Certified Lactation Counselor Questions with
Correct Answers | Updated (100% Correct
Answers)
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.
Complementary Feeding Answer: Process starts when BM alone or
infant formula alone is no longer sufficient to meet nutritional
requirements of infants, therefore other foods or liquids are
introduced. Typically child is between 6-23 months
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 to assure BF ability to compete with commercial
interests.
Includes state, local, an national laws regarding BF.
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International Code of Marketing of Breast-milk Subsitutes Answer:
Addresses improper marketing practices by formula companies. It is
not currently a law in the US.
What does the International Code Prohibit? Answer: Distributing
free formula
Giving coupons for formula
What did the AAP resolution state in regards to the International
Code? Answer: No distributing formula, discharge bags, industry
written handouts.
Support Answer: Focuses on interaction of helpers with family, as
well as program development and implementation.
10 steps to successful BF Answer: 1. Written BF policy. Skin to Skin
immediately after birth.
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
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
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8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
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 if Baby 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 (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
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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 yellow by 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
Alveoli Answer: Small glands in the breast that produce milk
At-Breast Supplementer Answer: a device that allows a supplement
to be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
Atopy Answer: hypersensitive or allergic state involving an inherited
predisposition
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