CLC Exam ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
How to support exclusive breastfeeding - CORRECT ANSWER Increase hospital and
health system capacity including revitalizing, expanding, and institutionalizing the baby-
friendly hospital initiative in health systems
Provide community based strategies including communication campaigns tailored to the
local context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and
subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and
support
What is the role of the pituitary glade in milk making? - CORRECT ANSWER
Messages from certain stimulation travels through the breast to the pituitary gland which
triggers it to produce prolactin and oxytocin which are two hormones needed to make
milk.
How in prolactin produced? - CORRECT ANSWER Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - CORRECT ANSWER Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes
with the association of smell, touch, sounds of baby at the breast. Also occurs on babies
end with knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - CORRECT ANSWER Nipple
stretching that occurs with a proper latch
What is a third way oxytocin can be triggered? - CORRECT ANSWER Baby hand
massage
What does prolactin do? - CORRECT ANSWER Enters receptor sites in the milk
making cells and helps produce breastmilk
What does oxytocin do? - CORRECT ANSWER Allows for the milk to move from the
milk making cells and through the nipple with "contractions" that squeeze the cells and
the ducts.
, Preterm milk - CORRECT ANSWER Appears to have different composition for the
first 5-7 weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not
matter if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - CORRECT ANSWER After one year of lactation the milk
expressed has significantly increased fat and energy contents, compared with milk
expressed by women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because the
composition of the milk changes
Breast milk composition changes... - CORRECT ANSWER Over the course of
lactation
Within the day there are variations on the composition of milk
Within a feeding
By the way it is taken during a feeding
and also between feedings
Fat content in breast milk - CORRECT ANSWER Longer times in between feedings
made for a lower fat content but faster feedings made for a higher fat content where as
feedings lasting longer than 30 mins made for a lower fat content
Breastfed babies can regulate far intake quickly and thus mothers should be
encouraged to practice baby led feeding
Maximum fat levels were obtained 30 mins post-feed
1 breast or 2? - CORRECT ANSWER There is no difference in baby's net far intake
according to the number of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2
whatever they want
Lactogenesis 1/Secretory Differentiation - CORRECT ANSWER Production of
colostrum from the placental hormones (progesterone)
When placenta delivers the progesterone levels drop to allow for prolactin to take its
place in the milk making cells
Lactogenesis 2/Secretory Activation - CORRECT ANSWER Begins when
progesterone leaves the cells and prolactin enters the receptor sites
Milk will be a mix of colostrum and mature milk
Lactogenesis 3/Galactopoesis - CORRECT ANSWER Long term production of mature
milk
Need frequent removal of milk and frequent nipple stimulation to continuously produce
milk
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
How to support exclusive breastfeeding - CORRECT ANSWER Increase hospital and
health system capacity including revitalizing, expanding, and institutionalizing the baby-
friendly hospital initiative in health systems
Provide community based strategies including communication campaigns tailored to the
local context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and
subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and
support
What is the role of the pituitary glade in milk making? - CORRECT ANSWER
Messages from certain stimulation travels through the breast to the pituitary gland which
triggers it to produce prolactin and oxytocin which are two hormones needed to make
milk.
How in prolactin produced? - CORRECT ANSWER Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - CORRECT ANSWER Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes
with the association of smell, touch, sounds of baby at the breast. Also occurs on babies
end with knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - CORRECT ANSWER Nipple
stretching that occurs with a proper latch
What is a third way oxytocin can be triggered? - CORRECT ANSWER Baby hand
massage
What does prolactin do? - CORRECT ANSWER Enters receptor sites in the milk
making cells and helps produce breastmilk
What does oxytocin do? - CORRECT ANSWER Allows for the milk to move from the
milk making cells and through the nipple with "contractions" that squeeze the cells and
the ducts.
, Preterm milk - CORRECT ANSWER Appears to have different composition for the
first 5-7 weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not
matter if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - CORRECT ANSWER After one year of lactation the milk
expressed has significantly increased fat and energy contents, compared with milk
expressed by women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because the
composition of the milk changes
Breast milk composition changes... - CORRECT ANSWER Over the course of
lactation
Within the day there are variations on the composition of milk
Within a feeding
By the way it is taken during a feeding
and also between feedings
Fat content in breast milk - CORRECT ANSWER Longer times in between feedings
made for a lower fat content but faster feedings made for a higher fat content where as
feedings lasting longer than 30 mins made for a lower fat content
Breastfed babies can regulate far intake quickly and thus mothers should be
encouraged to practice baby led feeding
Maximum fat levels were obtained 30 mins post-feed
1 breast or 2? - CORRECT ANSWER There is no difference in baby's net far intake
according to the number of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2
whatever they want
Lactogenesis 1/Secretory Differentiation - CORRECT ANSWER Production of
colostrum from the placental hormones (progesterone)
When placenta delivers the progesterone levels drop to allow for prolactin to take its
place in the milk making cells
Lactogenesis 2/Secretory Activation - CORRECT ANSWER Begins when
progesterone leaves the cells and prolactin enters the receptor sites
Milk will be a mix of colostrum and mature milk
Lactogenesis 3/Galactopoesis - CORRECT ANSWER Long term production of mature
milk
Need frequent removal of milk and frequent nipple stimulation to continuously produce
milk
