LACTATION CONSULTANT EXAM
QUESTIONS AND VERIFIED ANSWERS
A "nursing strike" may occur because of:
a) Introduction of solid foods
b) Infant no longer has an interest in the breast
c) Start of mother's menses
d) Mother starts a food reduction program - c) Start of mother's menses
A potential milk donor may be excluded by the Human Milk Banking Association if the
mother:
a) Has a 6 oz. glass of wine on a daily basis
b) Has been a practicing vegetarian for the last 3 years
c) Received a blood transfusion in the past 4 months
d) Has had influenza in the previous year - c) Received a blood transfusion in the past 4
months
A slow weight gaining infant will:
a) Have a decrease in frequency and amount of stool
b) Consistently gain weight, but slowly
c) Sleep for exceptionally long periods between feedings
, d) Is more apathetic than an infant with a good weight gain - b) Consistently gain weight,
but slowly
A type of research that focuses on relationships among variables is called:
a) Qualitative
b) Quantitative
c) Statistically significant
d) Randomized controlled trials - b) Quantitative
Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to
breastfeed. Which of the following would be the most helpful advice?
a) Room-in with Ethan, watching him for feeding cues
b) Wake him by washing his face with a cool, damp cloth
c) Make sure the nurses bring him in as soon as he cries
d) Coax him to the breast using drops of glucose water on the nipple - a) Room-in with
Ethan, watching him for feeding cues
Babies who have early contact with their mothers and who were provided with postpartum
support are more likely to:
a) Have a faster weight gain than babies who are separated from mom
b) Be able to sleep in their own room by one month
c) Be breastfed long enough to meet the mother's goals
d) Breastfeed more frequently at night - d) Breastfeed more frequently at night
Cherie, a new mother, with a 4-week-old infant, visits you for a breastfeeding evaluation.
In the process of taking her history, you find that Cherie eats mostly chips, cookies and
soda "because she is just too busy to prepare anything". Your MOST IMPORTANT
concern with Cherie's diet is:
a) The quality of her breast milk
b) The quantity of her breast milk
c) The health of the baby
d) The depletion of Cherie's nutrient stores - d) The depletion of Cherie's nutrient stores
Cheryl calls the lactation hot-line complaining that her milk supply is decreasing. She also
says that 4-week-old Ronnie spits up a lot and there appeared to be streaks of blood in
his stool earlier in the day. What is your first suggestion?
a) Take Ronnie to his pediatrician for an evaluation
b) Visit the lactation clinic immediately for an evaluation and feeding assessment
c) Have the mother record everything she has eaten in the last 48 hours to determine
what food is causing the symptoms
d) Tell the mother to eliminate dairy products for 14 days. Then keep a record of Ronnie's
spitting and a description of his stools - a) Take Ronnie to his pediatrician for an
evaluation
Cindy calls you saying her internist prescribed a new drug, "Diabloc" for her Crohn's
disease. She wonders if it's compatible with breastfeeding. Which of the following
properties of "Diabloc" might cause you to investigate further the safety of the use of the
drug in breastfeeding mothers?
a) Molecular weight = 825
b) Milk plasma ratio = 0.4%
c) Protein binding = 33%