CLC EXAM TEST BANK 2026 CERTIFIED LACTATION
CONSULTANT EXAM TEST BANK 220 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
The Ten Steps to Successful Breastfeeding (critical management
procedures)
1a. comply with the International code of marketing of breast-milk
substitutes & relevant world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to
staff & parents
1c. est. ongoing monitoring & data-management systems
2. ensure that staff have sufficient knowledge, competence, and skills to
support BF
,The Ten Steps to Successful Breastfeeding (key clinical practices )
3. discuss the importance & mgmt of BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF
as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than
breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice
rooming-in 24 hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
Highest level of evidence
meta-analysis an systematic review
An international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the
WHO in 1981
The International Code of Marketing of Breastmilk Substitutes (The code)
,The code
regulates the marketing of BM substitutes which includes formulas, teats
and bottles
The World Breastfeeding Trends Initiative is intended to
track, assess and monitor the implementation of the "Global Strategy" at
the country and sub-country level
How to support exclusive BFing
-expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_ _____ levels go down in b/t nursing's and rise during nursing
prolactin
Infrequent nursing leads to lower levels of this hormone even with the
same amount of nipple contact
prolactin
after delivery of the placenta
progesterone goes down and prolactin goes up
, Nipple stretching increases this hormone
oxytocin
Nipple stimulation increases this hormone
prolactin
3 mechanisms that can trigger oxytocin
conditioned response (milk ejection reflex), nipple stretching, baby hand
massage
Lactogenesis 1 is responsible for
production of colostrum, milk cells starting to develop
the birth of the placenta triggers
lactogenesis 2, a rapid drop in progesterone and transitional milk
lactogenesis 3
galactopoesis, mature milk, prolactin from frequent nipple stimulation
(* frequent removal of milk)
Lactogenesis 3 generally happens around when postpartum
3-5 days
CONSULTANT EXAM TEST BANK 220 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
The Ten Steps to Successful Breastfeeding (critical management
procedures)
1a. comply with the International code of marketing of breast-milk
substitutes & relevant world health assembly resolutions
1b. have a written infant feeding policy that is routinely communicated to
staff & parents
1c. est. ongoing monitoring & data-management systems
2. ensure that staff have sufficient knowledge, competence, and skills to
support BF
,The Ten Steps to Successful Breastfeeding (key clinical practices )
3. discuss the importance & mgmt of BF w/ pregnant women and families
4. facilitate immediate STS contact & support mother's to initiate BF
as soon as possible after birth
5. support mothers to initiate & maintain BF and manage common difficulties
6. do NOT provide breastfed newborns any food or fluids other than
breastmilk unless medically indicated
7. enable mothers & their infants to remain together and practice
rooming-in 24 hr/day
8. support mother's to recognize & respond to feeding cues
9. counsel mother's on use & risk of bottles, teats & pacifiers
10. coordinate d/c so families have timely access to ongoing support & care
Highest level of evidence
meta-analysis an systematic review
An international health policy framework to regulate the marketing of
breastmilk substitutes in order to protect breastfeeding, published by the
WHO in 1981
The International Code of Marketing of Breastmilk Substitutes (The code)
,The code
regulates the marketing of BM substitutes which includes formulas, teats
and bottles
The World Breastfeeding Trends Initiative is intended to
track, assess and monitor the implementation of the "Global Strategy" at
the country and sub-country level
How to support exclusive BFing
-expand the baby-friendly hospital initiative
-provide community-based strategies
-strengthen monitoring and enforcement of "the code"
-enact at least 6 months of paid maternity leave
-invest in protection, promotion and support
_ _____ levels go down in b/t nursing's and rise during nursing
prolactin
Infrequent nursing leads to lower levels of this hormone even with the
same amount of nipple contact
prolactin
after delivery of the placenta
progesterone goes down and prolactin goes up
, Nipple stretching increases this hormone
oxytocin
Nipple stimulation increases this hormone
prolactin
3 mechanisms that can trigger oxytocin
conditioned response (milk ejection reflex), nipple stretching, baby hand
massage
Lactogenesis 1 is responsible for
production of colostrum, milk cells starting to develop
the birth of the placenta triggers
lactogenesis 2, a rapid drop in progesterone and transitional milk
lactogenesis 3
galactopoesis, mature milk, prolactin from frequent nipple stimulation
(* frequent removal of milk)
Lactogenesis 3 generally happens around when postpartum
3-5 days
