CLC Exam questions and answers with
solutions 2025
The International Code - ANSWER addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs - ANSWER Protect, promote & Support-want all to be equal
Levels of evidence based pyramid - ANSWER top - bottom: 1.Metanalysis &systemic reviews 2.
Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
When is greatest risk of stopping breastfeeding? - ANSWER 3-7 days (after going home from
hospital)
Top reasons people stop breastfeeding - ANSWER baby won't latch, breast pain/soreness,
work/school
Russ Labs Marketing Survey - ANSWER survey 1965-2001 formula company tracking
breastfeeding goals
Races in Order most likely to BF - ANSWER spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding - ANSWER WHO and UNICEF developed this global
strategy to focus world attention on impact of feeding practices on the nutritional status,
growth, development and health and thus the survival of infants and young children.
,World Breastfeeding trends innitive - ANSWER help track how they are doing on global
outcomes
innocenti ospitale -florence - ANSWER BF orphan babies increased rate of survival-today UNICEF
child resource nutrition center
path of messages to make milk - ANSWER message to breast-to nervous system -to brain- to
hormones to travel to breast- then to blood stream
what cells make milk - ANSWER alveolar cells
alveolar cells are what?
what are they surrounded by - ANSWER layer of cells with milk inside, surrounded by
myoepitheal cells
Myoepitheal cells will contract when what hits them - ANSWER oxytocin
Are the ducts in breast evenly spaced? - ANSWER No varies woman to woman
How many nipple pores each breast? - ANSWER 3-5
Milk is ____ &_____ from sebaceous gland - ANSWER antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from? - ANSWER
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for? - ANSWER Milk production
, What is the passage of prolactin being produced - ANSWER baby suckles- message to nervous
system tells brain to secrete prolacin in blood- then tranverse into mother body into milk cells
where milk is produced
When doe humans have prolactin in them - ANSWER all the time (non pregnant, non lactating
breast and nipples increase level of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during nursing. - ANSWER down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount of contact. -
ANSWER infrequent
If infants do no have frequent times at breast first few days prolactin will be _____ and sites will
____ be primed and receptor sites will start to ______ _______. - ANSWER low, not, start
shutting down
What is in receptor site during pregnancy? - ANSWER Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the receptor
sites? - ANSWER progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and they are open
briefly, what goes inside to set site for lactation? - ANSWER Prolactin
If prolactin is not set during first few hours after birth- - ANSWER there will be fewer sites and
cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after birth - ANSWER 2
solutions 2025
The International Code - ANSWER addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs - ANSWER Protect, promote & Support-want all to be equal
Levels of evidence based pyramid - ANSWER top - bottom: 1.Metanalysis &systemic reviews 2.
Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case
Studies
When is greatest risk of stopping breastfeeding? - ANSWER 3-7 days (after going home from
hospital)
Top reasons people stop breastfeeding - ANSWER baby won't latch, breast pain/soreness,
work/school
Russ Labs Marketing Survey - ANSWER survey 1965-2001 formula company tracking
breastfeeding goals
Races in Order most likely to BF - ANSWER spanish speaking-hispanic, white, hispanic, black
Global Strategy for Infant and young feeding - ANSWER WHO and UNICEF developed this global
strategy to focus world attention on impact of feeding practices on the nutritional status,
growth, development and health and thus the survival of infants and young children.
,World Breastfeeding trends innitive - ANSWER help track how they are doing on global
outcomes
innocenti ospitale -florence - ANSWER BF orphan babies increased rate of survival-today UNICEF
child resource nutrition center
path of messages to make milk - ANSWER message to breast-to nervous system -to brain- to
hormones to travel to breast- then to blood stream
what cells make milk - ANSWER alveolar cells
alveolar cells are what?
what are they surrounded by - ANSWER layer of cells with milk inside, surrounded by
myoepitheal cells
Myoepitheal cells will contract when what hits them - ANSWER oxytocin
Are the ducts in breast evenly spaced? - ANSWER No varies woman to woman
How many nipple pores each breast? - ANSWER 3-5
Milk is ____ &_____ from sebaceous gland - ANSWER antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from? - ANSWER
oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for? - ANSWER Milk production
, What is the passage of prolactin being produced - ANSWER baby suckles- message to nervous
system tells brain to secrete prolacin in blood- then tranverse into mother body into milk cells
where milk is produced
When doe humans have prolactin in them - ANSWER all the time (non pregnant, non lactating
breast and nipples increase level of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during nursing. - ANSWER down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount of contact. -
ANSWER infrequent
If infants do no have frequent times at breast first few days prolactin will be _____ and sites will
____ be primed and receptor sites will start to ______ _______. - ANSWER low, not, start
shutting down
What is in receptor site during pregnancy? - ANSWER Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the receptor
sites? - ANSWER progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and they are open
briefly, what goes inside to set site for lactation? - ANSWER Prolactin
If prolactin is not set during first few hours after birth- - ANSWER there will be fewer sites and
cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after birth - ANSWER 2
