to day - CORRECT ANSWERS 9
ABM protocol #20 - CORRECT ANSWERS more time spent BF in the
first 48 hours is associated with less engorgement
, Other causes of pressure - CORRECT ANSWERS Too much milk left in
the breast, missed feedings, restrictive clothing, breast implants
Concerns with breast surgery or injury - CORRECT ANSWERS damage
to nerves and/or ducts
Grade 1 inverted nipples - CORRECT ANSWERS are easily pulled out
by a breast pump or infant nursing
Grade 2 inverted nipples - CORRECT ANSWERS can be pulled out but
don't maintain their projection
Grade 3 inverted nipples - CORRECT ANSWERS Difficult or
impossible to pull out
Iron deficiency anemia associated with milk supply problems may be due to -
CORRECT ANSWERS exhaustion, depression, physiologic issue (not
enough oxygen to milk making cells)
Sheehan's Syndrome - CORRECT ANSWERS Pituitary gland
dysfunction caused by uterine hemorrhage during childbirth.
Colostrum starts being made - CORRECT ANSWERS mid pregnancy
Effect of smoking on breastfeeding - CORRECT ANSWERS Decreases
milk production, may lower prolactin levels, baby may nap less
Heirarchy of infant feeding choices for the term baby - CORRECT ANSWERS
1. Baby at mother's breast
CORRECT ANSWERS
Excessive pressure on the breast can result from - CORRECT ANSWERS
-vascular, lymphatic, and third spacing forces, especially early on
-secretory activation (lactogenesis II)
Normal fullness - CORRECT ANSWERS - breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple
Signs of engorgement - CORRECT ANSWERS Breast feels hard
Temp can be normal or high
Mom feels discomfort
Breasts hot, shiny
Baby has difficult grasping nipple
When do engorgement symptoms most commonly occur - CORRECT
ANSWERS Between days 3 and 5
Mothers who have had IV fluids during labor and postpartum have higher levels
of swelling up to day - CORRECT ANSWERS 9
ABM protocol #20 - CORRECT ANSWERS more time spent BF in the
first 48 hours is associated with less engorgement
, Other causes of pressure - CORRECT ANSWERS Too much milk left in
the breast, missed feedings, restrictive clothing, breast implants
Concerns with breast surgery or injury - CORRECT ANSWERS damage
to nerves and/or ducts
Grade 1 inverted nipples - CORRECT ANSWERS are easily pulled out
by a breast pump or infant nursing
Grade 2 inverted nipples - CORRECT ANSWERS can be pulled out but
don't maintain their projection
Grade 3 inverted nipples - CORRECT ANSWERS Difficult or
impossible to pull out
Iron deficiency anemia associated with milk supply problems may be due to -
CORRECT ANSWERS exhaustion, depression, physiologic issue (not
enough oxygen to milk making cells)
Sheehan's Syndrome - CORRECT ANSWERS Pituitary gland
dysfunction caused by uterine hemorrhage during childbirth.
Colostrum starts being made - CORRECT ANSWERS mid pregnancy
Effect of smoking on breastfeeding - CORRECT ANSWERS Decreases
milk production, may lower prolactin levels, baby may nap less
Heirarchy of infant feeding choices for the term baby - CORRECT ANSWERS
1. Baby at mother's breast
