CLC CERTIFIED LACTATION COUNSELOR
PRACTICE PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉Which breast augmentation has a greater chance of lactation
insufficiency?. Answer: The periareolar incision is most significantly
associated with lactation insufficiency (Hurst, 1996).
◉Questions to ask when identifying flat/inverted nipples:. Answer:
Does the nipple ever evert when introduced to a stimuli? Does the
mother report that this is a new appearance for the nipple? Is the
area around the nipple engorged? Is there pitting edema around the
nipple?Is the baby able to compress the areola and breast tissue to
draw the nipple area into the mouth and form the teat?
◉Preventing engorgement and using the asymmetrical latch our
keys to managing breastfeeding with what type of nipples?. Answer:
Flat nipples
◉An inverted nipple looks like a slit or a fold and should not be
graded by appearance but by:. Answer: Function
, ◉Which type of nipples are more commonly associated with failure
to thrive and readmission for hypernatremic dehydration and
malnutrition in the baby?. Answer: Inverted nipples. Especially
important with grade 3 inverted nipples to do frequent weight
checks and assessment of milk transfer during breastfeeding.
◉Which grade of inverted nipples can be easily pulled out by
suckling or buy a breast pump?. Answer: Grade 1
◉Which grade of inverted nipples can be easily pulled out by
suckling or a breast pump but do not maintain the projection once
the babies mouth leaves the nipple or the pump flange is removed?.
Answer: Grade 2
◉Which grade of inverted nipples is difficult or impossible to pull
out. Some think that this is because of internal breast anomalies
(such as short ducts)?. Answer: Grade 3
◉What to consider when working with a mother who has inverted
nipples:. Answer: Using a hard plastic shell inside the bra between
feeds may help to dry and bring the nipple outward. Using a nipple
shield with inverted nipples may further reduce milk supply and put
the baby at risk for failure to thrive. Frequent weight checks are the
only way to know how the infant is doing breastfeeding on an
inverted nipple.
PRACTICE PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉Which breast augmentation has a greater chance of lactation
insufficiency?. Answer: The periareolar incision is most significantly
associated with lactation insufficiency (Hurst, 1996).
◉Questions to ask when identifying flat/inverted nipples:. Answer:
Does the nipple ever evert when introduced to a stimuli? Does the
mother report that this is a new appearance for the nipple? Is the
area around the nipple engorged? Is there pitting edema around the
nipple?Is the baby able to compress the areola and breast tissue to
draw the nipple area into the mouth and form the teat?
◉Preventing engorgement and using the asymmetrical latch our
keys to managing breastfeeding with what type of nipples?. Answer:
Flat nipples
◉An inverted nipple looks like a slit or a fold and should not be
graded by appearance but by:. Answer: Function
, ◉Which type of nipples are more commonly associated with failure
to thrive and readmission for hypernatremic dehydration and
malnutrition in the baby?. Answer: Inverted nipples. Especially
important with grade 3 inverted nipples to do frequent weight
checks and assessment of milk transfer during breastfeeding.
◉Which grade of inverted nipples can be easily pulled out by
suckling or buy a breast pump?. Answer: Grade 1
◉Which grade of inverted nipples can be easily pulled out by
suckling or a breast pump but do not maintain the projection once
the babies mouth leaves the nipple or the pump flange is removed?.
Answer: Grade 2
◉Which grade of inverted nipples is difficult or impossible to pull
out. Some think that this is because of internal breast anomalies
(such as short ducts)?. Answer: Grade 3
◉What to consider when working with a mother who has inverted
nipples:. Answer: Using a hard plastic shell inside the bra between
feeds may help to dry and bring the nipple outward. Using a nipple
shield with inverted nipples may further reduce milk supply and put
the baby at risk for failure to thrive. Frequent weight checks are the
only way to know how the infant is doing breastfeeding on an
inverted nipple.
