CERTIFIED BREASTFEEDING COUNSELOR
CERTIFICATION REVIEW SOLVED
QUESTIONS WITH COMPLETE SOLUTION
●● The Ten Steps to Successful Breastfeeding include what elements?
Answer: A) Rooming-in, skin-to-skin contact after birth, and no pacifiers
anywhere in the hospital.
B) Rooming-in, skin-to-skin contact after birth, and no formula in the
hospital.
C) Hand expression education, rooming-in and skin-to-skin contact after
birth. *
D) Sleep training education, rooming-in and skin-to-skin contact after
birth.
●● The BFHI is seen to be a "fast track" option to a foundation of
enhanced public health. What are some of the consequences of
implementation, according to the PROBIT study?
Answer: A) Increased breastfeeding exclusivity and decreased cardiac
events
B) Increased breastfeeding duration and decreased obesity rates *
C) Increased breastfeeding initiation and decreased mastitis
D) Increased breastfeeding initiation and decreased hyperbilirubinemia
,●● When positioning the infant for breastfeeding, the mother's hand
should be
Answer: A) gently supporting the baby's head. *
B) gently supporting the baby's shoulders.
C) gently holding the mother's breast.
D) gently holding the baby's hand.
●● Research tells us that in a population of women that have never
breastfed, they may be at
Answer: A) increased risk of early menopause.
B) decreased risk of losing breast tone.
C) decreased risk of breast cancer.
D) increased risk of type 2 diabetes. *
●● A mother has an active Tuberculosis infection and is breastfeeding.
Are you concerned?
Answer: A) No. You know the recommendation is that a mother can
safely breastfeed with an active Tuberculosis infection.
B) Yes. You know the recommendation is that a mother should not
breastfeed at all with a Tuberculosis infection and must use formula.
C) Potentially. You know the recommendation is that a mother can
breastfeed once she has been on medication for at least two weeks. *
,D) Yes. You know the recommendation is that a mother taking
Tuberculosis medication cannot breastfeed due to concerns of
medication in the milk.
●● According to the Certified Lactation Counselor (CLC) Scope of
Practice, what sort of communication skills should a CLC use?
Answer: A) Non-verbal
B) Multi-lingual
C) Practitioner led
D) Client-centered*
●● A mother presents with shiny, flaky skin on her nipples and says they
are sore. How should the breastfeeding counselor proceed?
Answer: A) Refer the mother to the pharmacy to purchase and use a
lotion or cream.
B) Refer the mother to her health care provider with concerns about
herpes.
C) Refer the mother to her health care provider with concerns about
mastitis.
D) Refer the mother to her health care provider with concerns about
thrush.*
●● The hormone that stimulates ongoing milk production is
Answer: A) progesterone.
, B) prolactin. *
C) oxytocin.
D) somatostatin.
●● What are the two most important hormones responsible for milk
making and milk delivery?
Answer: A) Testosterone and prolactin
B) Prolactin and oxytocin*
C) Oxytocin and progesterone
D) Prolactin and estrogen
●● What is a potential breastfeeding-related concern about
pseudoephedrine (common name Sudafed)?
Answer: A) It has been linked to decreased milk production.
B) It has been linked to increased milk production.*
C) It has been linked to decreased breast sensation.
D) It has been linked to increased breast sensation.
●● What effects the amount of mother's own oxytocin production during
breastfeeding on day 4 after birth?
Answer: A) The amount of touching the mother received during labor
B) The amount of epidural the mother received during labor
C) The amount of IV oxytocin the mother received during labor *
CERTIFICATION REVIEW SOLVED
QUESTIONS WITH COMPLETE SOLUTION
●● The Ten Steps to Successful Breastfeeding include what elements?
Answer: A) Rooming-in, skin-to-skin contact after birth, and no pacifiers
anywhere in the hospital.
B) Rooming-in, skin-to-skin contact after birth, and no formula in the
hospital.
C) Hand expression education, rooming-in and skin-to-skin contact after
birth. *
D) Sleep training education, rooming-in and skin-to-skin contact after
birth.
●● The BFHI is seen to be a "fast track" option to a foundation of
enhanced public health. What are some of the consequences of
implementation, according to the PROBIT study?
Answer: A) Increased breastfeeding exclusivity and decreased cardiac
events
B) Increased breastfeeding duration and decreased obesity rates *
C) Increased breastfeeding initiation and decreased mastitis
D) Increased breastfeeding initiation and decreased hyperbilirubinemia
,●● When positioning the infant for breastfeeding, the mother's hand
should be
Answer: A) gently supporting the baby's head. *
B) gently supporting the baby's shoulders.
C) gently holding the mother's breast.
D) gently holding the baby's hand.
●● Research tells us that in a population of women that have never
breastfed, they may be at
Answer: A) increased risk of early menopause.
B) decreased risk of losing breast tone.
C) decreased risk of breast cancer.
D) increased risk of type 2 diabetes. *
●● A mother has an active Tuberculosis infection and is breastfeeding.
Are you concerned?
Answer: A) No. You know the recommendation is that a mother can
safely breastfeed with an active Tuberculosis infection.
B) Yes. You know the recommendation is that a mother should not
breastfeed at all with a Tuberculosis infection and must use formula.
C) Potentially. You know the recommendation is that a mother can
breastfeed once she has been on medication for at least two weeks. *
,D) Yes. You know the recommendation is that a mother taking
Tuberculosis medication cannot breastfeed due to concerns of
medication in the milk.
●● According to the Certified Lactation Counselor (CLC) Scope of
Practice, what sort of communication skills should a CLC use?
Answer: A) Non-verbal
B) Multi-lingual
C) Practitioner led
D) Client-centered*
●● A mother presents with shiny, flaky skin on her nipples and says they
are sore. How should the breastfeeding counselor proceed?
Answer: A) Refer the mother to the pharmacy to purchase and use a
lotion or cream.
B) Refer the mother to her health care provider with concerns about
herpes.
C) Refer the mother to her health care provider with concerns about
mastitis.
D) Refer the mother to her health care provider with concerns about
thrush.*
●● The hormone that stimulates ongoing milk production is
Answer: A) progesterone.
, B) prolactin. *
C) oxytocin.
D) somatostatin.
●● What are the two most important hormones responsible for milk
making and milk delivery?
Answer: A) Testosterone and prolactin
B) Prolactin and oxytocin*
C) Oxytocin and progesterone
D) Prolactin and estrogen
●● What is a potential breastfeeding-related concern about
pseudoephedrine (common name Sudafed)?
Answer: A) It has been linked to decreased milk production.
B) It has been linked to increased milk production.*
C) It has been linked to decreased breast sensation.
D) It has been linked to increased breast sensation.
●● What effects the amount of mother's own oxytocin production during
breastfeeding on day 4 after birth?
Answer: A) The amount of touching the mother received during labor
B) The amount of epidural the mother received during labor
C) The amount of IV oxytocin the mother received during labor *
