CLC Exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
The International Code - CORRECT ANSWERS addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs - CORRECT ANSWERS Protect, promote & Support-want all to be
equal
Levels of evidence based pyramid - CORRECT ANSWERS top - bottom: 1.Metanalysis
&systemic reviews 2. Single randomized controlled studies 3. Cohort studies 4. Case Controlled
Studies 5. Case Studies
When is greatest risk of stopping breastfeeding? - CORRECT ANSWERS 3-7 days (after going
home from hospital)
Top reasons people stop breastfeeding - CORRECT ANSWERS baby won't latch, breast
pain/soreness, work/school
Russ Labs Marketing Survey - CORRECT ANSWERS survey 1965-2001 formula company
tracking breastfeeding goals
Races in Order most likely to BF - CORRECT ANSWERS spanish speaking-hispanic, white,
hispanic, black
Global Strategy for Infant and young feeding - CORRECT ANSWERS WHO and UNICEF
developed this global strategy to focus world attention on impact of feeding practices on the
nutritional status, growth, development and health and thus the survival of infants and young children.
World Breastfeeding trends innitive - CORRECT ANSWERS help track how they are doing on
global outcomes
innocenti ospitale -florence - CORRECT ANSWERS BF orphan babies increased rate of
survival-today UNICEF child resource nutrition center
,path of messages to make milk - CORRECT ANSWERS message to breast-to nervous system -
to brain- to hormones to travel to breast- then to blood stream
what cells make milk - CORRECT ANSWERS alveolar cells
alveolar cells are what?
what are they surrounded by - CORRECT ANSWERS layer of cells with milk inside,
surrounded by myoepitheal cells
Myoepitheal cells will contract when what hits them - CORRECT ANSWERS oxytocin
Are the ducts in breast evenly spaced? - CORRECT ANSWERS No varies woman to woman
How many nipple pores each breast? - CORRECT ANSWERS 3-5
Milk is ____ &_____ from sebaceous gland - CORRECT ANSWERS antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from? - CORRECT
ANSWERS oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for? - CORRECT ANSWERS Milk production
What is the passage of prolactin being produced - CORRECT ANSWERS baby suckles-
message to nervous system tells brain to secrete prolacin in blood- then tranverse into mother body
into milk cells where milk is produced
When doe humans have prolactin in them - CORRECT ANSWERS all the time (non pregnant,
non lactating breast and nipples increase level of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during nursing. - CORRECT ANSWERS
down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount of contact. -
CORRECT ANSWERS infrequent
, If infants do no have frequent times at breast first few days prolactin will be _____ and sites will ____
be primed and receptor sites will start to ______ _______. - CORRECT ANSWERS low, not,
start shutting down
What is in receptor site during pregnancy? - CORRECT ANSWERS Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the receptor sites? -
CORRECT ANSWERS progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and they are open briefly,
what goes inside to set site for lactation? - CORRECT ANSWERS Prolactin
If prolactin is not set during first few hours after birth- - CORRECT ANSWERS there will be
fewer sites and cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after birth - CORRECT
ANSWERS 2
For mothers with preemies initation of milk expression before _______ hours resulted in significantly
more milk by day 7 - CORRECT ANSWERS one
What hormone T3, T4, T5 - CORRECT ANSWERS Oxytocin
When oxytocin hits myoepitheal cells what happens? - CORRECT ANSWERS They start
retracting
Oxytocin helps ducts to ______ in size and lumen to get ______ - CORRECT ANSWERS
increase, smaller
What triggers oxytocin? - CORRECT ANSWERS 1. conditioned response (repeated stimuli
over time) 2. Nipple Stretching (happens with proper latch- oxytocin levels goes up and down with
suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand movement releases oxytocin
CORRECT ANSWERS
The International Code - CORRECT ANSWERS addresses improper marketing practices
ex hospital giving out discharge packages with formula
Milking Stool- 3 legs - CORRECT ANSWERS Protect, promote & Support-want all to be
equal
Levels of evidence based pyramid - CORRECT ANSWERS top - bottom: 1.Metanalysis
&systemic reviews 2. Single randomized controlled studies 3. Cohort studies 4. Case Controlled
Studies 5. Case Studies
When is greatest risk of stopping breastfeeding? - CORRECT ANSWERS 3-7 days (after going
home from hospital)
Top reasons people stop breastfeeding - CORRECT ANSWERS baby won't latch, breast
pain/soreness, work/school
Russ Labs Marketing Survey - CORRECT ANSWERS survey 1965-2001 formula company
tracking breastfeeding goals
Races in Order most likely to BF - CORRECT ANSWERS spanish speaking-hispanic, white,
hispanic, black
Global Strategy for Infant and young feeding - CORRECT ANSWERS WHO and UNICEF
developed this global strategy to focus world attention on impact of feeding practices on the
nutritional status, growth, development and health and thus the survival of infants and young children.
World Breastfeeding trends innitive - CORRECT ANSWERS help track how they are doing on
global outcomes
innocenti ospitale -florence - CORRECT ANSWERS BF orphan babies increased rate of
survival-today UNICEF child resource nutrition center
,path of messages to make milk - CORRECT ANSWERS message to breast-to nervous system -
to brain- to hormones to travel to breast- then to blood stream
what cells make milk - CORRECT ANSWERS alveolar cells
alveolar cells are what?
what are they surrounded by - CORRECT ANSWERS layer of cells with milk inside,
surrounded by myoepitheal cells
Myoepitheal cells will contract when what hits them - CORRECT ANSWERS oxytocin
Are the ducts in breast evenly spaced? - CORRECT ANSWERS No varies woman to woman
How many nipple pores each breast? - CORRECT ANSWERS 3-5
Milk is ____ &_____ from sebaceous gland - CORRECT ANSWERS antimicrobial and sticky
what are the two major hormone of lactation? Where are they secreted from? - CORRECT
ANSWERS oxytocin and prolactin, pituitary gland
Prolactin is the hormone responsible for? - CORRECT ANSWERS Milk production
What is the passage of prolactin being produced - CORRECT ANSWERS baby suckles-
message to nervous system tells brain to secrete prolacin in blood- then tranverse into mother body
into milk cells where milk is produced
When doe humans have prolactin in them - CORRECT ANSWERS all the time (non pregnant,
non lactating breast and nipples increase level of prolactin when touched)
Prolactin levels go _____ in between nursing and _____ during nursing. - CORRECT ANSWERS
down, rise
_______ nursing leads to lower levels of prolactin and less rise with same amount of contact. -
CORRECT ANSWERS infrequent
, If infants do no have frequent times at breast first few days prolactin will be _____ and sites will ____
be primed and receptor sites will start to ______ _______. - CORRECT ANSWERS low, not,
start shutting down
What is in receptor site during pregnancy? - CORRECT ANSWERS Progesterone
When placenta leaves the body, the body responds by pushing ______ out of the receptor sites? -
CORRECT ANSWERS progesterone
When placenta is pushed out of body, progesterone leaves the receptor sites and they are open briefly,
what goes inside to set site for lactation? - CORRECT ANSWERS Prolactin
If prolactin is not set during first few hours after birth- - CORRECT ANSWERS there will be
fewer sites and cause issues with milk supply
Ongoing milk supply is associated with suckling within first ______ hours after birth - CORRECT
ANSWERS 2
For mothers with preemies initation of milk expression before _______ hours resulted in significantly
more milk by day 7 - CORRECT ANSWERS one
What hormone T3, T4, T5 - CORRECT ANSWERS Oxytocin
When oxytocin hits myoepitheal cells what happens? - CORRECT ANSWERS They start
retracting
Oxytocin helps ducts to ______ in size and lumen to get ______ - CORRECT ANSWERS
increase, smaller
What triggers oxytocin? - CORRECT ANSWERS 1. conditioned response (repeated stimuli
over time) 2. Nipple Stretching (happens with proper latch- oxytocin levels goes up and down with
suck and swallow)
3. baby hand massage (has to do with T3 and T5) each hand movement releases oxytocin
