CLC Practice Exam #2 (Questions and Answers A+ Graded 100% Verified)

CLC Practice Exam #2 (Questions and Answers A+ Graded 100% Verified) A useful definition of colic is: a) Any prolonged crying with no discernible reason b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week c) Crying that occurs despite the baby being full and dry d) Hard crying that can be soothed by breastfeeding CORRECT ANSWER: b) Occurs before 3 months, lasts at least 3 hours/day, 3 times a week Which of the following has been shown to have a negative effect on the milk production of a mother who is pumping long-term for her preterm infant? a) N pumping for 5 hours at night b) Length of time infant stays in the hospital c) Severity of the infant's condition d) Storage capacity of the mother's breast CORRECT ANSWER: b) Length of time infant stays in the hospital In comparison to mature milk, weaning milk: a) Has a decreased amount of lactose b) Has a decreased amount of fat c) Has a decreased amount of iron d) Has a decreased amount of lactoferrin CORRECT ANSWER: a) Has a decreased amount of lactose You are encouraging your employer to consider developing a lactation station at your place of employment. Which of the following is the most important when considering what mothers need in order to take advantage of this perk? a) An area where they can store milk and wash pump parts b) A private, comfortable area for them to utilize c) A hospital grade pump for the mothers to use d) A supportive environment and time to pump CORRECT ANSWER: d) A supportive environment and time to pump In asking first time mothers to describe their breastfeeding experiences which of the following statements did they include? a) Their partners were described as "necessary" to their experience b) Exclusive breastfeeding was considered "essential" c) Mothers said they just couldn't believe their HCP's reassurance about their milk supply d) It was difficult to understand their baby's cues CORRECT ANSWER: d) It was difficult to understand their baby's cues The most common reason for African American women choosing to not breastfeed has been cited as: a) Having to nurse in public b) Concerns about substance use c) Lack of support for breastfeeding d) Fear of pain CORRECT ANSWER: c) Lack of support for breastfeeding What is considered to be one of the two greatest barriers to mothers consenting to the use of donor milk in the NICU in a developed country? a) Mother didn't want to use another person's milk b) Mother has an education level equal to or less than high school graduate c) Mother is married d) Mother delivered by cesarean section CORRECT ANSWER: c) Mother is married (and mothers of color) The mother's diet during lactation can affect which of the following levels in human milk? a) Lactose b) Magnesium c) Vitamin C d) Fat CORRECT ANSWER: c) Vitamin C (water-soluble vitamins) The current recommendation about breastfeeding for women who are positive for hepatitis B is: a) Breastfeed within the first hour after delivery b) Breastfeed as soon as baby has received HBV and HBIG c) Pump and dump until the baby has received the second injection of immunoglobulin d) Advise mother to formula feed to protect her infant from hepatitis B CORRECT ANSWER: a) Breastfeed within the first hour after delivery Which infant is NOT considered at high risk for hypoglycemia? a) Smaller of discordant twins b) Infant with mid-line defect c) Baby who is a complete breech d) Infant of a diabetic mother CORRECT ANSWER: c) Baby who is a complete breech Which of the following components in the milk of a mother of a preterm baby is higher than in the milk of a mother of a full-term infant? a) Calories b) Protein c) Vitamin B12 d) Fat CORRECT ANSWER: b) Protein Maren tells you she and her husband have been talking about what type of birth control they should use, and she wants your opinion. What is your BEST response? a)It's good that you are thinking about birth control now. What have you and your husband been considering? b) You really don't need to worry about that now as you shouldn't be having sexual relations for at least 4-6 weeks. After that, using a barrier method such as a condom or diaphragm will interfere with breastfeeding the least. c) This is something you really need to be discussing with your OB. I'll put a note on your chart that you'd like to talk to her. d) A lot of mothers really like the convenience of a progestin injection. It lasts for 3 months, and it can be started right here in the hospital. CORRECT ANSWER: a) It's good that you are thinking about birth control now. What have you and your husband been considering? The most effective treatment for a flat or inverted nipple is to: a) Do nothing- the baby will draw out the nipple when it latches on b) Use a nipple everter device such as an inverted syringe just prior to feeding c) Wear breast shells several hours a day starting at 38 weeks of pregnancy d) Do the Hoffman exercises 3 times a day beginning at 38 weeks gestation CORRECT ANSWER: b) Use a nipple everter device such as an inverted syringe just prior to feeding There are many issues in using a parenting program that advocates feeding on a schedule. Which of the following is the most concerning? a) Slow weight gain or FTT b) Decreased milk supply for the mother c) Lack of attention to the baby's needs d) Mother hardening her heart to the baby CORRECT ANSWER: c) Lack of attention to the baby's needs Babies demonstrate approach and avoidance behaviors. Which of the following is an avoidance behavior? a) Tongue extension b) Hand to mouth movements c) Hiccoughs d) Putting hand(s) on face or ears CORRECT ANSWER: c) Hiccoughs A hospital that has received Baby Friendly status has a philosophy of care that: a) Makes all mothers provide breast milk for their babies while in the hospital b) Eliminates all bottles and pacifiers from use in the hospital c) Eliminates hospital barriers to inhibiting successful breastfeeding d) Assures that mothers don't receive any free formula or gifts CORRECT ANSWER: c) Eliminates hospital barriers to initiating successful breastfeeding Mary Elizabeth, who is nursing 5-month-old Eliza, and her husband Joshua are investigating which vaccines they are going to need and which ones Mary Elizabeth can take for their 2 year mission posting to Kenya. Which vaccine can Mary Elizabeth safely take now? a) Yellow fever vaccine b) Rabies vaccine c) Small pox vaccine d) Ebola vaccine CORRECT ANSWER: b) Rabies vaccine Which of the following sources of human milk is considered to be the MOST appropriate for preterm infants? a) Fresh from his own mother b) Frozen from his own mother c) Fresh from a donor d) Pooled from a milk bank CORRECT ANSWER: a) Fresh from his own mother Which of the following methods of supplementing would be the most detrimental to continuing the breastfeeding relationship? a) Bottle-feeding using a long silicone nipple with a narrow base b) Finger-feeding using a 5 French feeding-tube c) Cup-feeding using a specially designed soft cup d) Attaching feeding tube (supplementer) to the breast CORRECT ANSWER: a) Bottle-feeding using a long silicone nipple with a narrow base Two-week-old Pattie weighs 8-7, down from her birth weight of 9-5. Before & after feeding weights (ac/pc) find Pattie took about 22 mL at this feed. Although you know the baby may take more or less at other feedings, you use his information to determine approximately how much Pattie needs above and beyond the amount of breast milk she is taking. Assuming breastfeeding 10 times in 24 hours, how much extra/supplement does Pattie need? a) 12 oz. per day b) 15 oz. per day c) 18 oz. per day d) 22 oz. per day CORRECT ANSWER: c) 18 oz. per day Which of the following common practices are backed up by evidence? a) Use a feeding bottle for supplementation b) Use of heat for engorgement c) Use of tea bags for healing sore nipples d) Frenotomy for type 1 or 2 tongue-tie CORRECT ANSWER: d) Frenotomy for type 1 or 2 tongue-tie The prolactin inhibiting factor is important to the process of lactation because: a) It controls the secretion of prolactin from the hypothalamus b) It controls the secretion of prolactin from the pituitary c) It controls the secretion of the anti-prolactin enzyme d) It controls the secretion of large amounts of pyridoxine CORRECT ANSWER: b) It controls the secretion of prolactin from the pituitary The most common organism found to cause mastitis is: a) Staphylococcus aureus b) Beta streptococcus c) Alpha masteococcus d) E. Coli CORRECT ANSWER: a) Staphylococcus aureus Which of the following is the most common reason given by mothers for premature weaning? a) Baby unsettled after feeds b) Painful nipples c) Too time consuming d) Inadequate milk supply CORRECT ANSWER: d) Inadequate milk supply Exclusive breastfeeding may reduce the incidence which of the following conditions in an infant? a) Lyme disease b) Meckel's diverticulum c) Otitis media d) Hypospadius CORRECT ANSWER: c) Otitis media What gives mature breast milk its bluish-white color? a) Casein b) Beta-carotene c) Sig-A d) Lymphocytes CORRECT ANSWER: a) Casein Which of the following statements is true about the use of Pitocin (synthetic oxytocin) during labor? a) It will enhance the secretion of endogenous oxytocin in laboring women b) It can increase the potential for hyperbilirubinemia in the infant c) Use of pitocin enhances the infant's instinctive reflexes to get to the breast d) It will augment maternal feelings of well-being and bonding toward the infant CORRECT ANSWER: b) It can increase the potential for hyperbilirubinemia in the infant Inadequate milk production can be caused by which of the following? a) Chiari-Frommel Syndrome b) Use of an epidural in labor c) Retained placenta d) Adherence to an attachment parenting lifestyle CORRECT ANSWER: c) Retained placenta As a lactation consultant, you may be most concerned by a mother who describes breastfeeding as gross and states having her baby at the breast makes her uncomfortable because she may be: a) Exhibiting signs of immaturity b) Exhibiting signs of sexual abuse c) Exhibiting signs of postpartum blues d) In need of breastfeeding education CORRECT ANSWER: b) Exhibiting signs of sexual abuse Samantha has a low milk supply and has agreed to use a breast pump to augment her supply. Which suggestion is MOST helpful? a) Take galactogogues each time she pumps b) Pump after each nursing c) Pump both breasts at the same time d) Utilize the hands on pumping technique CORRECT ANSWER: d) Utilize the hands on pumping technique WHO (World Health Organization) has indicated donations of non-human milk during an emergency or disaster are commonly due to: a) An increased need for infant nutrition b) The belief mothers cannot produce enough milk c) The scarcity of safe water d) Requests are made for artificial baby milk CORRECT ANSWER: b) The belief mothers cannot produce enough milk Eloise calls saying she doesn't think breastfeeding is going well with 7-day-old Matthew. Which statement of Eloise's is the most significant which leads you to give her an appointment immediately? a) Matthew is starting to have transitional stools b) Matthew left the hospital with 8% weight loss c) Matthew is nursing at least 8-12 times per 24 hours d) Eloise has sore nipples when Matthew latches on to the breast CORRECT ANSWER: a) Matthew is starting to have transitional stools You are an IBCLC working in a hospital setting. You overhear one of your IBCLC co-workers telling a mother that if her baby is really fussy to go ahead and put the baby to sleep on his abdomen. What is your FIRST response? a) Say nothing. It's a minor thing, and you need all the help you can get at the busy hospital b) Report her to your immediate supervisor c) Send a letter to the IBCLC outlining what you have heard d) Go to lunch with your colleague and talk to her about what you overheard CORRECT ANSWER: d) Go to lunch with your colleague and talk to her about what you overhead The Reverse Pressure Softening Technique is most beneficial when: a) A mother is engorged b) A mother wants to manually express her milk c) A mother has a plugged duct d) The lactation consultant is assessing latch CORRECT ANSWER: a) A mother is engorged Transient lactational crises are the result of: a) Empty breast syndrome b) Rapid growth of infant c) Hyper-lactation syndrome d) Hungry baby CORRECT ANSWER: b) Rapid growth of infant Which of the following would contribute to the delayed onset of lactogenesis 2? a) Cesarean section for failure to progress b) Maternal age 22-30 c) Insulin-dependent diabetes d) Maternal history of precipitous labor CORRECT ANSWER: c) Insulin-dependent diabetes You would like to prepare a prenatal breastfeeding class for moms younger than 18. Which of the following information is would be important to include in your class? a) The benefits of breastfeeding b) Have them use dolls to learn positioning c) How to fit your baby into your lifestyle d) How to breastfeed modestly CORRECT ANSWER: c) How to fit your baby into your lifestyle Melanie comes to you complaining of sore nipples. After observing a feed you notice that her nipples appear flat and distorted. You suspect that the baby is: a) Compressing the nipple between his tongue and soft palate b) Taking in too big of a mouthful of breast tissue c) Using a peristaltic motion of the tongue that goes from back to front d) Compressing the nipple between his tongue and hard palate CORRECT ANSWER: d) Compressing the nipple between his tongue and hard palate You call Debbie, mother of 6-day-old Hannah. She says breastfeeding is going so well, and Hannah is a perfect baby who never cries. What additional information do you need to get from Debbie? a) Is Hannah nursing both sides at each feeding? b) How long does Hannah rest between her feedings? c) When is she expected to see the HCP for a weight check? d) How is she positioning Hannah to nurse? CORRECT ANSWER: b) How long does Hannah rest between her feedings? Maura is breastfeeding 2-year-old Jannie an days she is ready to wean but Jannie isn't. What is the best advice you can give her? a) Baby-led weaning is preferable just wait it out until Jannie is ready b) Eliminated feedings gradually by substituting a glass of juice or milk and extra hugs. Drop her favorite feedings last. c) Tell Jannie she's too old to breastfeed any more and she's done. d) Drop feeds, but if she puts up a fuss, give in and nurse her. You want your child to be happy and not stressed. CORRECT ANSWER: b) Eliminated feeds gradually by substituting a glass of juice or milk and extra hugs. Drop her favorite feedings last. Janelle comes to you because of a low milk supply. After the appropriate consultation, the two of you determine that Janelle will try a herbal galactogogue. Which of the following statements about the use of galactogogues is true? a) Herbal galactogogues don't have any side effects b) If milk levels aren't increased within 4-5 days, they probably aren't going to work and should be discontinued c) Herbs of any kind should never be used without a physician's written prescription d) Allopathic drugs to increase milk supply should be tried before herbal galactogogues CORRECT ANSWER: b) If milk levels aren't increased within 4-5 days, they probably aren't going to work and should be discontinued Morgan is adopting a baby who is due in two months. She wants to breastfeed this baby just as she did with her other two, and wants more information about what she needs to do. She had a hysterectomy two years ago and is afraid she won't produce any milk. Which of the following statements is most correct? a) Induced lactation is more difficult when the mother has had a hysterectomy b) The hysterectomy will have no bearing on Morgan's ability to relactate c) Morgan needs to start pumping a minimum of three months prior to getting the baby d) Since there is a chance that the birth mother will not relinquish the baby, Morgan needs to rethink her decision about inducing lactation CORRECT ANSWER: b) The hysterectomy will have no bearing on Morgan's ability to relactate Morgan tells you she is committed to trying to bring in her milk and asks you how she should get started. You tell her to: a) Not do anything until the baby comes and then just put the baby to breast very frequently b) Start pumping at least 8 times per day for 15 minutes (double) to stimulate milk supply c) Use a hospital grade pump to pump as often as she can get to it, but not focus on amount of milk obtained d) Start on herbal galactogogues immediately to maximize milk supply CORRECT ANSWER: c) Use a hospital grade pump to pump as often as she can get to it, but not focus on amount of milk obtained You get a phone from a very distressed Beth who says that she is unable to keep week-old Peter awake long enough for him to get the hind milk at each breast. "He just falls asleep after about 10 minutes on each side and I can't get him to wake up again." What is your first response to Beth? a) It sounds as though you've heard you have to breastfeed longer than that. Why don't you tell me a bit more about his feeds, his pees, and poops. b) Ten minutes on each side certainly isn't long enough. I'm not surprised you are worried. Why don't you make an appointment to come & see me? c) At this age, Peter should be breastfeeding at least 20 minutes on each side. You really need to make sure you're waking him up thoroughly to finish nursing instead of just snacking. d) It doesn't sound as though you have anything to worry about. I'm sure he's doing just fine. Despite what you may have heard, 10 minutes on each side is plenty CORRECT ANSWER: a) It sounds as though you've heard you have to breastfeed longer than that. Why don't you tell me a bit more about his feeds, his pees, and poops. Lack of breastfeeding has been linked to obesity. While the direct cause and effect relationship hasn't yet been established, which of the following factors can play a role? a) Overfeeding due to caregiver control of bottle-feeding b) Higher levels of leptin in formula rather than human milk c) The caloric value of formula is higher than in breast milk d) Formula is more completely metabolized than breast milk CORRECT ANSWER: a) Overfeeding due to caregiver control of bottle-feeding According to the Standards of Practice for an IBCLC, she/he may: a) Prescribe antibiotics for a mother with mastitis b) Clip a frenulum that doesn't require anesthesia c) Assess nutritional status of an infant and determine a plan of care d) Refer a mother with postpartum depression to a psychiatrist for treatment CORRECT ANSWER: c) Assess nutritional status of an infant and determine a plan of care The method most frequently used to pasteurize human milk at a North American milk bank is: a) Terminal sterilization b) Holder method c) Flash pasteurization d) Tully protocol CORRECT ANSWER: b) Holder method Timothy John was born at 35 weeks gestation. His mother was told to wake him up to nurse every 2-3 hours. You know that waking an infant to feed doesn't result in a good feeding unless what else occurs? a) The infant's behavioral state is active alert b) The infant is able to keep his eyes open for a period of at least 15 seconds c) The infant doesn't demonstrate any avoidance behaviors d) The infant has feeding readiness behaviors CORRECT ANSWER: d) The infant has feeding readiness behaviors Timothy John's mother has undressed him, stroked his back, talked to him and gently rocked him back and forth in order to wake him up. He responds by exhibiting behaviors associated with the arousal-related stress reaction. Which of the following is NOT part of this reaction? a) Infant rounds his mouth and purses or extends his lips b) Furrowed eyebrows/forehead c) His extremities are held in an extended position d) His skin is pale CORRECT ANSWER: a) Infant rounds his mouth and purses or extends his lips Which of the following is one of the factors that determines whether or not a drug will pass into the milk? a) Molecular weight of the drug b) Time of administration of the drug c) Whether the drug is administered orally or parenterally d) Dosage of the drug CORRECT ANSWER: a) Molecular weight of the drug