CLC Nursing Exam 2025/2026 | Questions
and Answers | Evidence-Based &
Clinically Current
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
Justification: Pain at the start of feeding is most commonly due to incorrect latch technique.
2. Which hormone is responsible for the milk ejection
reflex?
A. Estrogen
B. Oxytocin
C. Prolactin
D. Progesterone
Correct Answer: B
Justification: Oxytocin initiates the let-down reflex by causing the milk-producing cells to
contract.
,3. Colostrum is highest in which nutrient?
A. Fat
B. Protein
C. Carbohydrates
D. Fiber
Correct Answer: B
Justification: Colostrum is rich in protective proteins such as IgA and 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
Justification: Feeding frequently helps increase bowel movements, aiding in eliminating
bilirubin.
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
Justification: This position improves visibility and control, especially for mothers with larger
breasts.
6. Which sign confirms adequate milk transfer?
A. Long pauses during suckling
B. Clicking sounds
, C. Dimpling of cheeks
D. Frequent unlatching
Correct Answer: A
Justification: Pauses during sucking typically reflect active
swallowing and effective milk transfer.
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
Justification: The most effective way to relieve engorgement is by regularly removing milk.
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
Justification: Continuing to empty the breast supports
recovery from 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
Justification: Maternal obesity has been shown to delay the onset of milk production.
and Answers | Evidence-Based &
Clinically Current
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
Justification: Pain at the start of feeding is most commonly due to incorrect latch technique.
2. Which hormone is responsible for the milk ejection
reflex?
A. Estrogen
B. Oxytocin
C. Prolactin
D. Progesterone
Correct Answer: B
Justification: Oxytocin initiates the let-down reflex by causing the milk-producing cells to
contract.
,3. Colostrum is highest in which nutrient?
A. Fat
B. Protein
C. Carbohydrates
D. Fiber
Correct Answer: B
Justification: Colostrum is rich in protective proteins such as IgA and 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
Justification: Feeding frequently helps increase bowel movements, aiding in eliminating
bilirubin.
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
Justification: This position improves visibility and control, especially for mothers with larger
breasts.
6. Which sign confirms adequate milk transfer?
A. Long pauses during suckling
B. Clicking sounds
, C. Dimpling of cheeks
D. Frequent unlatching
Correct Answer: A
Justification: Pauses during sucking typically reflect active
swallowing and effective milk transfer.
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
Justification: The most effective way to relieve engorgement is by regularly removing milk.
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
Justification: Continuing to empty the breast supports
recovery from 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
Justification: Maternal obesity has been shown to delay the onset of milk production.
