CLC Practice Exam with Complete
Solutions
A benefit of long-term lactation for mother is a reduction in the incidence of:
a) Lung cancer
b) Lupus
c) Breast cancer
d) Fibrocystic breast disese - ANS-c) Breast cancer
A human milk oligosaccharide (HMO) is:
a) A whey protein that acts as an anti-inflammatory agent
b) An undigested element found in lactose that protects against disease
c) One of the long-chain polyunsaturated fatty acids
d) A cell that engulfs bacteria found in the GI tract - ANS-b) An undigested element
found in lactose that protects against disease
A pregnant woman who attended your breastfeeding class calls to tell you that she has
found out that she is HIV positive and she has been told she can't breastfeed. What is
the first thing you would say to her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without any problems
c) If you determine that you will exclusively breastfeed without giving any supplements,
you can go ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby - ANS-d) I'm so sorry to hear that. You must
be devastated. I know how much you were looking forward to breastfeeding your baby
According to the 2015 U.S. Department of Health and Human Service guidelines, how
long can breast milk be stored in the refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days - ANS-c) 5 days
Allie and baby Ryan are waiting to see you in your outpatient clinic. After you invite her
into your office, what is the first thing you need to do?
a) Excuse yourself to wash your hands and get Allie a glass of water while she
undresses Ryan
b) Undress Ryan and do a physical exam on him prior to having Allie nurse him for his
feeding evaluation
c) Have Allie sign a consent form allowing you to touch both her and the baby
, d) Have Allie fill out a history and intake form - ANS-c) Have Allie sign a consent form
allowing you to touch both her and the baby
Annie has been diagnosed with a breast abscess and has had it surgically drained. She
has been advised by her surgeon to stop breastfeeding because of the potential transfer
of the bacteria into the breast milk. What can you share with Annie about nursing after
an abscess is drained?
a) The bacteria that caused the abscess was walled off in the breast and will drain out
through the incision
b) The baby can't get sick from the bacteria in the breast milk because the HCl in his
stomach will kill it
c) All the bacteria in an abscess will be absorbed and eliminated through the lymph
system so she may continue to breastfeed
d) Her surgeon is correct and this is one of those times when weaning is advised - ANS-
a) The bacteria that caused the abscess was walled off in the breast and will drain out
through the incision
Ashley calls complaining that 4-week-old Moses is very fussy and she is sure it's
because she has been eating strawberries. In taking a food & nutrition history, what
would be your first question or statement?
a) Tell me more about when and how often Moses is fussy
b) How long and how often do you eat strawberries?
c) It would be uncommon for strawberries to causes Moses to be fussy
d) Infant fussiness at this age is often seen just before they start having fewer bowel
movements each day - ANS-a) Tell me more abut when and how often Moses is fussy
Baby Hammie was born via vaginal birth at 41 weeks gestation and weighed 10 lbs. 2
oz. His mothers pre-pregnancy weight was 104 lbs. Which condition would be the least
likely to occur to this infant?
a) Fractured clavicle
b) Hypospadius
c) Facial asymmetry
d) Hypoglycemia - ANS-b) Hypospadius
Christie comes in for a breastfeeding assessment, and it's evident that her baby is
getting too much milk at a feeding. Which of the following would be the best advice to
give her?
a) Feed on just one side per feeding and let the infant nurse for several feedings on that
side before switching sides
b) Pump off some of the breast milk before you put the baby to the breast to lessen the
let-down
c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally
d) Drink two cups of sage tea per day to decrease your milk supply - ANS-a) Feed on
just one side per feeding and let the infant nurse for several feedings on that side before
switching sides
Solutions
A benefit of long-term lactation for mother is a reduction in the incidence of:
a) Lung cancer
b) Lupus
c) Breast cancer
d) Fibrocystic breast disese - ANS-c) Breast cancer
A human milk oligosaccharide (HMO) is:
a) A whey protein that acts as an anti-inflammatory agent
b) An undigested element found in lactose that protects against disease
c) One of the long-chain polyunsaturated fatty acids
d) A cell that engulfs bacteria found in the GI tract - ANS-b) An undigested element
found in lactose that protects against disease
A pregnant woman who attended your breastfeeding class calls to tell you that she has
found out that she is HIV positive and she has been told she can't breastfeed. What is
the first thing you would say to her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without any problems
c) If you determine that you will exclusively breastfeed without giving any supplements,
you can go ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby - ANS-d) I'm so sorry to hear that. You must
be devastated. I know how much you were looking forward to breastfeeding your baby
According to the 2015 U.S. Department of Health and Human Service guidelines, how
long can breast milk be stored in the refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days - ANS-c) 5 days
Allie and baby Ryan are waiting to see you in your outpatient clinic. After you invite her
into your office, what is the first thing you need to do?
a) Excuse yourself to wash your hands and get Allie a glass of water while she
undresses Ryan
b) Undress Ryan and do a physical exam on him prior to having Allie nurse him for his
feeding evaluation
c) Have Allie sign a consent form allowing you to touch both her and the baby
, d) Have Allie fill out a history and intake form - ANS-c) Have Allie sign a consent form
allowing you to touch both her and the baby
Annie has been diagnosed with a breast abscess and has had it surgically drained. She
has been advised by her surgeon to stop breastfeeding because of the potential transfer
of the bacteria into the breast milk. What can you share with Annie about nursing after
an abscess is drained?
a) The bacteria that caused the abscess was walled off in the breast and will drain out
through the incision
b) The baby can't get sick from the bacteria in the breast milk because the HCl in his
stomach will kill it
c) All the bacteria in an abscess will be absorbed and eliminated through the lymph
system so she may continue to breastfeed
d) Her surgeon is correct and this is one of those times when weaning is advised - ANS-
a) The bacteria that caused the abscess was walled off in the breast and will drain out
through the incision
Ashley calls complaining that 4-week-old Moses is very fussy and she is sure it's
because she has been eating strawberries. In taking a food & nutrition history, what
would be your first question or statement?
a) Tell me more about when and how often Moses is fussy
b) How long and how often do you eat strawberries?
c) It would be uncommon for strawberries to causes Moses to be fussy
d) Infant fussiness at this age is often seen just before they start having fewer bowel
movements each day - ANS-a) Tell me more abut when and how often Moses is fussy
Baby Hammie was born via vaginal birth at 41 weeks gestation and weighed 10 lbs. 2
oz. His mothers pre-pregnancy weight was 104 lbs. Which condition would be the least
likely to occur to this infant?
a) Fractured clavicle
b) Hypospadius
c) Facial asymmetry
d) Hypoglycemia - ANS-b) Hypospadius
Christie comes in for a breastfeeding assessment, and it's evident that her baby is
getting too much milk at a feeding. Which of the following would be the best advice to
give her?
a) Feed on just one side per feeding and let the infant nurse for several feedings on that
side before switching sides
b) Pump off some of the breast milk before you put the baby to the breast to lessen the
let-down
c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally
d) Drink two cups of sage tea per day to decrease your milk supply - ANS-a) Feed on
just one side per feeding and let the infant nurse for several feedings on that side before
switching sides
