CLC PRACTICE EXAM #9 QUESTIONS & ANSWERS
The CDC has accepted the WHO growth charts for use on breastfed infants. The
reason for this change is:
a) The WHO growth chart was developed for all babies including formula-fed babies
b) The WHO growth chart is based on the biological norm
c) The WHO growth charts take into account that not all babies are weighed on
accurate digital scale
d) The WHO growth charts are based on babies born in sub-Saharan Africa - Answer -
b) The WHO growth chart is based on the biological norm
Nadia calls you and tells you she is so engorged that the baby is unable to latch. Which
of the following techniques to relieve engorgement would you recommend first?
a) Reverse pressure softening for 60-120 seconds on each side
b) Fresh cabbage leaves for 2 hours or until the breast is soft
c) Hot, moist compression to the breast for 15-20 minutes prior to feeds
d) Icy cold compresses to breast after feeds for 15-20 minutes - Answer -a) Reverse
pressure softening for 60-120 seconds on each side
Jessie has come into the outpatient lactation clinic with 3-week-old baby Ryan,
complaining of yet another episode of plugged ducts. You suspect that Jessie may have
over supply. Which of the following symptoms would most support that diagnosis?
a) Ryan has frequent yellow, seedy stools
b) Ryan is 15 oz. above birth weight
c) After nursing, Jessie's residual is a total of 80 mL
d) Jessie had mastitis last week - Answer -c) After nursing, Jessie's residual is a total of
80 mL
Leslie doesn't think she has enough breast milk for 2-week-old Chelsea. You know
which of the following is most likely to be cited in the literature as an indication of the
baby not getting enough milk.
a) Frequent sucking on hands
b) Crying for prolonged periods of time
c) Sleeping for short periods of time
d) Fewer than 3 sizable stools in 24 hours - Answer -d) Fewer than 3 sizable stools in
24 hours
You are working with a mother who has low milk supply and you believe she would
benefit from using a prescription drug to increase the supply. Her physician will not
prescribe this particular drug. What is the best thing you can do?
a) Drop the issue of this drug and ask the physician to prescribe another drug instead
b) Give the mother the URL for obtaining the drug over the internet without a
prescription
, c) Purchase the medication yourself over the internet and give the mother a week's
worth to see if ti works for her
d) Encourage the mother to seek out more written information on this drug to share with
her physician - Answer -d) Encourage the mother to seek out more written information
on this drug to share with her phsycian
Brandi is nursing her daughter in company with several of her friends when one of them
asked her why she chose to breastfeed. Which of the following is a true statement that
she can share with her friends?
a) Breastfeeding prevents a child from getting fractures due to higher amounts of
calcium in breast milk
b) Breastfeeding will decrease the risk of Brandi getting breast cancer
c) Mothers who breastfeed for at least 4 months are less likely to suffer from hair loss
during menopause
d) Breastfeeding infants have earlier communication skills - Answer -b) Breastfeeding
will decrease the risk of Brandi getting breast cancer
Effective treatments for postpartum mood disorders include which of the following?
a) Avoid all pro-inflammatory foods
b) Counseling with a supportive psychologist
c) Slow weaning (over a month) from the breast
d) Encourage partner to do all night-time feeds - Answer -b) Counseling with a
supportive psychologist
Nicole says she has been good for 9 months, but is "dying" for a margarita. Your best
advice is:
a) "You should pumps some milk ahead of time and then pump and dump for several
hours after you have any kind of alcohol before going back to nursing"
b) "I'm sure you would love to have a drink, but drinking decreases your oxytocin levels
which in turn decreases the amount of milk the baby gets"
c) "We really advise that you stay on the same diet you were on during your pregnancy
which means staying away from alcohol"
d) "Generally speaking, having an occasional drink is not a problem. You can wait for 2
hours to breastfeed after each ounce of absolute alcohol" - Answer -d) "Generally
speaking, having an occasional drink is not a problem. You can wait for 2 hours to
breastfeed after each ounce of absolute alcohol"
Mary, who is at 36 weeks gestation, is seeing you for a prenatal visit. When you ask is
she has had any breast changes she says her breasts haven't gotten bigger yet and her
areolas as still the same color as when she got pregnant. Which hormone are you
concerned may be low?
a) Estrogen
b) Cortisone
c) Insulin
d) Progesterone - Answer -d) Progesterone
The CDC has accepted the WHO growth charts for use on breastfed infants. The
reason for this change is:
a) The WHO growth chart was developed for all babies including formula-fed babies
b) The WHO growth chart is based on the biological norm
c) The WHO growth charts take into account that not all babies are weighed on
accurate digital scale
d) The WHO growth charts are based on babies born in sub-Saharan Africa - Answer -
b) The WHO growth chart is based on the biological norm
Nadia calls you and tells you she is so engorged that the baby is unable to latch. Which
of the following techniques to relieve engorgement would you recommend first?
a) Reverse pressure softening for 60-120 seconds on each side
b) Fresh cabbage leaves for 2 hours or until the breast is soft
c) Hot, moist compression to the breast for 15-20 minutes prior to feeds
d) Icy cold compresses to breast after feeds for 15-20 minutes - Answer -a) Reverse
pressure softening for 60-120 seconds on each side
Jessie has come into the outpatient lactation clinic with 3-week-old baby Ryan,
complaining of yet another episode of plugged ducts. You suspect that Jessie may have
over supply. Which of the following symptoms would most support that diagnosis?
a) Ryan has frequent yellow, seedy stools
b) Ryan is 15 oz. above birth weight
c) After nursing, Jessie's residual is a total of 80 mL
d) Jessie had mastitis last week - Answer -c) After nursing, Jessie's residual is a total of
80 mL
Leslie doesn't think she has enough breast milk for 2-week-old Chelsea. You know
which of the following is most likely to be cited in the literature as an indication of the
baby not getting enough milk.
a) Frequent sucking on hands
b) Crying for prolonged periods of time
c) Sleeping for short periods of time
d) Fewer than 3 sizable stools in 24 hours - Answer -d) Fewer than 3 sizable stools in
24 hours
You are working with a mother who has low milk supply and you believe she would
benefit from using a prescription drug to increase the supply. Her physician will not
prescribe this particular drug. What is the best thing you can do?
a) Drop the issue of this drug and ask the physician to prescribe another drug instead
b) Give the mother the URL for obtaining the drug over the internet without a
prescription
, c) Purchase the medication yourself over the internet and give the mother a week's
worth to see if ti works for her
d) Encourage the mother to seek out more written information on this drug to share with
her physician - Answer -d) Encourage the mother to seek out more written information
on this drug to share with her phsycian
Brandi is nursing her daughter in company with several of her friends when one of them
asked her why she chose to breastfeed. Which of the following is a true statement that
she can share with her friends?
a) Breastfeeding prevents a child from getting fractures due to higher amounts of
calcium in breast milk
b) Breastfeeding will decrease the risk of Brandi getting breast cancer
c) Mothers who breastfeed for at least 4 months are less likely to suffer from hair loss
during menopause
d) Breastfeeding infants have earlier communication skills - Answer -b) Breastfeeding
will decrease the risk of Brandi getting breast cancer
Effective treatments for postpartum mood disorders include which of the following?
a) Avoid all pro-inflammatory foods
b) Counseling with a supportive psychologist
c) Slow weaning (over a month) from the breast
d) Encourage partner to do all night-time feeds - Answer -b) Counseling with a
supportive psychologist
Nicole says she has been good for 9 months, but is "dying" for a margarita. Your best
advice is:
a) "You should pumps some milk ahead of time and then pump and dump for several
hours after you have any kind of alcohol before going back to nursing"
b) "I'm sure you would love to have a drink, but drinking decreases your oxytocin levels
which in turn decreases the amount of milk the baby gets"
c) "We really advise that you stay on the same diet you were on during your pregnancy
which means staying away from alcohol"
d) "Generally speaking, having an occasional drink is not a problem. You can wait for 2
hours to breastfeed after each ounce of absolute alcohol" - Answer -d) "Generally
speaking, having an occasional drink is not a problem. You can wait for 2 hours to
breastfeed after each ounce of absolute alcohol"
Mary, who is at 36 weeks gestation, is seeing you for a prenatal visit. When you ask is
she has had any breast changes she says her breasts haven't gotten bigger yet and her
areolas as still the same color as when she got pregnant. Which hormone are you
concerned may be low?
a) Estrogen
b) Cortisone
c) Insulin
d) Progesterone - Answer -d) Progesterone
