CLC SECTION 1A & 1B WITH VERIFIED
SOLUTIONS
Exclusive cBF c- ccorrect canswers c--Infant cis creceiving conly cbreastmilk cas cits
cfood csource c(babies cmay calso cbe creceiving coral crehydration csolution, cvitamins,
cminerals, cor cother coral cmeds)
Contraindications cto cBF* c- ccorrect canswers c--Galactosemia c(the cONLY
cABSOLUTE ccontraindication cto cBF; cmust cget cspecial cformula)
-PKU c(phenylketonuria) c(must cget cspecial cformula, camount cof cBF callowed cwill
cbe cdetermined cby cmonitoring cinfants cblood clvls. cOther crare cmetabolic cblood
cdisds cimpact cinfant's cneeds)
-Premature cinfants cmay cneed cadditional cminerals, ccalories, c& cvitamins
-Some cprofessionals crec c400IU cof cvitamin cD cdaily cfor cBF cinfants c
-Other cmedical cor cnutritional. cconditions cmay crequire cadditions cto cinfants cdiet
,Predominant cFeeding c- ccorrect canswers c--Infant cis creceiving cmother's cmilk cas
cwell cas cwater, cwater cbased cdrinks, critual cfoods c(such cas cteas), c& coral
crehydration csolutions, cvitamins, cminerals c& coral cmeds. c(not creceiving cother
cfoods cor cdrinks clike cformula cor ccow cmilk)
Breastfeeding c- ccorrect canswers c--Infant cis creceiving chuman cmilk cas cwell cs
cany cother cfoods cor cfluids c(formula)
Complimentary cFeeding c- ccorrect canswers c--Child cid c6-23 cmos cold c& cIs
cgetting chuman cmilk c& csolid cor csemisolid cfood.
According cTo cWHO, cComplimentary cFeeding cShould cBe: c- ccorrect canswers c--
Timely c(starting cfoods cin caddition cto cBF cfrom c6 cmos)
- cAdequate c(nutritional cvalue)
-Safely cstored, cprepared c& cserved
-Appropriate cin ctexture c& csufficient cquantity
Complimentary cFood cAmount cBy cAge: c- ccorrect canswers c--2x cday cfor c6-8
cmos
-3x cday cfor c9-24 cmos
-Additional csnacks cmay cbe coffered c1-3x cdaily
Why cBF cis cStopped c- ccorrect canswers c--Concerns cabout cmilk cquality/quantity
-Feeding cproblems cduring c1st cweek
-Problems cw/ cinfant clatching cor csucking
-Lack cof cappropriate cinfo c& csupport
Original c10 cSteps cto cSuccessful cBF c(WHO/UNICEF c1989) c- ccorrect canswers
c--1. cHave cwritten cBF cpolicy cthat cis ccommunicated cto call chealth ccare cstaff
croutinely.
-2. cTrain chealthcare cstaff cin cskills cnecessary cto cimplement cthe cpolicy
-3. cInform cpregnant cwomen cabout cbenefits c& cmanagement cof cBF
-4. cHelp cmoms cinitiate cBF cwithin c30 cmin cof cbirth
-5. cShow cmoms chwo cto cBF c& chow cto cmaintain clactation, ceven cif cthey care
cseparated cfrom cbaby
-6. cGive cnewborn cno cfood cor cdrink cother cthan cBM, cunless cmedically cindicated
-7. cPractice crooming cin c(24 chrs ca cday)
-8. cEncourage cBF con cdemand
-9. cNo cpacifiers cor cartificial cnipples cto cBF cbabies
-10. cFoster cestablishment cof cBF csupport cgroups c& crefer cmoms cto cthem con
cdischarge
10 cSteps cto cSuccessful cBF c(2018) c- ccorrect canswers c--**1-2 cCritical
cManagement cProcedures
, -1. c(a.) cComply cw/ cInternational cCode cof cMarketing cof cBreast-milk cSubstitutes
c& crelevant cWorld cHealth cAssembly cresolutions
-1. c(b.) cHave cwritten cbaby cfeeding cpolicy cthat cis croutinely ccommunicated cto
cstaff c& cparents
-1. c(c.) cEstablish congoing cmonitoring c& cdata cmanagement csystems
-2. cEnsure cthat cstaff chave csufficient cknowledge, ccompetence, c& cskills cto
csupport cBF
-**3-10 cKey cClinical cPractices
-3. cDiscuss cimportance c& cmanagement cof cBF cw/ cpregnant cwomen c& cfamilies
4. cFacilitate cimmediate c& cuninterrupted cskin-to-skin c& csupport cmoms cto cinitiate
cBF cASAP cafter cbirth
-5. cSupport cmoms cto cinitiate c& cmaintain cBF c& cmanage ccommon cdifficulties
-6. cDo cno cprovide cBF cnewborn cany cfood cor cfluids cother cthan cBM, cunless
cmedically cindicated
-7. cEnable cmoms c& cinfants cto cremain ctogether c& cpractice crooming cin c24 chrs
ca cday
-8. cSupport cmoms cto crecognize c& crespond cto cinfant's ccues cfor cfeeding
-9. cCounsel cmoms con cthe cuse c& crisks cof cfeeding cbottles, cteats, c& cpacis
-10. cCoordinate cdischarge cso cthat cparents cand cinfants chave ctimely caccess cto
congoing csupport c& ccare
Step c1. c(a.) cComply cw/ cInternational cCode cof cMarketing cof cBreast-milk
cSubstitutes c& cRelevant cWorld cHealth cAssembly cResolutions c- ccorrect canswers
c--Purpose: cprotect cfamilies cfrom cinfluence cof cformula ccompanies
-Background: cthe c"Code" cwas cadopted cby cWorld cHealth cAssembly cin c1981 cto
cbe cimplemented cinternationally; chowever cis cit cnot cin cforce cin call cnations; cit
crequires cimplementation cof cthose caspects cof cthe cCode cthat cfall cwithin cthe
cfacility's cpurview
-Global cStandards: call cinfant cfeeding cbottles cuse cin cfacility chave cbeen
cpurchased cthru cnormal cchannels cand cnot creceived cfor cfree cor csubsidized
csupplies; cfacility chas cno cdisplay cof cproducts ccovered cunder cthe cCode cor
citems cw/ clogos cof cformula ccompanies, cor cnames cof cformula cproducts; cfacility
chas cpolicy cdescribing chow cit cabides cby cCode, cincluding cgetting cBM
csubstitutes, cnot caccepting csupport/gifts cfrom cproducers cor cdistributors cby
cproducts ccovered cby cthe cCode c& cnot cgiving csample cof cBM csubstitutes,
cfeeding cbottles, cor cteats; cat cleast c80% cof chealth cprofessionals cin cantenatal,
cdelivery, cor cnewborn ccare ccan cexplain cat cleast c2 celements cof cthe cCode.
Step c1. c(b.) cHave cwritten cbaby cfeeding cpolicy cthat cis croutinely ccommunicated
cto cstaff c& cparents c- ccorrect canswers c--Purpose: censure cexistence cof
cevidence-based cpolicy cpromoting cBF c& cdelineates cstandards cof ccare
-Global cStandards: chealth cfacility chas cwritten cinfant cfeeding cpolicy caddressing
cimplementation cof call c8 ckey cclinical cpractices cof cthe cTen cSteps, cCode
cimplementation, c& cregular ccompetency cassessment; cobservations cin cfacility
cconfirm cthat ca csummary cof cthe cpolicy cis cvisible cto cpregnant cwomen,
cmothers, cand cfamilies; creview cof cclinical cprotocols/standards crelated cto cBF c&
SOLUTIONS
Exclusive cBF c- ccorrect canswers c--Infant cis creceiving conly cbreastmilk cas cits
cfood csource c(babies cmay calso cbe creceiving coral crehydration csolution, cvitamins,
cminerals, cor cother coral cmeds)
Contraindications cto cBF* c- ccorrect canswers c--Galactosemia c(the cONLY
cABSOLUTE ccontraindication cto cBF; cmust cget cspecial cformula)
-PKU c(phenylketonuria) c(must cget cspecial cformula, camount cof cBF callowed cwill
cbe cdetermined cby cmonitoring cinfants cblood clvls. cOther crare cmetabolic cblood
cdisds cimpact cinfant's cneeds)
-Premature cinfants cmay cneed cadditional cminerals, ccalories, c& cvitamins
-Some cprofessionals crec c400IU cof cvitamin cD cdaily cfor cBF cinfants c
-Other cmedical cor cnutritional. cconditions cmay crequire cadditions cto cinfants cdiet
,Predominant cFeeding c- ccorrect canswers c--Infant cis creceiving cmother's cmilk cas
cwell cas cwater, cwater cbased cdrinks, critual cfoods c(such cas cteas), c& coral
crehydration csolutions, cvitamins, cminerals c& coral cmeds. c(not creceiving cother
cfoods cor cdrinks clike cformula cor ccow cmilk)
Breastfeeding c- ccorrect canswers c--Infant cis creceiving chuman cmilk cas cwell cs
cany cother cfoods cor cfluids c(formula)
Complimentary cFeeding c- ccorrect canswers c--Child cid c6-23 cmos cold c& cIs
cgetting chuman cmilk c& csolid cor csemisolid cfood.
According cTo cWHO, cComplimentary cFeeding cShould cBe: c- ccorrect canswers c--
Timely c(starting cfoods cin caddition cto cBF cfrom c6 cmos)
- cAdequate c(nutritional cvalue)
-Safely cstored, cprepared c& cserved
-Appropriate cin ctexture c& csufficient cquantity
Complimentary cFood cAmount cBy cAge: c- ccorrect canswers c--2x cday cfor c6-8
cmos
-3x cday cfor c9-24 cmos
-Additional csnacks cmay cbe coffered c1-3x cdaily
Why cBF cis cStopped c- ccorrect canswers c--Concerns cabout cmilk cquality/quantity
-Feeding cproblems cduring c1st cweek
-Problems cw/ cinfant clatching cor csucking
-Lack cof cappropriate cinfo c& csupport
Original c10 cSteps cto cSuccessful cBF c(WHO/UNICEF c1989) c- ccorrect canswers
c--1. cHave cwritten cBF cpolicy cthat cis ccommunicated cto call chealth ccare cstaff
croutinely.
-2. cTrain chealthcare cstaff cin cskills cnecessary cto cimplement cthe cpolicy
-3. cInform cpregnant cwomen cabout cbenefits c& cmanagement cof cBF
-4. cHelp cmoms cinitiate cBF cwithin c30 cmin cof cbirth
-5. cShow cmoms chwo cto cBF c& chow cto cmaintain clactation, ceven cif cthey care
cseparated cfrom cbaby
-6. cGive cnewborn cno cfood cor cdrink cother cthan cBM, cunless cmedically cindicated
-7. cPractice crooming cin c(24 chrs ca cday)
-8. cEncourage cBF con cdemand
-9. cNo cpacifiers cor cartificial cnipples cto cBF cbabies
-10. cFoster cestablishment cof cBF csupport cgroups c& crefer cmoms cto cthem con
cdischarge
10 cSteps cto cSuccessful cBF c(2018) c- ccorrect canswers c--**1-2 cCritical
cManagement cProcedures
, -1. c(a.) cComply cw/ cInternational cCode cof cMarketing cof cBreast-milk cSubstitutes
c& crelevant cWorld cHealth cAssembly cresolutions
-1. c(b.) cHave cwritten cbaby cfeeding cpolicy cthat cis croutinely ccommunicated cto
cstaff c& cparents
-1. c(c.) cEstablish congoing cmonitoring c& cdata cmanagement csystems
-2. cEnsure cthat cstaff chave csufficient cknowledge, ccompetence, c& cskills cto
csupport cBF
-**3-10 cKey cClinical cPractices
-3. cDiscuss cimportance c& cmanagement cof cBF cw/ cpregnant cwomen c& cfamilies
4. cFacilitate cimmediate c& cuninterrupted cskin-to-skin c& csupport cmoms cto cinitiate
cBF cASAP cafter cbirth
-5. cSupport cmoms cto cinitiate c& cmaintain cBF c& cmanage ccommon cdifficulties
-6. cDo cno cprovide cBF cnewborn cany cfood cor cfluids cother cthan cBM, cunless
cmedically cindicated
-7. cEnable cmoms c& cinfants cto cremain ctogether c& cpractice crooming cin c24 chrs
ca cday
-8. cSupport cmoms cto crecognize c& crespond cto cinfant's ccues cfor cfeeding
-9. cCounsel cmoms con cthe cuse c& crisks cof cfeeding cbottles, cteats, c& cpacis
-10. cCoordinate cdischarge cso cthat cparents cand cinfants chave ctimely caccess cto
congoing csupport c& ccare
Step c1. c(a.) cComply cw/ cInternational cCode cof cMarketing cof cBreast-milk
cSubstitutes c& cRelevant cWorld cHealth cAssembly cResolutions c- ccorrect canswers
c--Purpose: cprotect cfamilies cfrom cinfluence cof cformula ccompanies
-Background: cthe c"Code" cwas cadopted cby cWorld cHealth cAssembly cin c1981 cto
cbe cimplemented cinternationally; chowever cis cit cnot cin cforce cin call cnations; cit
crequires cimplementation cof cthose caspects cof cthe cCode cthat cfall cwithin cthe
cfacility's cpurview
-Global cStandards: call cinfant cfeeding cbottles cuse cin cfacility chave cbeen
cpurchased cthru cnormal cchannels cand cnot creceived cfor cfree cor csubsidized
csupplies; cfacility chas cno cdisplay cof cproducts ccovered cunder cthe cCode cor
citems cw/ clogos cof cformula ccompanies, cor cnames cof cformula cproducts; cfacility
chas cpolicy cdescribing chow cit cabides cby cCode, cincluding cgetting cBM
csubstitutes, cnot caccepting csupport/gifts cfrom cproducers cor cdistributors cby
cproducts ccovered cby cthe cCode c& cnot cgiving csample cof cBM csubstitutes,
cfeeding cbottles, cor cteats; cat cleast c80% cof chealth cprofessionals cin cantenatal,
cdelivery, cor cnewborn ccare ccan cexplain cat cleast c2 celements cof cthe cCode.
Step c1. c(b.) cHave cwritten cbaby cfeeding cpolicy cthat cis croutinely ccommunicated
cto cstaff c& cparents c- ccorrect canswers c--Purpose: censure cexistence cof
cevidence-based cpolicy cpromoting cBF c& cdelineates cstandards cof ccare
-Global cStandards: chealth cfacility chas cwritten cinfant cfeeding cpolicy caddressing
cimplementation cof call c8 ckey cclinical cpractices cof cthe cTen cSteps, cCode
cimplementation, c& cregular ccompetency cassessment; cobservations cin cfacility
cconfirm cthat ca csummary cof cthe cpolicy cis cvisible cto cpregnant cwomen,
cmothers, cand cfamilies; creview cof cclinical cprotocols/standards crelated cto cBF c&
