ANSWERS ACTUAL UPDATED
PRACTICE QUESTIONS TEST BANK
HIGH YIELD STUDY GUIDE EXAM
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COMPREHENSIVE QUESTION
COLLECTION EDITION
What are green/shiny stools a sign of? - Correct answer--sign of overproduction leading to less fat
in milk, faster digestion causing not enough time for lactase to digest the lactose in milk. An
improved latch could allow for more fat flow
Signs of oversupply - Correct answer-Rapid weight gain in infant, unsettled baby after feeding,
recurrent plugged ducts and mastitis, painful feedings, voluminous (huge volumes of) stools-
often green & shiny
What causes nipple pain? - Correct answer-Improper latch--> need lactation support to help with
proper latch on, good seal
True/false: baby should be pulled into breast. - Correct answer-False! Do not pull baby into
breast, let baby tilt head back for optimal latch. Hand on back of baby's head can interfere baby's
interoral function by restricting the movement of the cranio-cervical spine--> causes nipple
trauma. Make sure crook of arm in cradle position does not block baby from being able to fully
tilt back.
Should a latch be symmetric or asymmetric? - Correct answer-Asymmetric! A baby should
form a teat with breast tissue underneath the nipple as part of a latch
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,CLC REAL QUESTIONS
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What is a symmetric latch - Correct answer-Not a good latch, causes nipple damage
Asymmetric latch - Correct answer-Optimal attachment to the breast, where the baby's lips are not
centered in relationship to the areolar, but rather vertically off-centered with the baby's chin and
lower lip closer to the edge of the areola than the baby's upper lip. A baby should form a teat with
breast tissue underneath the nipple as part of a latch
Do nipple creams work? - Correct answer-Continued questions of effectiveness, fear of ingestion
by baby
Should a frenotomy be suggested for tongue tie? - Correct answer-No study was able to report
that frenotomy led to better long term breastfeeding
Tongue tied breastfeeder - Correct answer--complete feeding assessment and suggest ways to
optimize latch.
-refer onward for diagnosis (have PCP diagnose TT) -
provide support
What is a fissure straight down the nipple evidence of? - Correct answer-A symmetric
latch.
Top lip needs to have good seal, moist part of lip should be touching nipple, can roll out top
lip,
to reduce injury during BF
Is there a deep latch with nipple stretching? - Correct answer-If nipple not stretched deeply
into mouth, less oxytocin flows, less fat is in mix. With less fat, milk digested quicker = not
enough time for baby to make enough lactase to digest lactose in milk.
What to do for oversupply? - Correct answer-Decrease additional stimulation/milk
removal if possible
Consider block feeding (only nursing on one side only per feeding) Watch
for mastitis
Try australian posture (mother down under, baby on top) Consider
donating to milk bank
Consult with HCP for medical dx
How many mL considered oversupply? - Correct answer-normal milk production = 750- 1000
mL/day
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CLC REAL EXAM 2026 2027UPDATE
QUESTIONS
AND ANSWERS [VERIFIED ANSWERS]
CERTIFIED 100% GRADED A+
Thrush during BF - Correct answer-painful for mother & baby. may
be visible or may not (whiteness that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - Correct answer--nystatin first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
-flucanazole oral capsules may be used to clean yeast vectors due to the biofilm created
on pacifiers by candida
What to do if antifungal treatment for yeast doesn't work? - Correct answer-Not candida
infection!
Reynaud's Phenomenon - Correct answer--vasospasm of nipple, recognized by triple color
sign: from white--> blue--> raspberry or bicolor sign white --> raspberry.
pain is extreme and spasmodic (not continuous)
-this happens after feeding once baby's mouth comes off nipple has vasospasm, feels like frostbite
treatment of reynauds - Correct answer--prevent/decrease cold exposure -
avoid vasoconstrictive drugs such as caffeine and hypertensive drugs, nicotine
-can use nifedipine or calcium channel blocker
Nipple pain and poor milk transfer that is persistent despite optimal latch - Correct
-can use nipple shield as a test to see if baby exerting too much pressure? answer-
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CLC REAL EXAM 2026 2027UPDATE
QUESTIONS
AND ANSWERS [VERIFIED ANSWERS]
CERTIFIED 100% GRADED A+
-OT involvement
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