2023 CERTIFIED
LACTATION CONSULTANT
EXAM TEST BANK
QUESTIONS AND
CORRECT
ANSWERS(VERIFIED
ANSWERS)
, Why do downs babies struggle with nursing? - answer is Low tone, harder to recognize
cues, large and weak tongue, depressed reflexes (not a strong gape), hypotonic perioral
muscles (weak suck)
Helpful interventions for downs baby? - answer is Try dancer technique where baby is
sitting upright, mom holds breast in palm of hand and pointer finger and thumb on baby
cheek.
How many days is an infant expected to have meconium? - answer is first 1-2 days of
life
What are the 3 types of weaning? - answer is 1. parent led- parents decide to end
2. baby led- parents switch to request only, never refuse but never offer
3. society led- where everyone in society weans at same time
What is the WHO international code of marketing breast milk substitutes? - answer is
The Code aims to stop the aggressive and inappropriate marketing of breast-milk
substitutes and advocates for babies to be breastfed. No promotional material at all, no
samples.
What are Montgomery glands? - answer is Sebaceous glands on areola that are a result
of pregnancy hormones
What do Montgomery glands do? - answer is Allow milk to mix with sebum, makes milk
sticky and anti-microbial
Function of prolactin? - answer is Pro-lactation. Makes milk.
What stimulates prolactin? - answer is Baby suckles/nipple stimulation stimulates brain
to secrete prolactin into blood and that triggers body to respond
Do all humans have prolactin? - answer is Yes, everyone has prolactin all the time but it
is a matter of ramping it up for lactation.
Function of oxytocin? - answer is Myoepithelial cells to contract, and uterus to contract.
Also milk letdown.
What stimulates oxytocin? - answer is Nipple stretching (proper lactch), baby hand
massage, its is a conditioned response of milk ejection too.
How does the body make milk? - answer is Messages from the breast travel in nervous
system to brain and then hormones travel in blood back to breast.
How are milk composition and feed frequency related? - answer is High fat, protein,
water milk producers will nurse less often.