CLC Practice Exam #7 (Questions and Answers A+ Graded 100% Verified)

CLC Practice Exam #7 (Questions and Answers A+ Graded 100% Verified) You are discussing allergies in a prenatal breastfeeding class. One of the facts you want to point out is that many of the babies who are allergic to cow's milk protein can also be sensitive to: a) Wheat b) Corn c) Soy d) Eggs CORRECT ANSWER: c) Soy Julie, a first time mom, tells you that her baby was very fussy last night, which was the baby's second night. You know that this is most likely due to: a) Her milk isn't in yet, and the baby is hungry b) She's exhausted and is magnifying the situation c) The mom is uptight and transmitting her nervousness to the baby d) Overwhelming CNS stimulation in the baby CORRECT ANSWER: d) Overwhelming CNS stimulation in the baby Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to breastfeed. Which of the following would be the most helpful advice? a) Room-in with Ethan, watching him for feeding cues b) Wake him by washing his face with a cool, damp cloth c) Make sure the nurses bring him in as soon as he cries d) Coax him to the breast using drops of glucose water on the nipple CORRECT ANSWER: a) Room-in with Ethan, watching him for feeding cues Babies who have early contact with their mothers and who were provided with postpartum support are more likely to: a) Have a faster weight gain than babies who are separated from mom b) Be able to sleep in their own room by one month c) Be breastfed long enough to meet the mother's goals d) Breastfeed more frequently at night CORRECT ANSWER: d) Breastfeed more frequently at night On the physical exam of a 28-week preterm infant , which of the following is likely to be found? a) Lanugo all over the body b) Dry and peeling skin c) Palpable breast buds d) Ability to coordinate suck, swallow, and breathe CORRECT ANSWER: a) Lanugo all over the body Cherie, a new mother, with a 4-week-old infant, visits you for a breastfeeding evaluation. In the process of taking her history, you find that Cherie eats mostly chips, cookies and soda "because she is just too busy to prepare anything". Your MOST IMPORTANT concern with Cherie's diet is: a) The quality of her breast milk b) The quantity of her breast milk c) The health of the baby d) The depletion of Cherie's nutrient stores CORRECT ANSWER: d) The depletion of Cherie's nutrient stores Halli is now 2-hours-old and still has not shown any interest in nursing. You do a blood sugar test on Halli, and find that it's 38 mg/dL, which is lower than your hospital standard of 40 mg/dL. What should you do first? a) Put her under the warmer as she is most likely hypothermic b) Give her 1 oz. of formula by finger-feeding c) Have mom hand express colostrum and feed her with a spoon d) Wait about 30 seconds and use a second reagent strip to check the glucose CORRECT ANSWER: d) Wait about 30 seconds and use a second reagent strip to check the glucose Mothers with breastfeeding problems may be hesitant to seek help from a professional for the following reason: a) Lack of insurance coverage for lactation services b) Having to leave her home to seek help c) Stress of having to repeat "her story" to multiple people d) Having problems is in conflict with the image of being a super-mom, which she wants to portray CORRECT ANSWER: d) Having problems is in conflict with the image of being a super-mom, which she wants to portray A type of research that focuses on relationships among variables is called: a) Qualitative b) Quantitative c) Statistically significant d) Randomized controlled trials CORRECT ANSWER: b) Quantitative Nipple erection is induced by which of the following? a) Myoepithelial cells contracting the lactiferous sinuses b) Somatic parasympathetic stimuli c) Autonomic sympathetic stimuli d) Adequate levels of aphrodisiacs CORRECT ANSWER: b) Somatic parasympathetic stimuli Which of the following drug categories are contraindicated for use during breastfeeding? a) Pseudoephedrine b) Oral contraceptives c) Cancer chemotherapeutic agents d) Diuretics CORRECT ANSWER: c) Cancer chemotherapeutic agents You are a nurse who works at St. Beneficial Hospital. You have just delivered preterm twins. A formula representative offers you samples of a new formula, which provides specific nutrients for your low birth weight infants. In what way is this a violation of the International Code of the Marketing of Breast-Milk Substitutes (WHO Code)? a) This isn't a violation as the WHO Code provides for samples of specialized formulas for low birth weight babies b) The WHO Code states that no personal samples of formula may be given to health care workers c) As an employee of a not-for-profit hospital, you cannot accept gifts from formula companies d) This isn't a violation because you are unable to breastfeed your twins, so accepting formula isn't an issue CORRECT ANSWER: b) The WHO Code states that no personal samples of formula may be given to health care workers Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz. Helen-Clare says Reuben nurses all the time and never seems satisfied. When you do ac/pc weights, he transfers a total of 37 mL. When Helen-Clare pumps for residual milk, she gets an additional 3 mL. Which suggestion will you make first? a) You need to make sure the feedings are finished within 45 minutes so both of you can get rest b) Reuben needs a supplement, which will provide him with additional calories c) You need to use a nursing supplementer to give Reuben the extra calories he needs and provide some breast stimulation at the same time d) To increase your milk supply, you are going to need to pump with a quality breast pump and take some galactogogues CORRECT ANSWER: b) Reuben needs a supplement, which will provide him with additional calories Infants who have a higher than average number of bowel movements during the first 3 DOL will probably exhibit which of the following: a) Dehydration as evidenced by poor skin turgor b) Later transition to yellow stools c) Higher bilirubin levels on day 5 d) Weight loss greater than 10% on day 4 CORRECT ANSWER: d) Weight loss greater than 10% on day 4 For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU to the baby, she needs to: a) Use a sun screen of less than SPF 30 when out in the sun b) Have a 25-(OH)-D serum level of at least 58 ng/mL c) Take 400 IU of vitamin D each day of her pregnancy d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D 2x/week CORRECT ANSWER: b) Have a 25-(OH)-D serum level of at least 58 ng/mL A "nursing strike" may occur because of: a) Introduction of solid foods b) Infant no longer has an interest in the breast c) Start of mother's menses d) Mother starts a food reduction program CORRECT ANSWER: c) Start of mother's menses Florence birthed Josh at 32 weeks of gestation. Which of the following would be the first thing to include as a part of her pumping plan? a) Begin expressing within the first hour post-birth b) Determine her nipple size to provide her with the appropriate flange c) Use a hospital grade breast pump d) Pump using a double pumping system CORRECT ANSWER: a) Begin expressing within the first hour post-birth Increased rates of autism spectrum disorders (ASD) are seen in children who: a) Received less than 1 hour of skin-to-skin after birth b) Received formula supplements in the first week of life c) Were formula-fed from the beginning of life d) Were exclusively breastfed for less than 3 months CORRECT ANSWER: c) Were formula-fed from the beginning of life Which of the following statements about lactose in human milk is true? a) Lactose provides 60% of the calories in human milk b) Lactose is essential for CNS development c) Lactose is decreased in human milk when the mother eliminates dairy d) Lactose concentration decreases from 2-16 weeks CORRECT ANSWER: b) Lactose is essential for CNS development Daisy, who is 21 days postpartum, is seen in the outpatient clinic with burning, painful, red nipples for the last 4 days. Which of the following is most likely to be a cause of her sore nipples? a) Baby has a shallow latch b) Allergic reaction to lanolin c) Her infant is tongue tied d) She has a yeast infection CORRECT ANSWER: d) She has a yeast infection Hope is 3 weeks postpartum and doesn't have enough breast milk. Her history and exam haven't yielded any reason for the low supply. Which test would you want to have done first to possibly provide a reason for low milk supply? a) Thyroid levels b) Iron levels c) Testosterone levels d) Serum prolactin levels CORRECT ANSWER: a) Thyroid levels Josey just delivered 29 week infant, Henry, by c-section because of high blood pressure and increasing amounts of protein in her urine. Which of the following is most likely to contribute to Josey have a low milk supply. a) Josey delivered by c-section b) Josey didn't start pumping until 6 hours after the birth c) Josey's average pumping frequency was 7-8 times per day d) Josey had pre-eclampsia at the time she delivered CORRECT ANSWER: a) Josey delivered by c-section A potential milk donor may be excluded by the Human Milk Banking Association if the mother: a) Has a 6 oz. glass of wine on a daily basis b) Has been a practicing vegetarian for the last 3 years c) Received a blood transfusion in the past 4 months d) Has had influenza in the previous year CORRECT ANSWER: c) Received a blood transfusion in the past 4 months Which of the following is an important component of the Baby Friendly Hospital Initiative? a) Adhering to the International (WHO) Code b) Following the Bellagio Consensus c) Minimize interventions in labor and delivery d) Providing follow-up for breastfeeding mothers and babies CORRECT ANSWER: d) Providing follow-up for breastfeeding mothers and babies Cheryl calls the lactation hot-line complaining that her milk supply is decreasing. She also says that 4-week-old Ronnie spits up a lot and there appeared to be streaks of blood in his stool earlier in the day. What is your first suggestion? a) Take Ronnie to his pediatrician for an evaluation b) Visit the lactation clinic immediately for an evaluation and feeding assessment c) Have the mother record everything she has eaten in the last 48 hours to determine what food is causing the symptoms d) Tell the mother to eliminate dairy products for 14 days. Then keep a record of Ronnie's spitting and a description of his stools CORRECT ANSWER: a) Take Ronnie to his pediatrician for an evaluation One of the main reasons for the decline of breastfeeding in the 19th century was: a) The belief that formula was scientific and was equated with progress b) Lack of support for nursing mothers by the medical community c) The though that breast milk composition could only be controlled through controlling women d) Because only poor women breastfed CORRECT ANSWER: a) The belief that formula was scientific and was equated with progress A slow weight gaining infant will: a) Have a decrease in frequency and amount of stool b) Consistently gain weight, but slowly c) Sleep for exceptionally long periods between feedings d) Is more apathetic than an infant with a good weight gain CORRECT ANSWER: b) Consistently gain weight, but slowly Which of the following elements in a woman's history probably will have a negative impact on her breastfeeding success? a) Hypothyroidism treated with thyroid supplements b) Loss of blood during delivery requiring 2 units of blood c) Previous low milk supply treated with use of galactogogues d) No breast changes during pregnancy or within the first month postpartum CORRECT ANSWER: d) No breast changes during pregnancy or within the first month postpartum Marci comes in saying that 21-day-old Jason is very fussy, has lots of gas and at least 8 watery yellow stools per day. He is at his birth weight of 7 lbs., 14 oz. He has a stool while you are examining him that is yellow/green, but without any solid matter.. Which condition would be your first hunch? a) Hyperlactation syndrome b) Cow's milk protein allergy c) Neonatal colitis d) FTT due to insufficient feeds CORRECT ANSWER: a) Hyperlactation syndrome Facilitating is an effective counseling skill because: a) The mother is allowed to talk b) The mother is encouraged to listen c) The counselor focuses on the mother's specific concern d) The counselor focuses on the mother's feelings CORRECT ANSWER: c) The counselor focuses on the mother's specific concern Which of the following would be most likely to positively impact a mother using a pump correctly? a) Using a pump manufactured from a company that only focuses on breastfeeding b) Reading the direction before using the pump c) Shown how to use from another person, like a friend d) Only use rental pumps CORRECT ANSWER: c) Shown how to use from another person, like a friend You are preparing a list of handouts to use in your breastfeeding class for parents. The most important guidelines you need to consider when selecting your handouts should be: a) Information must be current and consistent b) Handouts should have a 4th grade reading level and lots of white space c) Include information on references for IBCLCs in your community d) Information should include common situations which may occur after the mom is discharged CORRECT ANSWER: a) Information must be current and consistent Exclusive breastfeeding is more likely to occur if: a) The infant weighed 8 lbs. or more b) Did at least 30 minutes of skin-to-skin after birth c) Wasn't bathed for 4 hours post birth d) Mother who had a c-section did skin-to-skin in the recovery room CORRECT ANSWER: a) The infant weighed 8 lbs. or more Susan has nipples that are raw and bleeding from nursing her infant who was tongue tied, but who had it revised yesterday. Which of the following would be a good first choice to use with her nipple trauma? a) Tea bags b) Coconut oil c) Saline soaks d) Antibiotic ointment CORRECT ANSWER: c) Coconut oil Milk banks who are members of the Human Milk Banking Association of North America: a) Provide milk to both hospitals and individuals b) Allow selected donors to be paid c) Test donor milk for bacteria d) Sell the milk for a substantial profit CORRECT ANSWER: a) Provide milk to both hospitals and individuals Infants may suddenly collapse while doing skin-to-skin. What can be done to decrease the risk of this happening? a) Mother lying flat with the baby between her breasts b) The baby's head is turned to one side, and is very slightly extended c) Head tilted back so trachea is straight and extremities extended d) Infant's chest is in contact with the mother's body and head is midline CORRECT ANSWER: b) The baby's head is turned to one side, and is very slightly extended When a hospital who was working to become Baby Friendly eliminated pacifier use, what was the outcome? a) Supplemental formula increased from 18-28% b) Breastfeeding challenges decreased by a factor of 10 c) Exclusive breastfeeding rates increased from 68-79% d) 15% of mothers were sneaking pacifiers into the facility CORRECT ANSWER: a) Supplemental formula increased from 18-28% The optimal time interval between pregnancies for a mother is: a) 6-9 months b) 12-15 months c) 24-30 months d) 36-59 months CORRECT ANSWER: d) 36-59 months Rebecca tells you that Tanya, her 3-week-old breastfed infant, has colic. You know that the most common reason for "colic" is: a) Infant isn't being fed enough b) Mother is smoking more than 1/3 pack of cigarettes per day c) Mother has too much breast milk d) A diet that is very high in dairy products CORRECT ANSWER: a) Infant isn't being fed enough Stacey visits you stating her "milk hasn't come in yet". Her baby is 10-days-old and hasn't regained her birth weight. After taking a history, you discover that Stacey continues to have heavy bleeding that contains blood clots. What do you suspect is the reason for the low milk supply? a) Retained placental fragments causing a decrease in prolactin levels b) Retained placental fragments causing estrogen levels to remain high c) Retained placental fragments causing progesterone levels to remain high d) Retained placental fragments causing a drop in the prolactin inhibitory factor (PIF) CORRECT ANSWER: c) Retained placental fragments causing progesterone levels to remain high Krystal Starr is undecided about whether or not to breastfeed her baby because she smokes a pack of cigarettes per day. Which of the following is the most important to discuss with her? a) Unless she can cut down to 15 cigarettes or less per day, she should not breastfeed b) She should never smoke around the baby, and only after the baby has been fed c) It's not uncommon for babies whose mothers smoke to be more colicky than babies whose mothers don't smoke d) It's far better for the baby's health that a smoking mother breastfeed than formula-feed CORRECT ANSWER: d) It's far better for the baby's health that a smoking mother breastfeed than formula-feed The most beneficial method employers can use to assist mothers to continue breastfeeding after returning to work is: a) Provide a lactation support system b) Provide an electric breast pump c) Provide healthy snacks in pumping room d) Provide a home visit after delivery COR