CLC Exam QUESTIONS AND
ANSWERS 100% RATED CORRECT
WITH 100% SURE PASS|GRADED A+
contraindications for breastfeeding - CORRECT ANSWERS -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
BF became recognized as a public health priority in the US in what year? - CORRECT ANSWERS
1990
Nursing a baby for a year or more decreases the risk of hypertension, diabetes, hyperlipidemia,
and cardiovascular disease when postmenopausal by ____%. - CORRECT ANSWERS 10-
15%
Women who do NOT BF are at greater risk for these 3 cancers - CORRECT ANSWERS
breast, ovarian, endometrial
UNICEF stands for - CORRECT ANSWERS United Nations International Children's
Emergency Fund
The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and duration in
every country - CORRECT ANSWERS breastfeeding protection, breastfeeding
promotion, breastfeeding support
Breastfeeding protection focuses on - CORRECT ANSWERS government, manufacturer
and social responsibility to assure breastfeeding's ability to compete with commercial interests
Breastfeeding promotion focuses on - CORRECT ANSWERS advantages of breastfeeding
on a personal, community, country or global level
Breastfeeding protection also includes - CORRECT ANSWERS addressing improper
marketing practices as described in "The international code"
In the US, state and local BF legislation addresses BF in public, employment issues, jury duty, family
law, mothers in prison etc. is an example of - CORRECT ANSWERS breastfeeding
protection
Breastfeeding support - CORRECT ANSWERS focuses on interaction of helpers with
family, as well as program development and implementation.
This forms the basis of the Baby-Friendly Hospital Initiative - CORRECT ANSWERS The
Ten Steps to Successful Breastfeeding
,The Ten Steps to Successful Breastfeeding (critical management procedures) - CORRECT ANSWERS
1a. comply with the International code of marketing of breast-milk substitutes & 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
The Ten Steps to Successful Breastfeeding (key clinical practices ) - CORRECT ANSWERS
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
Highest level of evidence - CORRECT ANSWERS meta-analysis an systematic review
An international health policy framework to regulate the marketing of breastmilk substitutes in
order to protect breastfeeding, published by the WHO in 1981 - CORRECT ANSWERS
The International Code of Marketing of Breastmilk Substitutes (The code)
The code - CORRECT ANSWERS regulates the marketing of BM substitutes which
includes formulas, teats and bottles
The World Breastfeeding Trends Initiative is intended to - CORRECT ANSWERS track,
assess and monitor the implementation of the "Global Strategy" at the country and sub-country
level
How to support exclusive BFing - CORRECT ANSWERS -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
, _________ levels go down in b/t nursing's and rise during nursing - CORRECT ANSWERS
prolactin
Infrequent nursing leads to lower levels of this hormone even with the same amount of nipple
contact - CORRECT ANSWERS prolactin
after delivery of the placenta - CORRECT ANSWERS progesterone goes down and
prolactin goes up
Nipple stretching increases this hormone - CORRECT ANSWERS oxytocin
Nipple stimulation increases this hormone - CORRECT ANSWERS prolactin
3 mechanisms that can trigger oxytocin - CORRECT ANSWERS conditioned response
(milk ejection reflex), nipple stretching, baby hand massage
Lactogenesis 1 is responsible for - CORRECT ANSWERS production of colostrum, milk
cells starting to develop
the birth of the placenta triggers - CORRECT ANSWERS lactogenesis 2, a rapid drop in
progesterone and transitional milk
lactogenesis 3 - CORRECT ANSWERS galactopoesis, mature milk, prolactin from
frequent nipple stimulation (* frequent removal of milk)
Lactogenesis 3 generally happens around when postpartum - CORRECT ANSWERS 3-5
days
target milk production by day 8 - CORRECT ANSWERS 750-1000 mL/ day per baby
true or false: sometimes foremilk and hind milk have equal amounts of fat - CORRECT ANSWERS
True
Preterm milk appears to have a different composition for the first _____weeks after delivery -
CORRECT ANSWERS 5-7 weeks
breastmilk composition changes - CORRECT ANSWERS -over the course of lactation
-within the day
-within a feeding
-between feedings
Brestfed babies can regulate this fat intake quickly and thus mother's should be encouraged to
follow - CORRECT ANSWERS baby-led feeding
the leading cause of infant deaths - CORRECT ANSWERS diarrhea
true or false: the bioavailability of nutrients is higher in human milk than in other foods or
supplements - CORRECT ANSWERS true
ANSWERS 100% RATED CORRECT
WITH 100% SURE PASS|GRADED A+
contraindications for breastfeeding - CORRECT ANSWERS -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
BF became recognized as a public health priority in the US in what year? - CORRECT ANSWERS
1990
Nursing a baby for a year or more decreases the risk of hypertension, diabetes, hyperlipidemia,
and cardiovascular disease when postmenopausal by ____%. - CORRECT ANSWERS 10-
15%
Women who do NOT BF are at greater risk for these 3 cancers - CORRECT ANSWERS
breast, ovarian, endometrial
UNICEF stands for - CORRECT ANSWERS United Nations International Children's
Emergency Fund
The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and duration in
every country - CORRECT ANSWERS breastfeeding protection, breastfeeding
promotion, breastfeeding support
Breastfeeding protection focuses on - CORRECT ANSWERS government, manufacturer
and social responsibility to assure breastfeeding's ability to compete with commercial interests
Breastfeeding promotion focuses on - CORRECT ANSWERS advantages of breastfeeding
on a personal, community, country or global level
Breastfeeding protection also includes - CORRECT ANSWERS addressing improper
marketing practices as described in "The international code"
In the US, state and local BF legislation addresses BF in public, employment issues, jury duty, family
law, mothers in prison etc. is an example of - CORRECT ANSWERS breastfeeding
protection
Breastfeeding support - CORRECT ANSWERS focuses on interaction of helpers with
family, as well as program development and implementation.
This forms the basis of the Baby-Friendly Hospital Initiative - CORRECT ANSWERS The
Ten Steps to Successful Breastfeeding
,The Ten Steps to Successful Breastfeeding (critical management procedures) - CORRECT ANSWERS
1a. comply with the International code of marketing of breast-milk substitutes & 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
The Ten Steps to Successful Breastfeeding (key clinical practices ) - CORRECT ANSWERS
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
Highest level of evidence - CORRECT ANSWERS meta-analysis an systematic review
An international health policy framework to regulate the marketing of breastmilk substitutes in
order to protect breastfeeding, published by the WHO in 1981 - CORRECT ANSWERS
The International Code of Marketing of Breastmilk Substitutes (The code)
The code - CORRECT ANSWERS regulates the marketing of BM substitutes which
includes formulas, teats and bottles
The World Breastfeeding Trends Initiative is intended to - CORRECT ANSWERS track,
assess and monitor the implementation of the "Global Strategy" at the country and sub-country
level
How to support exclusive BFing - CORRECT ANSWERS -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
, _________ levels go down in b/t nursing's and rise during nursing - CORRECT ANSWERS
prolactin
Infrequent nursing leads to lower levels of this hormone even with the same amount of nipple
contact - CORRECT ANSWERS prolactin
after delivery of the placenta - CORRECT ANSWERS progesterone goes down and
prolactin goes up
Nipple stretching increases this hormone - CORRECT ANSWERS oxytocin
Nipple stimulation increases this hormone - CORRECT ANSWERS prolactin
3 mechanisms that can trigger oxytocin - CORRECT ANSWERS conditioned response
(milk ejection reflex), nipple stretching, baby hand massage
Lactogenesis 1 is responsible for - CORRECT ANSWERS production of colostrum, milk
cells starting to develop
the birth of the placenta triggers - CORRECT ANSWERS lactogenesis 2, a rapid drop in
progesterone and transitional milk
lactogenesis 3 - CORRECT ANSWERS galactopoesis, mature milk, prolactin from
frequent nipple stimulation (* frequent removal of milk)
Lactogenesis 3 generally happens around when postpartum - CORRECT ANSWERS 3-5
days
target milk production by day 8 - CORRECT ANSWERS 750-1000 mL/ day per baby
true or false: sometimes foremilk and hind milk have equal amounts of fat - CORRECT ANSWERS
True
Preterm milk appears to have a different composition for the first _____weeks after delivery -
CORRECT ANSWERS 5-7 weeks
breastmilk composition changes - CORRECT ANSWERS -over the course of lactation
-within the day
-within a feeding
-between feedings
Brestfed babies can regulate this fat intake quickly and thus mother's should be encouraged to
follow - CORRECT ANSWERS baby-led feeding
the leading cause of infant deaths - CORRECT ANSWERS diarrhea
true or false: the bioavailability of nutrients is higher in human milk than in other foods or
supplements - CORRECT ANSWERS true
