CLC PRACTICE EXAM 2025 COMPLETE TEST QUESTIONS WITH WELL DETAILED
SOLUTIONS
You are discussing allergies in a prenatal breastfeeding class. One of the facts you want to
point out is that many of the babies who are allergic to cow's milk protein can also be
sensitive to:
a) Wheat
b) Corn
c) Soy
d) Eggs
c) Soy
Julie, a first time mom, tells you that her baby was very fussy last night, which was the
baby's second night. You know that this is most likely due to:
a) Her milk isn't in yet, and the baby is hungry
b) She's exhausted and is magnifying the situation
c) The mom is uptight and transmitting her nervousness to the baby
d) Overwhelming CNS stimulation in the baby
d) Overwhelming CNS stimulation in the baby
Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to breastfeed.
Which of the following would be the most helpful advice?
a) Room-in with Ethan, watching him for feeding cues
b) Wake him by washing his face with a cool, damp cloth
c) Make sure the nurses bring him in as soon as he cries
,d) Coax him to the breast using drops of glucose water on the nipple
a) Room-in with Ethan, watching him for feeding cues
Babies who have early contact with their mothers and who were provided with postpartum
support are more likely to:
a) Have a faster weight gain than babies who are separated from mom
b) Be able to sleep in their own room by one month
c) Be breastfed long enough to meet the mother's goals
d) Breastfeed more frequently at night
d) Breastfeed more frequently at night
Nipple erection is induced by which of the following?
a) Myoepithelial cells contracting the lactiferous sinuses
b) Somatic parasympathetic stimuli
c) Autonomic sympathetic stimuli
d) Adequate levels of aphrodisiacs
b) Somatic parasympathetic stimuli
Which of the following drug categories are contraindicated for use during breastfeeding?
a) Pseudoephedrine
b) Oral contraceptives
c) Cancer chemotherapeutic agents
d) Diuretics
c) Cancer chemotherapeutic agents
,You are a nurse who works at St. Beneficial Hospital. You have just delivered preterm twins.
A formula representative offers you samples of a new formula, which provides specific
nutrients for your low birth weight infants. In what way is this a violation of the International
Code of the Marketing of Breast-Milk Substitutes (WHO Code)?
a) This isn't a violation as the WHO Code provides for samples of specialized formulas for
low birth weight babies
b) The WHO Code states that no personal samples of formula may be given to health care
workers
c) As an employee of a not-for-profit hospital, you cannot accept gifts from formula
companies
d) This isn't a violation because you are unable to breastfeed your twins, so accepting
formula isn't an issue
b) The WHO Code states that no personal samples of formula may be given to health care
workers
Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz.
Helen-Clare says Reuben nurses all the time and never seems satisfied. When you do
ac/pc weights, he transfers a total of 37 mL. When Helen-Clare pumps for residual milk,
she gets an additional 3 mL. Which suggestion will you make first?
a) You need to make sure the feedings are finished within 45 minutes so both of you can get
rest
b) Reuben needs a supplement, which will provide him with additional calories
c) You need to use a nursing supplementer to give Reuben the extra calories he needs and
provide some breast stimulation at the same time
d) To increase your milk supply, you are going to need to pump with a quality breast pump
and take some galactogogues
b) Reuben needs a supplement, which will provide him with additional calories
, Infants who have a higher than average number of bowel movements during the first 3 DOL
will probably exhibit which of the following:
a) Dehydration as evidenced by poor skin turgor
b) Later transition to yellow stools
c) Higher bilirubin levels on day 5
d) Weight loss greater than 10% on day 4
d) Weight loss greater than 10% on day 4
For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU
to the baby, she needs to:
a) Use a sun screen of less than SPF 30 when out in the sun
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
c) Take 400 IU of vitamin D each day of her pregnancy
d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D
2x/week
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
A "nursing strike" may occur because of:
a) Introduction of solid foods
b) Infant no longer has an interest in the breast
c) Start of mother's menses
d) Mother starts a food reduction program
c) Start of mother's menses
SOLUTIONS
You are discussing allergies in a prenatal breastfeeding class. One of the facts you want to
point out is that many of the babies who are allergic to cow's milk protein can also be
sensitive to:
a) Wheat
b) Corn
c) Soy
d) Eggs
c) Soy
Julie, a first time mom, tells you that her baby was very fussy last night, which was the
baby's second night. You know that this is most likely due to:
a) Her milk isn't in yet, and the baby is hungry
b) She's exhausted and is magnifying the situation
c) The mom is uptight and transmitting her nervousness to the baby
d) Overwhelming CNS stimulation in the baby
d) Overwhelming CNS stimulation in the baby
Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to breastfeed.
Which of the following would be the most helpful advice?
a) Room-in with Ethan, watching him for feeding cues
b) Wake him by washing his face with a cool, damp cloth
c) Make sure the nurses bring him in as soon as he cries
,d) Coax him to the breast using drops of glucose water on the nipple
a) Room-in with Ethan, watching him for feeding cues
Babies who have early contact with their mothers and who were provided with postpartum
support are more likely to:
a) Have a faster weight gain than babies who are separated from mom
b) Be able to sleep in their own room by one month
c) Be breastfed long enough to meet the mother's goals
d) Breastfeed more frequently at night
d) Breastfeed more frequently at night
Nipple erection is induced by which of the following?
a) Myoepithelial cells contracting the lactiferous sinuses
b) Somatic parasympathetic stimuli
c) Autonomic sympathetic stimuli
d) Adequate levels of aphrodisiacs
b) Somatic parasympathetic stimuli
Which of the following drug categories are contraindicated for use during breastfeeding?
a) Pseudoephedrine
b) Oral contraceptives
c) Cancer chemotherapeutic agents
d) Diuretics
c) Cancer chemotherapeutic agents
,You are a nurse who works at St. Beneficial Hospital. You have just delivered preterm twins.
A formula representative offers you samples of a new formula, which provides specific
nutrients for your low birth weight infants. In what way is this a violation of the International
Code of the Marketing of Breast-Milk Substitutes (WHO Code)?
a) This isn't a violation as the WHO Code provides for samples of specialized formulas for
low birth weight babies
b) The WHO Code states that no personal samples of formula may be given to health care
workers
c) As an employee of a not-for-profit hospital, you cannot accept gifts from formula
companies
d) This isn't a violation because you are unable to breastfeed your twins, so accepting
formula isn't an issue
b) The WHO Code states that no personal samples of formula may be given to health care
workers
Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz.
Helen-Clare says Reuben nurses all the time and never seems satisfied. When you do
ac/pc weights, he transfers a total of 37 mL. When Helen-Clare pumps for residual milk,
she gets an additional 3 mL. Which suggestion will you make first?
a) You need to make sure the feedings are finished within 45 minutes so both of you can get
rest
b) Reuben needs a supplement, which will provide him with additional calories
c) You need to use a nursing supplementer to give Reuben the extra calories he needs and
provide some breast stimulation at the same time
d) To increase your milk supply, you are going to need to pump with a quality breast pump
and take some galactogogues
b) Reuben needs a supplement, which will provide him with additional calories
, Infants who have a higher than average number of bowel movements during the first 3 DOL
will probably exhibit which of the following:
a) Dehydration as evidenced by poor skin turgor
b) Later transition to yellow stools
c) Higher bilirubin levels on day 5
d) Weight loss greater than 10% on day 4
d) Weight loss greater than 10% on day 4
For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU
to the baby, she needs to:
a) Use a sun screen of less than SPF 30 when out in the sun
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
c) Take 400 IU of vitamin D each day of her pregnancy
d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D
2x/week
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
A "nursing strike" may occur because of:
a) Introduction of solid foods
b) Infant no longer has an interest in the breast
c) Start of mother's menses
d) Mother starts a food reduction program
c) Start of mother's menses
