CLC Exam 2024 with Complete Solutions
Predominant Breastfeeding - Answer Babies who receive breastmilk and other liquids(e.g. water, minerals, vitamins, oral
meds).
Breastfeeding - Answer Baby receives human milk, as well as other foods or fluids,including formula.
Page | 1
Complementary Feeding - Answer Child is between 6-23 months receiving both humanmilk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - Answer Promotion, Protection,Support
Promotion - Answer Focuses on advantages of BF on a personal, community, country,or global level. BF to the community.
Protection - Answer Focuses on government, manufacturer, and social responsibility toassure BF ability to compete with
commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - Answer Addresses impropermarketing practices by formula
companies. It is not currently a law in the US.
What does the International Code Prohibit? - Answer Distributing free formulaGiving coupons for formula
What did the AAP resolution state in regards to the International Code? - Answer Nodistributing formula, discharge
bags, industry written handouts.
Support - Answer Focuses on interaction of helpers with family, as well as programdevelopment and implementation.
10 steps to successful BF - Answer 1. Written BF policy. Skin to Skin immediately afterbirth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
STUDYGUIDESOLUTIONS
, CLC Exam 2024 with Complete Solutions
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Page | 2
Healthcare staff responsibility for working with lactating mothers include what? - Answer
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - Answer
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - Answer Baby's weight x 2.5 (2.7 or 3.0 ifBaby needs to catch up weight) = daily
ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - Answer Hydration (eliminationpatterns)
Body weight (no more than 7% loss)Observe
Feeding
Maternal or infant issues
What is a CLC? - Answer Nationally recognized designation awarded by the ALPP.Practice parameters are designated
by professional scope of practice.
How many stools per day should a breast fed newborn have? - Answer 4, some yellowby day 4.
When should a baby be back to birth weight? - Answer 12-14 days post birth How much weight should a baby
gain daily? - Answer Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - Answer 1.Lack of preparation for what the
newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - Answer 3-7 days post D/C.Alveoli - Answer Small glands in
the breast that produce milk
At-Breast Supplementer - Answer SNS system
Atopy - Answer hypersensitive or allergic state involving an inherited predisposition
STUDYGUIDESOLUTIONS
, CLC Exam 2024 with Complete Solutions
What is the BFHI Baby Friendly Hospital Initiative - Answer Initiative by UNICEF andWHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online: http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - Answer an orange-yellow pigment formed in the liver by the breakdown ofhemoglobin and excreted in bile.
Page | 3
CCK (cholecystokinin) - Answer Hormone that regulates the emptying of the gallbladderand secretion of enzymes by the
pancreas.
Colostrum - Answer thin, milky fluid secreted by the breast during pregnancy and during the first days after birth before
lactation begins. Causes a laxative effect which helps thebaby pass meconium.
Complementary feeding - Answer Process starts when BM alone or infant formula aloneis no longer sufficient to meet
nutritional requirements of infants, therefore other foods or liquids are introduced.
Coryllos type - Answer Classification system for anklyloglossia
Dancer Hand Position - Answer Technique used to support Baby's chin and mother's breast. Use Thumb and index finger
under chin, remaining 3 fingers to support breast.
Alveolar Cells - Answer found in the walls of the alveoli, simple squamous epithelialcells, main sites of gas exchange
myoepithelial cells - Answer contract in response to stimulation by sympathetic nervoussystem and squeeze milk up the duct
Montgomery glands - Answer Bumps on breasts (Look like goosebumps)Produce a unique blend of
milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - Answer -Fat is mixedthroughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - Answer Prolactin andOxytocin
Prolactin (4 details related to milk production) - Answer 1. is triggered by touch (pregnant and non pregnant women).
Higher levels when stimulating breast/nipples vsbreast alone.
STUDYGUIDESOLUTIONS
Predominant Breastfeeding - Answer Babies who receive breastmilk and other liquids(e.g. water, minerals, vitamins, oral
meds).
Breastfeeding - Answer Baby receives human milk, as well as other foods or fluids,including formula.
Page | 1
Complementary Feeding - Answer Child is between 6-23 months receiving both humanmilk and solid or semi solid foods.
3 strategies for increasing BF initiation and duration - Answer Promotion, Protection,Support
Promotion - Answer Focuses on advantages of BF on a personal, community, country,or global level. BF to the community.
Protection - Answer Focuses on government, manufacturer, and social responsibility toassure BF ability to compete with
commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - Answer Addresses impropermarketing practices by formula
companies. It is not currently a law in the US.
What does the International Code Prohibit? - Answer Distributing free formulaGiving coupons for formula
What did the AAP resolution state in regards to the International Code? - Answer Nodistributing formula, discharge
bags, industry written handouts.
Support - Answer Focuses on interaction of helpers with family, as well as programdevelopment and implementation.
10 steps to successful BF - Answer 1. Written BF policy. Skin to Skin immediately afterbirth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
STUDYGUIDESOLUTIONS
, CLC Exam 2024 with Complete Solutions
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Page | 2
Healthcare staff responsibility for working with lactating mothers include what? - Answer
1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - Answer
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - Answer Baby's weight x 2.5 (2.7 or 3.0 ifBaby needs to catch up weight) = daily
ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - Answer Hydration (eliminationpatterns)
Body weight (no more than 7% loss)Observe
Feeding
Maternal or infant issues
What is a CLC? - Answer Nationally recognized designation awarded by the ALPP.Practice parameters are designated
by professional scope of practice.
How many stools per day should a breast fed newborn have? - Answer 4, some yellowby day 4.
When should a baby be back to birth weight? - Answer 12-14 days post birth How much weight should a baby
gain daily? - Answer Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - Answer 1.Lack of preparation for what the
newborn period would be like.
2. Lack of timely interventions
What period are women more at risk to stop BF? - Answer 3-7 days post D/C.Alveoli - Answer Small glands in
the breast that produce milk
At-Breast Supplementer - Answer SNS system
Atopy - Answer hypersensitive or allergic state involving an inherited predisposition
STUDYGUIDESOLUTIONS
, CLC Exam 2024 with Complete Solutions
What is the BFHI Baby Friendly Hospital Initiative - Answer Initiative by UNICEF andWHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10 Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online: http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - Answer an orange-yellow pigment formed in the liver by the breakdown ofhemoglobin and excreted in bile.
Page | 3
CCK (cholecystokinin) - Answer Hormone that regulates the emptying of the gallbladderand secretion of enzymes by the
pancreas.
Colostrum - Answer thin, milky fluid secreted by the breast during pregnancy and during the first days after birth before
lactation begins. Causes a laxative effect which helps thebaby pass meconium.
Complementary feeding - Answer Process starts when BM alone or infant formula aloneis no longer sufficient to meet
nutritional requirements of infants, therefore other foods or liquids are introduced.
Coryllos type - Answer Classification system for anklyloglossia
Dancer Hand Position - Answer Technique used to support Baby's chin and mother's breast. Use Thumb and index finger
under chin, remaining 3 fingers to support breast.
Alveolar Cells - Answer found in the walls of the alveoli, simple squamous epithelialcells, main sites of gas exchange
myoepithelial cells - Answer contract in response to stimulation by sympathetic nervoussystem and squeeze milk up the duct
Montgomery glands - Answer Bumps on breasts (Look like goosebumps)Produce a unique blend of
milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - Answer -Fat is mixedthroughout the breast
-Uneven spacing of the ducts
-3-5 functioning nipple pores (May have 5-9, but not all work)
-No lactiferous sinus
What are the 2 hormones pathways that control lactation? - Answer Prolactin andOxytocin
Prolactin (4 details related to milk production) - Answer 1. is triggered by touch (pregnant and non pregnant women).
Higher levels when stimulating breast/nipples vsbreast alone.
STUDYGUIDESOLUTIONS
