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CLC Nursing Exam 2025/2026 | Verified Questions and Correct Answers | Graded A+ | Evidence-Based & Clinically Current

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1. A mother reports nipple pain only during latch. What is the most likely cause? A. Engorgement B. Shallow latch C. Mastitis D. Milk bleb Correct Answer: B — Shallow latch Rationale: Pain at the moment of latch is almost always caused by improper latch positioning. 2. Which hormone is responsible for the milk ejection reflex? A. Estrogen B. Oxytocin C. Prolactin D. Progesterone Correct Answer: B — Oxytocin Rationale: Oxytocin triggers let-down by contracting myoepithelial cells. 3. Colostrum is highest in which nutrient? A. Fat B. Protein C. Carbohydrates D. Fiber

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✅ CLC Nursing Exam 2025/2026 | Verified Questions and Correct Answers | Graded A+ | Evidence-
Based & Clinically Current



Verified, evidence-based, clinically aligned with /2026 lactation standards




1. A mother reports nipple pain only during latch. What is the most likely cause?
A. Engorgement
B. Shallow latch
C. Mastitis
D. Milk bleb

Correct Answer: B — Shallow latch
Rationale: Pain at the moment of latch is almost always caused by improper latch positioning.




2. Which hormone is responsible for the milk ejection reflex?
A. Estrogen
B. Oxytocin
C. Prolactin
D. Progesterone

Correct Answer: B — Oxytocin
Rationale: Oxytocin triggers let-down by contracting myoepithelial cells.

,✅ CLC Nursing Exam 2025/2026 | Verified Questions and Correct Answers | Graded A+ | Evidence-
Based & Clinically Current

3. Colostrum is highest in which nutrient?
A. Fat
B. Protein
C. Carbohydrates
D. Fiber

Correct Answer: B — Protein
Rationale: Colostrum contains high levels of immunologic proteins (IgA, lactoferrin).




4. A newborn with jaundice should breastfeed how often?
A. Every 6–8 hours
B. 2 times per day
C. 8–12 times per day
D. Only when showing hunger cues

Correct Answer: C — 8–12 times per day
Rationale: Frequent feeds increase stooling → bilirubin excretion.




5. The best position for a mother with large breasts is usually:
A. Supine
B. Football hold
C. Cradle hold
D. Side-lying

Correct Answer: B — Football hold
Rationale: Offers visibility and more control with larger breasts.




6. Which sign confirms adequate milk transfer?
A. Long pauses during suckling
B. Clicking sounds

,✅ CLC Nursing Exam 2025/2026 | Verified Questions and Correct Answers | Graded A+ | Evidence-
Based & Clinically Current

C. Dimpling of cheeks
D. Frequent unlatching

Correct Answer: A — Long pauses during suckling Rationale:
Pauses indicate swallowing and milk flow.




7. The best treatment for breast engorgement in the first 48 hours postpartum is:
A. Frequent feeding
B. Cold compress before feeding
C. Avoid feeding on affected side
D. Stop breastfeeding temporarily

Correct Answer: A — Frequent feeding
Rationale: Removing milk is the primary intervention.




8. A mother with mastitis should:
A. Stop breastfeeding
B. Increase feeding frequency
C. Pump and discard milk
D. Switch to formula

Correct Answer: B — Increase feeding frequency Rationale:
Continued milk removal helps resolve infection.




9. The most common cause of delayed lactogenesis II is:
A. Maternal obesity
B. High protein intake
C. Frequent breastfeeding
D. Lactose intolerance

Correct Answer: A — Maternal obesity

, ✅ CLC Nursing Exam 2025/2026 | Verified Questions and Correct Answers | Graded A+ | Evidence-
Based & Clinically Current

Rationale: Obesity is independently associated with delayed milk onset.

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