CLC STUDY GUIDE EXAM QUESTIONS
& ANSWERS (100 %SCORE) LATEST
UPDATE 2025/2026
Grades of Inverted Nipples - CORRECT ANSWER ✔✔- Grade 1- can be easily
pulled out
Grade 2- can be pulled out but don't maintain projection
Grade 3- difficult or impossible to pull out
Sheehan's Syndrome - CORRECT ANSWER ✔✔- Impaired function/ death of of
an area in the Pituitary
BF is not advisable at all for mother's with - CORRECT ANSWER ✔✔- HIV,
Ebola, Human T-Cell Lymphotropic virus, using illicit street drugs such as cocaine
BF should temporarily be stopped if - CORRECT ANSWER ✔✔- herpes with
lesions on breast, untreated brucellosis, undergoing diagnostic imaging with
radiopharmacuticals.
BF should temporarily stop but can feed expressed milk when - CORRECT
ANSWER ✔✔- Untreated active tuberculosis, active chicken pox that developed 5
days prior to delivery up to 2 days following delivery
9 stages of skin to skin - CORRECT ANSWER ✔✔- 1.) The birth cry
2.)Relaxation
3.) Awakening
1|Page
,4.) Activity
5.) Rest
6.) Crawling
7.)Familiarization
8.) Suckling
9.) Sleeping
when should skin to skin should be done - CORRECT ANSWER ✔✔- in the first
hour after birth
Candida albicans & it's treatment - CORRECT ANSWER ✔✔- yeast thrush that
can be seen in baby's mouth.
Nyastatin Ointment or Fluconazole (diflucan) oral capsules
Raynaud's - CORRECT ANSWER ✔✔- vasospasm of nipples, white blue &
raspberry colored. Spasmodic excruciating pain irritated by cold temperatures.
Bleb - CORRECT ANSWER ✔✔- Small white spot on nipple, stabbing pinpoint
pain.
mastitis - CORRECT ANSWER ✔✔- Breast inflammation in tissues or ducts.
Accompanied by fever / flu like symptoms.
Galactogogues - CORRECT ANSWER ✔✔- Substances believed to increase milk
production
2|Page
, When are prolactin levels highest? - CORRECT ANSWER ✔✔- In the morning.
Especially in early lactation
Increases with nipple stimulation - CORRECT ANSWER ✔✔- prolactin
Hormone responsible for milk production - CORRECT ANSWER ✔✔- prolactin
When does prolactin peak/drop - CORRECT ANSWER ✔✔- Peaks right after a
feeding, drops between feedings
After delivery of placenta, there is a rapid drop in _____&_____ and causing of a
surge in _______. - CORRECT ANSWER ✔✔- estrogen & progesterone,
prolactin.
Hormone released w/ nipple stretching - CORRECT ANSWER ✔✔- Oxytocin
Responsible for milk letdown & uterine contractions - CORRECT ANSWER ✔✔-
Oxytocin
Lactogenesis 1 - CORRECT ANSWER ✔✔- Happens during pregnancy, placenta
releases progesterone which makes colostrum.
Secretory Differentiation
Lactogenesis 2 - CORRECT ANSWER ✔✔- Happens after birth of placenta, rapid
drop in progesterone. Transition from colostrum to mature milk. Increase in
volume.
3|Page
& ANSWERS (100 %SCORE) LATEST
UPDATE 2025/2026
Grades of Inverted Nipples - CORRECT ANSWER ✔✔- Grade 1- can be easily
pulled out
Grade 2- can be pulled out but don't maintain projection
Grade 3- difficult or impossible to pull out
Sheehan's Syndrome - CORRECT ANSWER ✔✔- Impaired function/ death of of
an area in the Pituitary
BF is not advisable at all for mother's with - CORRECT ANSWER ✔✔- HIV,
Ebola, Human T-Cell Lymphotropic virus, using illicit street drugs such as cocaine
BF should temporarily be stopped if - CORRECT ANSWER ✔✔- herpes with
lesions on breast, untreated brucellosis, undergoing diagnostic imaging with
radiopharmacuticals.
BF should temporarily stop but can feed expressed milk when - CORRECT
ANSWER ✔✔- Untreated active tuberculosis, active chicken pox that developed 5
days prior to delivery up to 2 days following delivery
9 stages of skin to skin - CORRECT ANSWER ✔✔- 1.) The birth cry
2.)Relaxation
3.) Awakening
1|Page
,4.) Activity
5.) Rest
6.) Crawling
7.)Familiarization
8.) Suckling
9.) Sleeping
when should skin to skin should be done - CORRECT ANSWER ✔✔- in the first
hour after birth
Candida albicans & it's treatment - CORRECT ANSWER ✔✔- yeast thrush that
can be seen in baby's mouth.
Nyastatin Ointment or Fluconazole (diflucan) oral capsules
Raynaud's - CORRECT ANSWER ✔✔- vasospasm of nipples, white blue &
raspberry colored. Spasmodic excruciating pain irritated by cold temperatures.
Bleb - CORRECT ANSWER ✔✔- Small white spot on nipple, stabbing pinpoint
pain.
mastitis - CORRECT ANSWER ✔✔- Breast inflammation in tissues or ducts.
Accompanied by fever / flu like symptoms.
Galactogogues - CORRECT ANSWER ✔✔- Substances believed to increase milk
production
2|Page
, When are prolactin levels highest? - CORRECT ANSWER ✔✔- In the morning.
Especially in early lactation
Increases with nipple stimulation - CORRECT ANSWER ✔✔- prolactin
Hormone responsible for milk production - CORRECT ANSWER ✔✔- prolactin
When does prolactin peak/drop - CORRECT ANSWER ✔✔- Peaks right after a
feeding, drops between feedings
After delivery of placenta, there is a rapid drop in _____&_____ and causing of a
surge in _______. - CORRECT ANSWER ✔✔- estrogen & progesterone,
prolactin.
Hormone released w/ nipple stretching - CORRECT ANSWER ✔✔- Oxytocin
Responsible for milk letdown & uterine contractions - CORRECT ANSWER ✔✔-
Oxytocin
Lactogenesis 1 - CORRECT ANSWER ✔✔- Happens during pregnancy, placenta
releases progesterone which makes colostrum.
Secretory Differentiation
Lactogenesis 2 - CORRECT ANSWER ✔✔- Happens after birth of placenta, rapid
drop in progesterone. Transition from colostrum to mature milk. Increase in
volume.
3|Page
