CLC CERTIFICATION EXAM ACTUAL EXAM TEST BANK
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
1. (T/F): Messages from the breast travel through the nervous system to the brain.
Then hormones travel to the breast through the blood stream.: True
2. From more recent research we now know that there are ___ nipple pores
functioning per feeding. o 3-5 o 9-27
o1
o 15-29: 3-5
3. The pituitary gland is important to:
o Oxytocin onlyo Prolactin and oxytocin o
Prolactin only
o None of the lactation hormones: Prolactin and
oxytocin
4. (T/F): Only new mothers have prolactin.: false
5. (T/F): As frequency of feeding decreases, prolactin levels decrease.: true
6. (T/F): Oxytocin is released only by nipple stretching.: false
7. What is?
- Influenced by nipple stretching among other stimuli- Temporarily affected by
stress - adrenalin: oxytocin
8. What is?
- Dependent on nipple stimulation
- Not decreased by stress: prolactin
9. (T/F): Mammal milk is the same for every species.: false
10. Mammal species with higher water content: o Feed less
frequently o Do not have good milk o Feed more frequently
o Only need to feed during the day: Feed more frequently
11. (T/F): Deer milk has more protein than goat milk.: true
12. (T/F): Human milk is higher in fat than dog milk.: false
13. _________ is one of the highest in lactose of all mammal milks, high in water,
low in protein and fat - a very dilute mammal milk: human milk
14. (T/F): Colostrum is made under the influence of pregnancy.: true
15. (T/F): Prolactin from frequent nipple stimulation and frequency of milk
removal triggers lactogenesis 2.: false
16. In general, preterm milk appears to be higher in ____ than mature milk.
o Oxytocino Volume
,o Protein, fat, and electrolytes
o Water and prolactin: protein, fat, and electrolytes
17. (T/F): Working mothers should be sure to pump an ever-increasing volume of
milk to meet the nutritional needs of a growing child.: False
18. Does breastmilk composition change as a baby gets older?: yes - fat content
increases which increases the calories w/out increasing the amount of volume
19. (T/F): According to research, it turns out that hind milk always is the highest
fat milk.: false
20. (T/F): Faster milk removal is associated with increased fat content.: true
21. (T/F): The gut pH for the breastfed baby gut is more basic than of the gut of a
formula-fed baby.: false
22. (T/F): There is a higher iron content in breastmilk than formula.: false
23. (T/F): Prostaglandins are an example of something that stimulate growth and
development of the gastrointestinal tract and gastrointestinal motility.: true
24. (T/F): Secretory IGA is a component of infant formula only.: false
25. (T/F): Suckling is something that decreases gastrin and increases somatostatin.:
false
26. (T/F): A species own milk decreases somatostatin.: true
27. (T/F): Babies lose more weight in the first post-partum days if there is labor
prior to a cesarean.: false
28. According to the American Academy of Pediatrics, all breastfeeding newborn
infants should be seen in the pediatric office by ______ days of age. o After 14 o
3 to 5 o 1 to 2 o 5 to 7: 3 to 5
29. Undernourished mothers make less milk than nourished mothers.: false
30. Drinking more water increases the milk supply of breastfeeding mothers.-
: false
31. A mother with a 32 A cup bra size will not make as much milk as a mother with
a C cup size.: false
32. A staff member is fond of telling mothers how expensive it is to formula feed
and how inexpensive it is to breastfeed. What is she doing when she talks to
mothers on this topic? o Prolonging breastfeeding o Promoting breastfeeding o
Protecting breastfeeding
o Supporting breastfeeding: promoting breastfeeding
33. Who currently collects the most comprehensive breastfeeding statistics in the
US? o The United States Breastfeeding Committee o Ross Laboratories
o The Centers for Disease Control (CDC)
o The US Department of Agriculture (WIC): The Centers for Disease Control (CDC)
, 34. Which of the following statements about prolactin is TRUE?
o Prolactin is a great laxative.o Prolactin causes milk to be
released. o Prolactin causes milk to be made.
o Prolactin is produced in the renal gland.: Prolactin causes
milk to be made.
35. Which of the following mechanisms causes oxytocin to be released? o
Complete delivery of the placenta o Elevated levels of gastrointestinal
hormones o Frequent feeding and milk removal
o Nipple stretching with appropriate latch on: Nipple stretching with appropriate latch
on
36. Lactogenesis II requires which of the following to succeed? o Frequent
milk removal and nipple stimulation o Adequate rest and alternating starting
breast at each feed. o Adequate protein and carbohydrates for the mother. o
Adequate maternal hydration and lack of maternal stress.: Frequent milk
removal and nipple stimulation
37. One way the fat content of milk suckled by the baby is determined is: o
The number of feedings in 24 hours
o The speed/efficiency with which the baby removes the milk o The
amount of fat in the mother's diet
o The amount of liquid in the mother's diet: The speed/efficiency with
which the baby removes the milk
38. Which of the following is the MOST effective at increasing gastrin and CCK and
decreasing somatostatin in the baby? o Increasing stress/anxiety o Crying before
sleep
o Focusing on objects 8-12 inches away o Feeding with species-specific
milk: Feeding with species-specific milk
39. According to the AAP regarding weight loss in the breastfeeding newborn: o
Weight loss of more than 7% from birth weight requires formula supplementation.
o Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems. o Weight loss of less than 7% from birth weight is a sign of
hypernatremia. o Weight loss of more than 7% from birth weight is not a concern
after day 5.: Weight loss of more than 7% from birth weight indicates possible
breastfeeding problems.
40. When undernourished mothers were supplemented with extra energy in their
diet, they:
o Had babies that gained weight slightly bettero Produced more nutritious milk
o Had babies that gained weight significantly better
o Responded to their infants more appropriately: Responded to their infants more
appropriately
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
1. (T/F): Messages from the breast travel through the nervous system to the brain.
Then hormones travel to the breast through the blood stream.: True
2. From more recent research we now know that there are ___ nipple pores
functioning per feeding. o 3-5 o 9-27
o1
o 15-29: 3-5
3. The pituitary gland is important to:
o Oxytocin onlyo Prolactin and oxytocin o
Prolactin only
o None of the lactation hormones: Prolactin and
oxytocin
4. (T/F): Only new mothers have prolactin.: false
5. (T/F): As frequency of feeding decreases, prolactin levels decrease.: true
6. (T/F): Oxytocin is released only by nipple stretching.: false
7. What is?
- Influenced by nipple stretching among other stimuli- Temporarily affected by
stress - adrenalin: oxytocin
8. What is?
- Dependent on nipple stimulation
- Not decreased by stress: prolactin
9. (T/F): Mammal milk is the same for every species.: false
10. Mammal species with higher water content: o Feed less
frequently o Do not have good milk o Feed more frequently
o Only need to feed during the day: Feed more frequently
11. (T/F): Deer milk has more protein than goat milk.: true
12. (T/F): Human milk is higher in fat than dog milk.: false
13. _________ is one of the highest in lactose of all mammal milks, high in water,
low in protein and fat - a very dilute mammal milk: human milk
14. (T/F): Colostrum is made under the influence of pregnancy.: true
15. (T/F): Prolactin from frequent nipple stimulation and frequency of milk
removal triggers lactogenesis 2.: false
16. In general, preterm milk appears to be higher in ____ than mature milk.
o Oxytocino Volume
,o Protein, fat, and electrolytes
o Water and prolactin: protein, fat, and electrolytes
17. (T/F): Working mothers should be sure to pump an ever-increasing volume of
milk to meet the nutritional needs of a growing child.: False
18. Does breastmilk composition change as a baby gets older?: yes - fat content
increases which increases the calories w/out increasing the amount of volume
19. (T/F): According to research, it turns out that hind milk always is the highest
fat milk.: false
20. (T/F): Faster milk removal is associated with increased fat content.: true
21. (T/F): The gut pH for the breastfed baby gut is more basic than of the gut of a
formula-fed baby.: false
22. (T/F): There is a higher iron content in breastmilk than formula.: false
23. (T/F): Prostaglandins are an example of something that stimulate growth and
development of the gastrointestinal tract and gastrointestinal motility.: true
24. (T/F): Secretory IGA is a component of infant formula only.: false
25. (T/F): Suckling is something that decreases gastrin and increases somatostatin.:
false
26. (T/F): A species own milk decreases somatostatin.: true
27. (T/F): Babies lose more weight in the first post-partum days if there is labor
prior to a cesarean.: false
28. According to the American Academy of Pediatrics, all breastfeeding newborn
infants should be seen in the pediatric office by ______ days of age. o After 14 o
3 to 5 o 1 to 2 o 5 to 7: 3 to 5
29. Undernourished mothers make less milk than nourished mothers.: false
30. Drinking more water increases the milk supply of breastfeeding mothers.-
: false
31. A mother with a 32 A cup bra size will not make as much milk as a mother with
a C cup size.: false
32. A staff member is fond of telling mothers how expensive it is to formula feed
and how inexpensive it is to breastfeed. What is she doing when she talks to
mothers on this topic? o Prolonging breastfeeding o Promoting breastfeeding o
Protecting breastfeeding
o Supporting breastfeeding: promoting breastfeeding
33. Who currently collects the most comprehensive breastfeeding statistics in the
US? o The United States Breastfeeding Committee o Ross Laboratories
o The Centers for Disease Control (CDC)
o The US Department of Agriculture (WIC): The Centers for Disease Control (CDC)
, 34. Which of the following statements about prolactin is TRUE?
o Prolactin is a great laxative.o Prolactin causes milk to be
released. o Prolactin causes milk to be made.
o Prolactin is produced in the renal gland.: Prolactin causes
milk to be made.
35. Which of the following mechanisms causes oxytocin to be released? o
Complete delivery of the placenta o Elevated levels of gastrointestinal
hormones o Frequent feeding and milk removal
o Nipple stretching with appropriate latch on: Nipple stretching with appropriate latch
on
36. Lactogenesis II requires which of the following to succeed? o Frequent
milk removal and nipple stimulation o Adequate rest and alternating starting
breast at each feed. o Adequate protein and carbohydrates for the mother. o
Adequate maternal hydration and lack of maternal stress.: Frequent milk
removal and nipple stimulation
37. One way the fat content of milk suckled by the baby is determined is: o
The number of feedings in 24 hours
o The speed/efficiency with which the baby removes the milk o The
amount of fat in the mother's diet
o The amount of liquid in the mother's diet: The speed/efficiency with
which the baby removes the milk
38. Which of the following is the MOST effective at increasing gastrin and CCK and
decreasing somatostatin in the baby? o Increasing stress/anxiety o Crying before
sleep
o Focusing on objects 8-12 inches away o Feeding with species-specific
milk: Feeding with species-specific milk
39. According to the AAP regarding weight loss in the breastfeeding newborn: o
Weight loss of more than 7% from birth weight requires formula supplementation.
o Weight loss of more than 7% from birth weight indicates possible breastfeeding
problems. o Weight loss of less than 7% from birth weight is a sign of
hypernatremia. o Weight loss of more than 7% from birth weight is not a concern
after day 5.: Weight loss of more than 7% from birth weight indicates possible
breastfeeding problems.
40. When undernourished mothers were supplemented with extra energy in their
diet, they:
o Had babies that gained weight slightly bettero Produced more nutritious milk
o Had babies that gained weight significantly better
o Responded to their infants more appropriately: Responded to their infants more
appropriately
