CLC Practice Exam #6 (Questions and Answers A+ Graded 100% Verified)

CLC Practice Exam #6 (Questions and Answers A+ Graded 100% Verified) What is the most variable constituent of human milk, changing both within a single feed and daily? a) Cholesterol b) Lactose c) Calcium d) Fat CORRECT ANSWER: d) Fat A research study shows that mothers who supplement their babies tend to breastfeed longer than those who don't supplement. Which of the following is most important to know in analyzing such a study? a) Who funded the study b) The authors' definition of breastfeeding c) The authors' definition of supplementation d) The socio-economic of the study participants CORRECT ANSWER: c) The authors' definition of supplementation Which of the following publications is likely to be most useful when considering which drugs are compatible with breastfeeding? a) The Drugs and Lactation Database (LactMed) updated monthly b) Studies published in peer reviewed journals in the last 7 years c) The drug insert that comes with each medication d) Drug information published every year in the Physician's Desk Reference (PDR) CORRECT ANSWER: a) The Drugs and Lactation Database (LactMed) updated monthly The best time for a baby to go to the breast for his first feed is: a) Right after birth b) Within the first six hours of birth c) As soon as the mother states she is ready d) When the baby demonstrates feeding cues CORRECT ANSWER: d) When the baby demonstrates feeding cues How does the growth pattern of the breastfed infant differ from the formula-fed infant? a) The breastfed newborn gains more slowly at all points in time than a formula-fed infant b) After an accelerated growth in the early months the breastfed baby slows at about 4 months c) The formula-fed infant grows in length faster than the breastfed baby in the first 6 months d) The breastfed infant has a larger head circumference than the formula-fed infant CORRECT ANSWER: b) After an accelerated growth in the early months the breastfed baby slows at about 4 months The LEAST important reason for accurate documentation is: a) To defend yourself in case of a lawsuit b) To provide parents with an individualized plan of care c) To assure the primary HCP has an accurate record of all intervention and suggestions d) To fulfill the requirements of the Standards of Practice for lactation consultants CORRECT ANSWER: b) To provide parents with an individualized plan of care Which factor is higher in colostrum than in mature milk? a) Fat b) Lactose c) Protein d) Oligosaccharides CORRECT ANSWER: c) Protein A 1-month-old infant who has malaria probably acquired the disease: a) Through breast milk b) Via the placenta during the pregnancy c) Via exposure to the vaginal secretions at the time of brith d) Via exposure to the anopheles mosquitos CORRECT ANSWER: d) Via exposure to the anopheles mosquito The most common cause of sore nipples is related to: a) Incorrect positioning of the baby at the breast b) Concurrent infection of both mother and baby with yeast c) Feeds lasting longer than 15 minutes on each breast d) Oral abnormalities of the infant such as ankyloglossia CORRECT ANSWER: a) Incorrect positioning of the baby at the breast For a mother to fractionate (lactoengineer) her milk she needs to: a) Pump every 1-1.5 hours b) Use hand expression, not a breast pump c) Have an abundant milk supply d) Use only one collection container CORRECT ANSWER: c) Have an abundant milk supply Which matters the most in regards to which women will attend a breastfeeding class? a) If she has some kind of insurance b) Mother's race or ethnicity c) Middle or higher class income d) Education beyond high school CORRECT ANSWER: a) If she has some kind of insurance A short lingual frenulum is referred to as: a) Labioglossia b) Ankyloglossia c) Retracted tongue d) Labial tongue-tie CORRECT ANSWER: b) Ankyloglossia According to WHO literature, mastitis is more common in first time breastfeeding mothers. The primary reason for this trend may be that first time mothers are more: a) Stressed about breastfeeding and childcare b) Likely to have latch problems resulting in sore nipples c) Reluctant to call their physicians or seek help d) Prone to infection in general due to fatigue CORRECT ANSWER: b) Likely to have latch problems resulting in sore nipples Georgia asks you how long Mimosa should breastfeed each time. What do you tell her? a) At least 10 minutes on the first side and as long as she wants on the second. b) She doesn't need to breastfeed any longer than about 7 minutes on a side because 90% of the milk is gone by then. c) At least 15 minutes on each breast to make sure the breasts receive equal stimulation d) Until Mimosa stops breastfeeding on the first side, then offer the second. CORRECT ANSWER: d) Until Mimosa stops breastfeeding on the first side, then offer the second Which category of drugs is a breastfeeding mother most likely to take? a) Antibiotics b) Antidepressants c) Analgesics d) Antiemetics CORRECT ANSWER: c) Analgesics The AAP Statement recommends pacifiers for infants in the following situations: a) Whenever the infant is in a prone position b) All infants under 4 weeks of age c) Breastfed infants over 4 weeks of age d) Families with a history of SIDS CORRECT ANSWER: c) Breastfed infants over 4 weeks of age Which of the following nutritional advice for breastfeeding women is evidence-based? a) Increase caloric intake by 500 calories per day b) Drink enough fluids to satisfy thirst c) Avoid spicy foods as they will affect the baby's digestion d) Drink at least 2, 8 oz. glasses of milk per day CORRECT ANSWER: b) Drink enough fluids to satisfy thirst The birth spacing effects of breastfeeding are most beneficial for: a) Infant well-being b) Lactational amenorrhea c) Maternal recovery from childbirth d) Increasing ovulation CORRECT ANSWER: c) Maternal recovery from childbirth Lactoferrin is a whey protein that is protective against infection through: a) Preventing the bacteria from ingesting fat b) Destabilizing the outer cell membrane of bacteria c) Attaching itself to the bacteria, thus preventing replication d) Increasing the amount of IgA available to the infant CORRECT ANSWER: b) Destabilizing the outer cell membrane of bacteria You are an IBCLC that is due to recertify by exam at your 10 year mark. On your way to the exam site, you are in a car accident which lands you in the hospital for a couple of days, so you miss the exam. Which of the following is your first best course of ethical action? a) Continue to use your IBCLC designation and sign up for the exam the next time it's offered b) Call IBCLC as soon as possible to explain what happened; abide by their directives regarding use of the IBCLC designation c) Stop working as an IBCLC once your certification expires until you are able to retake the exam d) Continue to work as an IBCLC, but not use the designation until you are able to retake the exam CORRECT ANSWER: b) Call IBCLC as soon as possible to explain what happened; abide by their directives regarding use of the IBCLC designation The volume of milk a mother produces can be affected by: a) A weight loss of 1-2 lbs. per week b) Reduction of caloric intake to 1800 kcal/day c) 10% or more dehydration in the mother d) Short-term nutritional supplementation of the mother CORRECT ANSWER: c) 10% or more dehydration in the mother The recovery of S. Aureus in human milk is most likely to be a result of: a) Not being careful in storing and saving pumped milk b) Reoccurring breast milk stasis c) Mastitis with fever over 102 degrees F d) Allowing pumped milk to sit at room temperature for more than 6 hours CORRECT ANSWER: a) Not being careful in storing and saving pumped milk The most common deterrent to choosing breastfeeding in the U.S. is: a) Breastfeeding will cause nipple pain or injury b) The fear of inadequate milk supply c) Because the mother has to return to work d) Breastfeeding is perceived as interfering with a mother's lifestyle choices CORRECT ANSWER: d) Breastfeeding is perceived as interfering with a mother's lifestyle choices The effects of long-lasting and untreated postpartum depression on the infant may be which of the following? a) Immune system deficiency b) Normal weight gain c) Lack of affect on the baby d) Increased risk of Chikungunya CORRECT ANSWER: c) Lack of affect on the baby The composition of milk changes during weaning in which of the following ways? a) Increase in sodium and protein concentrations b) Increase in fat and calcium concentrations c) Increase in concentration of lactose d) Increase in water-soluble vitamins CORRECT ANSWER: a) Increase in sodium and protein concentrations When a baby has lost excessive weight in by the second day of life, the first thing to check is: a) How well the baby is breastfeeding b) How much fluid and synthetic oxytocin the mother received in labor c) How many times the baby has voided and stooled the first 24 hours d) The pediatrician's preference for a mode of supplementation CORRECT ANSWER: c) How many times the baby has voided and stooled the first 24 hours One of the advantages of double pumping over single pumping is that double pumping: a) Causes less pain in the nipples b) Is easier for the mother to do c) Decreases the time spent pumping d) Stimulates the breasts equally CORRECT ANSWER: c) Decreases the time spent pumping Which infant is at risk for hypoglycemia? a) One who is exhibiting respiratory distress at birth b) One whose mother was on antiemetics during her pregnancy c) An infant born with Hirschsprung's disease d) An infant born to a mother with rheumatoid arthritis CORRECT ANSWER: a) One who is exhibiting respiratory distress at birth Salome asks you about giving Oscar vitamin D because she has heard the breast milk is deficient in vitamin D. What should you tell her about the AAP's recommendations? a) All infants need to be supplemented with 400 IU vitamin D per day starting within days of birth b) Only dark skinned exclusively breastfed babies living in a northern climate need to be supplemented with vitamin D c) As long as the baby is exposed to sunlight even if fully dressed for at least 2 hours a week, the baby doesn't need supplementation d) All breastfed infants need to receive at least 200 IU of vitamin D per day starting at 4 months CORRECT ANSWER: a) All infants need to be supplemented with 400 IU vitamin D per day starting within days of birth Which of the following hormones is essential for complete lobular-alveolar development of the mammary gland? a) Progesterone b) Estrogen c) Prolactin d) TSH CORRECT ANSWER: c) Prolactin Jonie calls you to say her physician has diagnosed her 4-week-old baby Melody as having colic. What is your first response? a) Chances are it's due to something in your diet. You can start by removing all dairy products from your food intake b) Unfortunately many first babies have colic and are terribly fussy. It usually lasts for about 3 months and there isn't much you can do c) It sounds as though Melody is lactose intolerant. You might try some lactose-free formula to see if that helps her d) I can imagine it's really upsetting to hear your baby crying and see her in so much pain CORRECT ANSWER: d) d) I can imagine it's really upsetting to hear your baby crying and see her in so much pain Which of the following is true about fat stores in the breast? a) Fat stores remain constant within the breast during lactation b) Fat is intermingled with glandular tissue throughout the breast c) Subcutaneous fat is concentrated beneath the areola d) The ratio of fat to glandular tissue during lactation is 4:1 CORRECT ANSWER: b) Fat is intermingled with glandular tissue throughout the breast The following markers in breast milk indicate that lactogenesis 2 is occurring or has occurred: a) Lactoferrin and lysozyme increase b) Sodium increases and lactose decreases c) Concentrations of sodium and total protein have stabilized d) Concentrations of lactose and citrate increase CORRECT ANSWER: d) Concentrations of lactose and citrate increase A feeding tube at the breast is helpful with: a) A baby who is FTT b) A baby with a shallow latch c) A baby whose mother has inverted nipples d) A mother with very sore nipples CORRECT ANSWER: a) A baby who is FTT Casomorphins are active peptides that are derived from: a) The casein component of breast milk b) The whey component of breast milk c) The carbohydrate component of breast milk d) The fat component of breast milk CORRECT ANSWER: a) The casein component of breast milk Which of the following classification of drugs may inhibit or reduce milk production? a) Analgesics b) Antihistamines c) Galactogogues d) Antepileptics CORRECT ANSWER: b) Antihistamines Mitzi is an IBCLC and she has just been diagnosed with rheumatoid arthritis. When she researches this condition she finds which of the following to be true? a) Rheumatoid arthritis affects over 10% of the adult population b) Rheumatoid arthritis is more common in men than in women c) Epidemiological studies have suggested that gut microbiota are important in the development of rheumatoid arthritis d) Women who breastfeed are less likely to develop rheumatoid arthritis CORRECT ANSWER: d) Women who breastfeed are less likely to develop rheumatoid arthritis The most common component of ritual, prelacteal feeds is: a) Formula b) Fruit c) Honey d) Gruel CORRECT ANSWER: c) Honey A SGA infant should: a) Be expected to gain faster on formula than on breast milk b) Be completely neurologically intact c) Receive sufficient kilocalories to meet the needs of the AGA infant d) Be able to breastfeed without difficulty CORRECT ANSWER: c) Receive sufficient kilocalories to meet the needs of the AGA infant Darsee wants to develop a pumping plan so she can start storing her breast milk for when she returns to work in 8 weeks. Which statement would be the most helpful? a) I'm lad you are planning ahead. Have you found child care yet? b) It's good that you are thinking about storing your milk ahead of time since it will take a long time to freeze enough milk. c) You are likely to get more milk if you buy a pump that can pump both breasts at the same time. d) One of the best times to pump is once a day during the baby's longest sleep period or whenever she nurses on one side and not the other CORRECT ANSWER: d) One of the best times to pump is once a day during the baby's longest sleep period or whenever she nurses one side and not the other Trelawney is a vegetarian and plans to breastfeed her baby which is due in 2 months. When you review her diet history, you need to be certain of which of the following nutrient is included? a) Calcium b) Vitamin B12 c) Vitamin C d) Iron CORRECT ANSWER: b) Vitamin B12 The Innocenti Declaration is a call to action for governments to: a) Encourage a breastfeeding culture b) Encourage breastfeeding education c) Encourage Baby Friendly Hospitals d) Encourage initiation of breastfeeding at birth CORRECT ANSWER: a) Encourage a breastfeeding culture What is a benefit for nursing beyond 12 months? a) Decreases risk for development of vitamin C deficiency b) Provides significant part of their energy needs c) Prevents plagiocephaly d) Increases infant mental acuity CORRECT ANSWER: b) Provides significant part of their energy needs IV fluids, more than 1200 mL, given to the mother in labor can result in which of the following? a) Increased infant urine output on day 1 resulting in increased weight loss b) Rapid onset of lactogenesis 2 c) Higher risk for an increased bilirubin level in the infant d) An increase in the amount of uric acid crystals excreted through the baby's urine CORRECT ANSWER: a) Increased infant urine output on day 1 resulting in increased weight loss The important work on milk storage capacity and rate milk synthesis of the breast as found by Peter Hartmann indicated, among other things that: a) Storage capacity of the breast can differ between women by up to 300% b) Storage capacity of the breast is fairly constant between women c) Babies gain weight best when on a 3-hour schedule because that assures that the amount of milk stored in the breast is at its peak d) The rate of milk synthesis stays constant regardless of the fullness or emptiness of the breast CORRECT ANSWER: a) Storage capacity of the breast can differ between women by up to 300% The breast milk composition from a breast with mastitis produces higher levels of: a) Insulin b) Beta-carotene c) Sodium d) Potassium CORRECT ANSWER: c) Sodium Which of the following hormones is present in breast milk? a) Lactase b) Estrogen c) Parathyroid d) Prolactin CORRECT ANSWER: d) Prolactin Jillian calls and says that when she starts nursing the baby, she often feels a deep depression that is often present during the entire feeding. She wonders what is wrong with her, and you tell her: a) "I'm not sure what is going on. I think you need to see your OB and get treatment. b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Let's talk about it some more." c)"This is one of the symptoms of a variety of postpartum anxiety disorders. It's important that you seek psychological counseling." d) This is related to your flight-or-fight response stimulated by an excess of adrenaline when you start nursing." CORRECT ANSWER: b) "This is something that other mothers have described happening, and is known as Dysmorphic Milk Ejection Reflex (D-MER). Lets talk about it more." If an infant is exhibiting symptoms of lactose overload, which of the following is the most effective technique to decrease the symptoms? a) Use the laid back (biological nursing) position for breastfeeding b) Decrease the amount of lactose in the mother's diet c) Give the baby a higher proportion of hind milk than fore milk d) The mom should take Lactaid capsules before eating dairy products CORRECT ANSWER: c) Give the baby a higher proportion of hind milk than fore milk The best reason to encourage breastfeeding with the mother of a baby with Down Syndrome is: a) These infants may suck poorly b) These infants may have multiple medical problems c) These infants are physically and developmentally delayed d) These infants are prone to infection CORRECT ANSWER: d) These infants are prone to infection