CERTIFIED LACTATION CONSULTANT
EXAM/CLC EXAM AND PRACTICE
QUESTIONS 450 QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS /ALL
IN ONE DOCUMENT/ ALREADY GRADED
A+
CERTIFIED LACTATION CONSULTANT EXAM
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)
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
For mothers with preemies initation of milk expression before
hours resulted in significantly more milk by day 7 -
...ANSWER ... one
What hormone T3, T4, T5 - ...ANSWER ... Oxytocin
When oxytocin hits myoepitheal cells what happens? -
...ANSWER....They start retracting
Oxytocin helps ducts to in size and lumen to get
- ...ANSWER....increase, smaller
What triggers oxytocin? - ...ANSWER....1. conditioned
response (repeated stimuli over time) 2. Nipple Stretching
(happens with proper latch- oxytocin levels goes up and down
with suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand
movement releases oxytocin
,how might preterm and early term babies struggle with
breastfeeding? - ...ANSWER....less alert, less stamina, greater
difficulty latching, issues transfering milk
PIBBS - ...ANSWER....preterm infant breastfeeding behavior
scale
what breastfeeding technique is good for hypotonic like down
syndrome - ...ANSWER....dancer breastfeeding position
breastfeeding with cleft lip or palate - ...ANSWER....making a
seal/vaccum the challenge, use alternitive massage, mother
nipple point to intact part of palate, mother keep up coordinate
with baby suck and swallow
Does breastfeeding lower cases of otitis media? -
...ANSWER ... yes
What can you do right away to increase milk volume? -
...ANSWER....hand expression within 1 hour of birth,
express in proximity to infant, double stimulation (send x3
messages to brain), collect milk on one breast while nursing
on other
Power pumping - ...ANSWER....for a day or 2 might increase
volume, pump 5 min, pause 5 min, pump 5 min
What is protocolitis?
When might it occur? - ...ANSWER....rectal bleeding may
occur in exclusively breastfeeding- cows milk protein allergy,
standard treamtent offending protein from mothers diet (cows
milk, corn, soy, milk, egg and chocolate), resolution of visible
rectal bleeding took place 72-96 hrs in most babies
, Why is it important to support calcium needs in
breastfeeding? - ...ANSWER....breastmilk calcium is met by
renal calcium conservation and lost of bone (3-9% decrease in
bone density during lactation) but gain after weaning
how much alcohol per kg is safe for breastfeeding mother -
...ANSWER....0.5 g of alcohol per kg
9 stages of skin to skin - ...ANSWER....1. birth cry 2.
relaxation 3. Awakening 4. activity 5. rest 6. crawling/sliding
7. famerilization
8. suckling 9. sleeping
breastfeeding considerations at 4-6 months -
...ANSWER....easily distractible, may need to be quieter
place, seperation anxiety, sore nipple can happen as teething
and saliva changes and new enzymes
Complementary feeding - ...ANSWER....refers to anything
other than breastmilk and infant formula-both solids and
liquids, when milk no longer sufficient to meet nutritional
requirements
Where is oxytocin and prolactin excreted? -
...ANSWER....pituitary gland
is excreted from posterior pituitary? -
...ANSWER ... Oxytocin
is excreted from anterior pituitary? -
...ANSWER ... Prolactin
EXAM/CLC EXAM AND PRACTICE
QUESTIONS 450 QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS /ALL
IN ONE DOCUMENT/ ALREADY GRADED
A+
CERTIFIED LACTATION CONSULTANT EXAM
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)
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
For mothers with preemies initation of milk expression before
hours resulted in significantly more milk by day 7 -
...ANSWER ... one
What hormone T3, T4, T5 - ...ANSWER ... Oxytocin
When oxytocin hits myoepitheal cells what happens? -
...ANSWER....They start retracting
Oxytocin helps ducts to in size and lumen to get
- ...ANSWER....increase, smaller
What triggers oxytocin? - ...ANSWER....1. conditioned
response (repeated stimuli over time) 2. Nipple Stretching
(happens with proper latch- oxytocin levels goes up and down
with suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand
movement releases oxytocin
,how might preterm and early term babies struggle with
breastfeeding? - ...ANSWER....less alert, less stamina, greater
difficulty latching, issues transfering milk
PIBBS - ...ANSWER....preterm infant breastfeeding behavior
scale
what breastfeeding technique is good for hypotonic like down
syndrome - ...ANSWER....dancer breastfeeding position
breastfeeding with cleft lip or palate - ...ANSWER....making a
seal/vaccum the challenge, use alternitive massage, mother
nipple point to intact part of palate, mother keep up coordinate
with baby suck and swallow
Does breastfeeding lower cases of otitis media? -
...ANSWER ... yes
What can you do right away to increase milk volume? -
...ANSWER....hand expression within 1 hour of birth,
express in proximity to infant, double stimulation (send x3
messages to brain), collect milk on one breast while nursing
on other
Power pumping - ...ANSWER....for a day or 2 might increase
volume, pump 5 min, pause 5 min, pump 5 min
What is protocolitis?
When might it occur? - ...ANSWER....rectal bleeding may
occur in exclusively breastfeeding- cows milk protein allergy,
standard treamtent offending protein from mothers diet (cows
milk, corn, soy, milk, egg and chocolate), resolution of visible
rectal bleeding took place 72-96 hrs in most babies
, Why is it important to support calcium needs in
breastfeeding? - ...ANSWER....breastmilk calcium is met by
renal calcium conservation and lost of bone (3-9% decrease in
bone density during lactation) but gain after weaning
how much alcohol per kg is safe for breastfeeding mother -
...ANSWER....0.5 g of alcohol per kg
9 stages of skin to skin - ...ANSWER....1. birth cry 2.
relaxation 3. Awakening 4. activity 5. rest 6. crawling/sliding
7. famerilization
8. suckling 9. sleeping
breastfeeding considerations at 4-6 months -
...ANSWER....easily distractible, may need to be quieter
place, seperation anxiety, sore nipple can happen as teething
and saliva changes and new enzymes
Complementary feeding - ...ANSWER....refers to anything
other than breastmilk and infant formula-both solids and
liquids, when milk no longer sufficient to meet nutritional
requirements
Where is oxytocin and prolactin excreted? -
...ANSWER....pituitary gland
is excreted from posterior pituitary? -
...ANSWER ... Oxytocin
is excreted from anterior pituitary? -
...ANSWER ... Prolactin
