CLC PRACTICE EXAM 9 2024. COMPLETE QUESTIONS AND ANSWERS.LATEST UPDATE|RATED A+

CLC PRACTICE EXAM 9 2024. COMPLETE QUESTIONS AND ANSWERS.LATEST UPDATE|RATED A+ 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 - - CORRECT 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 - - CORRECT 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 - - CORRECT 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 - - CORRECT 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 - - CORRECT 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 - - CORRECT 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 - - CORRECT 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" - - CORRECT 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 - - CORRECT ANSWER- d) Progesterone Of the following skills, which is the most important for Frankie, the new IBCLC, to have? a) Ability to set goals for herself and others b) Listening, counseling, and communication skills c) How to do referrals, when, and to whom should she refer d) Knowledge of current medical terminology - - CORRECT ANSWER- b) Listening, counseling, and communication skills You are teaching a prenatal breastfeeding class, and Simone tells you that with her first baby she became terribly engorged. She wants to know the best way to prevent that this time. What is your first, best advice? a) Breastfeed in the birthing room and as often as possible thereafter b) Pump after every breastfeed to make sure the breasts are completely empty c) Wear a good fitting, supportive bra as soon as she moves to postpartum d) Avoid drinking excessive fluids to keep edema to a minimum - - CORRECT ANSWER- a) Breastfeed in the birthing room and as often as possible thereafter Mary Grace just delivered as full-term baby. She has been in an insulin-dependent type 1 diabetic since she was 15-years-old. She has many questions and concerns about breastfeeding and her diabetes. Which of the following is true about diabetes and breastfeeding? a) Because of the increased sugar in her milk, t he baby will need to be supplemented with formula to prevent obesity b) Mary Grace will most likely find that her insulin needs are decreased so she will have to watch her glucose carefully c) In order to keep her blood glucose levels stabilized, Mary Grace should plan on formula-feeding the baby d) Breastfeeding will have no impact on her diabetes, so there is really nothing to be concerned about - - CORRECT ANSWER- b) Mary Grace will most likely find that her insulin needs are decreased so she will have to watch her glucose carefully You work in a family practice clinic and are looking for ways to help the women who are breastfeeding to nurse longer. In your research which of the following do you find has the most positive relationship with a longer duration of breastfeeding? a) Positive support from health care professionals b) Membership in mother or mother support groups c) Providing information to mothers about the dangers of formula d) Mother was enrolled in WIC - - CORRECT ANSWER- a) Positive support from health care professionals When interviewed most mothers who were breastfeeding said which of the following would help