CLC 046 EXAM CERTIFIED LACTATION CONSULTANT NEWEST VERSION 2024-
2025 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADYGRADED
A+(Sustainable Procurement Program EXAM)
How to help with engorgement? - ANSWER-Bucket warm water-immerse breast and within seconds
milk will come out, dont want to let all milk into bucket just get some out until plyable and softer,
then feed rest to baby
What can cause engorgement? - ANSWER-too much milk left in breast (baby is too weak), breast
implants, tight bra
What is a marker that they had a breast augmentation> - ANSWER-really round aeorola, or incision
Can woman with implants/ breast reduction breast feed? - ANSWER-Yes do not know impact until
trying, just because colostrum not sure if will get normal milk -colustrum is pregnancy hormone
induced, need nerves for rest of milk
Can a baby latch with inverted nipple? - ANSWER-Yes baby can form teat, although thing about the
need for nipple stroking (prolactin) and nipple stretching (oxytocin)
3 classification of inverted nipples - ANSWER-grade 1- easily pulled out by breast pump or nursing, at
reast look inverted
grade 2 can be pulled out but dont maintain their projection
grade 3 difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems due to? - ANSWER-Poor
oxygen to milk making cells, or causing mom to feel exhausted or depressed causing lack of bf
Sheehan's syndrome (postpartum pituitary necrosis) - ANSWER-A patient fails to lactate after an
emergency C-section with marked blood loss. Pituitary has been deprived of blood and functions are
impaired other symptoms included low blood pressure, anemia, fatigue, profound hair loss, dull hair.
Can have symptoms partially or fully resolved.
Maternal obesity/overweight can delay lactogenis ___ - ANSWER-2
,PCOS excess insulin increases production of _____, higher androgens cause acne, excessive hair
growth, wt gain and problems with ovulation and _______, possible treatment with - ANSWER-
androgens, lactation, metformin
Drug that cause milk delay? - ANSWER-peeudoephedrine (think pseudofed), corticosteriods,
betamethason (giving to women who will deliver before 24 weeks) if given 3-9 days before delivery
can delay lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. - ANSWER-prolactin
Are nicotine patches safe during BF - ANSWER-refer to healthcare provider
Cadmimum is a heavy metal found in _____ and _____ - ANSWER-cigarettes and formula
What types of formulas have more cadmimum? - ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - ANSWER-maternal smoking during
pregnancy
Are electronic cigarettes safe in pregnancy? - ANSWER-tested by FDA some contain nicotine and
carcinogens, nicotrine transfer appears minimal
Cannabis and Breastfeeding? - ANSWER-passive exposure is a concern, no safe threshold, lack of
studies and high fat solubility makes cannabis difficult to analyaze in breast milk, opinions vary
THC is still measurable in EBM ____ days after maternal marijuana use - ANSWER-6
Pacifiers increase risk for ______ and _____ - ANSWER-diarrhea and ear infections
Pacifiers for preemies? - ANSWER-May have earlier hospital discharge, tube fed may gain weight
faster, improve physiologic and behavioral responses and reduce the time to oral feeds, will not
affect breastfeeding for preemies
, Babies that recieve additional water are at risk for? And this can cause - ANSWER-Water intoxication-
can cause seizures, stroke, death
Early cessation/negative experience of breastfeeding has a increased risk of postpartum _______ -
ANSWER-depression
What is postpartum depression scale? - ANSWER-Edinburgh Postnatal Depression Scale -EPDS
Mothers with EPDS scores greater than ____ are likely to d/c breastfeeding by week 4-12. - ANSWER-
12
Womans ways of knowing is by - ANSWER-Mary Belenky
What are the 5 characteristics of womans ways of knowing? - ANSWER-1. Silence 2. Recievers of
knowledge 3. subjective knowing
4. Procedural knowing 5. Constructive Knowing
Silence way os knowling - ANSWER-afraid of words, feels powerless, depends on others, little
awareness of intellectual capabilities, having powerful person in charge ex paulette legally blonde
How do we develop relationship with person in Silence? - ANSWER-Few words, short easy,
comfortable, nothing to remember advocate
Recievers of Knowledge? - ANSWER-Believe all authorities tell truth, like to learn right ANSWER and
tell it to the teacher, cannot tolerate ambiguity ex: vivian pretty woman
How to teach to receiver of knowledge? - ANSWER-only show right way and have them do return
demo
Subjective Knowers? - ANSWER-knowing is personal and based on inuition or thought, inner voice
guides them , distrust male figure, find female support groups helpful, trust woman with similar
experiences ex: Cher
How to teach subjective knowers? - ANSWER-create time for them to talk about themselves and
what they know about BF, offer help with possible misconceptions
2025 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADYGRADED
A+(Sustainable Procurement Program EXAM)
How to help with engorgement? - ANSWER-Bucket warm water-immerse breast and within seconds
milk will come out, dont want to let all milk into bucket just get some out until plyable and softer,
then feed rest to baby
What can cause engorgement? - ANSWER-too much milk left in breast (baby is too weak), breast
implants, tight bra
What is a marker that they had a breast augmentation> - ANSWER-really round aeorola, or incision
Can woman with implants/ breast reduction breast feed? - ANSWER-Yes do not know impact until
trying, just because colostrum not sure if will get normal milk -colustrum is pregnancy hormone
induced, need nerves for rest of milk
Can a baby latch with inverted nipple? - ANSWER-Yes baby can form teat, although thing about the
need for nipple stroking (prolactin) and nipple stretching (oxytocin)
3 classification of inverted nipples - ANSWER-grade 1- easily pulled out by breast pump or nursing, at
reast look inverted
grade 2 can be pulled out but dont maintain their projection
grade 3 difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems due to? - ANSWER-Poor
oxygen to milk making cells, or causing mom to feel exhausted or depressed causing lack of bf
Sheehan's syndrome (postpartum pituitary necrosis) - ANSWER-A patient fails to lactate after an
emergency C-section with marked blood loss. Pituitary has been deprived of blood and functions are
impaired other symptoms included low blood pressure, anemia, fatigue, profound hair loss, dull hair.
Can have symptoms partially or fully resolved.
Maternal obesity/overweight can delay lactogenis ___ - ANSWER-2
,PCOS excess insulin increases production of _____, higher androgens cause acne, excessive hair
growth, wt gain and problems with ovulation and _______, possible treatment with - ANSWER-
androgens, lactation, metformin
Drug that cause milk delay? - ANSWER-peeudoephedrine (think pseudofed), corticosteriods,
betamethason (giving to women who will deliver before 24 weeks) if given 3-9 days before delivery
can delay lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. - ANSWER-prolactin
Are nicotine patches safe during BF - ANSWER-refer to healthcare provider
Cadmimum is a heavy metal found in _____ and _____ - ANSWER-cigarettes and formula
What types of formulas have more cadmimum? - ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - ANSWER-maternal smoking during
pregnancy
Are electronic cigarettes safe in pregnancy? - ANSWER-tested by FDA some contain nicotine and
carcinogens, nicotrine transfer appears minimal
Cannabis and Breastfeeding? - ANSWER-passive exposure is a concern, no safe threshold, lack of
studies and high fat solubility makes cannabis difficult to analyaze in breast milk, opinions vary
THC is still measurable in EBM ____ days after maternal marijuana use - ANSWER-6
Pacifiers increase risk for ______ and _____ - ANSWER-diarrhea and ear infections
Pacifiers for preemies? - ANSWER-May have earlier hospital discharge, tube fed may gain weight
faster, improve physiologic and behavioral responses and reduce the time to oral feeds, will not
affect breastfeeding for preemies
, Babies that recieve additional water are at risk for? And this can cause - ANSWER-Water intoxication-
can cause seizures, stroke, death
Early cessation/negative experience of breastfeeding has a increased risk of postpartum _______ -
ANSWER-depression
What is postpartum depression scale? - ANSWER-Edinburgh Postnatal Depression Scale -EPDS
Mothers with EPDS scores greater than ____ are likely to d/c breastfeeding by week 4-12. - ANSWER-
12
Womans ways of knowing is by - ANSWER-Mary Belenky
What are the 5 characteristics of womans ways of knowing? - ANSWER-1. Silence 2. Recievers of
knowledge 3. subjective knowing
4. Procedural knowing 5. Constructive Knowing
Silence way os knowling - ANSWER-afraid of words, feels powerless, depends on others, little
awareness of intellectual capabilities, having powerful person in charge ex paulette legally blonde
How do we develop relationship with person in Silence? - ANSWER-Few words, short easy,
comfortable, nothing to remember advocate
Recievers of Knowledge? - ANSWER-Believe all authorities tell truth, like to learn right ANSWER and
tell it to the teacher, cannot tolerate ambiguity ex: vivian pretty woman
How to teach to receiver of knowledge? - ANSWER-only show right way and have them do return
demo
Subjective Knowers? - ANSWER-knowing is personal and based on inuition or thought, inner voice
guides them , distrust male figure, find female support groups helpful, trust woman with similar
experiences ex: Cher
How to teach subjective knowers? - ANSWER-create time for them to talk about themselves and
what they know about BF, offer help with possible misconceptions
