Certified Lactation Consultant Exam Questions and Answers (Verified Answers)

Certified Lactation Consultant Exam Questions and Answers (Verified Answers) Certified Lactation Consultant Exam Questions and Answers (Verified Answers) Certified Lactation Consultant Exam Questions and Answers (Verified Answers) Certified Lactation Consultant Exam Questions and Answers (Verified Answers) 1. A staff member is fond of telling mothers how expensive it is to formula feed infants and how inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic? Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting breastfeeding : Promoting breastfeeding 2. Who currently collects the most comprehensive breastfeeding statistics in the United States? The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control (CDC) The US Department of Agriculture (WIC) : CDC 3. Which of the following statements about prolactin is TRUE? Prolactin is a great laxative. Prolactin causes milk to be released. Prolactin causes milk to be made. Prolactin is produced in the renal gland.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 1 of 69 7/29/2024, 2:43 AM 2 / 34 : - Prolactin causes milk to be made. 4. Which of the following mechanisms cause oxytocin to be released? Com- plete delivery of the placenta Elevated levels of gastrointestinal hormones Frequent feeding and milk removal Nipple stretching with appropriate latch-on : Nipple stretching with appropriate latch-on 5. Lactogenesis III requires which of the following to succeed? Frequent milk removal and nipple stimulation. Adequate rest and alternating starting breast at each feed. Adequate protein and carbohydrates for the mother. Adequate maternal hydration and lack of maternal stress. : Frequent milk removal and nipple stimulation. 6. One way the fat content of milk suckled by the baby is determined is: The number of feedings in 24 hours The speed/efficiency with which the baby removes milk The amount of fat in the mother's diet The amount of liquid in the mother's dietCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 2 of 69 7/29/2024, 2:43 AM 3 / 34 : The speed/efficiency with which the baby removes milk 7. Which of the following is the MOST effective at increasing gastrin and CCK and decreasing somatostatin in the baby? Increasing stress/anxiety Crying before sleep Focusing on objects 8-12 inches away Feeding with species-specific milk : Feeding with species-specific milk 8. According to the AAP regarding weight loss in the breastfeeding newborn: Weight loss of more than 7% from birth weight requires formula supplemen- tation. Weight loss of more than 7% from birth weight indicates possible breastfeed- ing problems.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 3 of 69 7/29/2024, 2:43 AM 4 / 34 Weight loss of less than 7% from birth weight is a sign of hypernatremia. 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. 9. When undernourished mothers were supplemented with extra energy in their diet, they: Had babies that gained weight slightly better Produced more nutritious milk Had babies that gained weight significantly better Responded to their infants more appropriately : Responded to their infants more appropriately 10. Harmful bacteria have difficulty growing in the breastfed infants' gut be- cause the composition of breastmilk: Raises the pH of the gut to a basic level Provides too much iron for harmful bacteria to grow Fosters the growth of good bacteria that crowd out other organisms Fosters the growth of B12 in the large intestine : Fosters the growth of good bacteria that crowd out other organismsCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 4 of 69 7/29/2024, 2:43 AM 5 / 34 11. Colostrum is made after there is a complete delivery of the placenta. True False : F 12. Lactogenesis 2 occurs after the complete delivery of the placenta. True False : T 13. Lactogenesis 3 is also called Galactocemia. True False : F It is called galactopoiesis 14. The following statement about Lactogenesis 3 is NOT true: It is also called Galactopoiesis. Prolactin levels rise because of nipple stimu- lation. Frequency of removal of milk decreases milk in the breast. It is driven by the nursing parent's fluid intake.: It is driven by the nursing parent's fluid intake. 15. Engorgement is physiologically normal and is a marker for an excellentCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 5 of 69 7/29/2024, 2:43 AM 6 / 34 future of milk supply. True False: F 16. The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 6 of 69 7/29/2024, 2:43 AM 7 / 34 True False: T 17. For all breastfeeding individuals, bras are essential for comfort during lactation. True False: F 18. Breast surgery can potentially impact breastfeeding. True False: T 19. Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency.True False: False. Peri-areolar incisions are MOST likely associated w/ milk insufficiency 20. When considering both chest masculinization surgery and breast reduc- tion surgery: The likelihood of breastfeeding is unknown. Assessment and close nutritional follow up is key. It is important to assure nutrition of the infant. All of the above: All of the above 21. Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red flag" for close assessment and follow up.True False: T 22. Hypoplastic breasts always make ample milk. TrueCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 7 of 69 7/29/2024, 2:43 AM 8 / 34 False: F 23. There is no concern when a client reports a breast implant on only one side. True False: F This could indicate history of discrepant breast size. 24. With flat and inverted nipples, there will be inadequate production of milk-making hormones because prolactin involves nipple stretching while oxytocin involves nipple stroking. True False: F Prolactin = nipple stroking Oxytocin = nipple stretching 25. The nipple stretches to four times its resting length in the baby's mouth, according to Smith's research.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 8 of 69 7/29/2024, 2:43 AM 9 / 34 True False: F Stretches to 2x its length 26. An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they cannot form a teat. True False: F 27. When counseling someone who has had a breast surgery, it is important to consider: If the milk ducts are patent If the nipple pores are patent The need to monitor the baby's weight gain very closely All of the above: All of the above 28. Grade 3 inverted nipples are difficult or impossible to pull out/evert. True False: T 29. You can tell looking at a nipple at rest how it will function. True False: F 30. One concern about Grade 3 inverted nipples involves: Prolactin levels Oversupply issues Engorgement All of the above: Prolactin levels (decreased nipple stroking/stretching)Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 9 of 69 7/29/2024, 2:43 AM 10 / 31. Almost all mothers have grade 3 inverted nipples. True False: F 32. Prenatal nipple preparation should be recommended for all women.True False: F No research supports, in fact research showed that the non-treatment group BF for longer duration 33. Jo Alexander's research indicates that 1 out of 5 women have inverted nipples. True False: F 3/5 mothers has inverted nipples. 34. The best way to prepare and inverted nipple for breastfeeding is: Doing nothing to the nipple during pregnancy Stretching the nipple and areola during pregnancyCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 10 of 69 7/29/2024, 2:43 AM 11 / Using a breast shell during pregnancy Stretching the nipple and using a breast shell during pregnancy: Doing nothing to the nipple during pregnancy 35. The women who used a breast shell had the best breastfeeding outcomes at 6 weeks in the Alexander study. True False: F 36. The Alexander study has implications for postpartum care. Sometimes true Always true Sometimes false False: F 37. Anemia is a marker for an ample milk supply. True False: F 38. Henley's research showed 1 in 10 mothers may be anemic. True False: False. 1 in 5 mother's may be anemic. 39. Even a well-managed hemorrhage can result in Sheehan's syndrome.True False: T 40. Some research suggests that women who are obese may have a delay in lactogenesis 2. TrueCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 11 of 69 7/29/2024, 2:43 AM 12 / False: T 41. One concern about corticosteroids used to prepare the baby's lungs for breathing during threatened preterm labor is: An increase in engorgement Sheehan's syndrome A possible delay in lactogenesis 1 A possible delay in lactogenesis 2: A possible delay in lactogenesis 2 42. Smoking cigarettes is an absolute contraindication to breastfeeding. True False: F 43. Prolactin levels are high in mothers who use tobacco products. True False: F 44. Babies of smoking mothers may nap less, according to research. True False: T 45. Cadmium levels are higher in breastmilk than in infant formula.True False: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 12 of 69 7/29/2024, 2:43 AM 13 / 46. Soy formula has less cadmium than cow milk based formulas. True False: F 47. The low fat solubility of cannabinoids make it difficult to analyze their presence in breastmilk. True False: F. The HIGH fat solubility of cannabinoids make it difficult to analyze their presence in breastmilk.We know that THC is still measurable in milk ~6 days after maternal marijuana use. 48. Retained placental fragments can impact the increase in milk volume or milk "coming in." True False: T 49. It is never safe to breastfeed an older baby when pregnant. True False: F 50. Twins are considered to be tandem nursers. True False: F. Tandem nursing is nursing two babies from different pregnancies at the same time. 51. The data on pacifiers has been contradictory. Even high-level evidence shows some differences in results. TrueCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 13 of 69 7/29/2024, 2:43 AM 14 / False: T 52. Concerns about pacifiers include all of the following, except: increased diarrhea rates increased ear infections decreased ear infections possible impact on milk production: decreased ear infections 53. When counseling, a pacifier might be a sign of an as-yet undescribed breastfeeding problem. False True: T May indicate: soreness, hunger cues, crying, sleep problems, etc. Consider: "why is the pacifier being used?"...parents need more BF training 54. Pacifiers: Are easy to clean Never interfere with breastfeeding May have a role in the NICU for infants whoCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 14 of 69 7/29/2024, 2:43 AM 15 / are premature Increase the time to oral feeds for preterm infants: May have a role in the NICU for infants who are premature *Pacifiers for preemies: -May have earlier hospital discharge-tube fed babies may gain faster with pacifiers and have improved physiologic and behavioral responses-REDUCED the time to full oral feeds 55. Which of the following are true? There are possible concerns about ade- quate breast stimulation if a nipple shield is used. There are possible concerns about the nutrition of the baby if a nipple shield is used. Some studies showed there may be a role for the use of nipple shields in the NICU with pump dependent mothers but that does not mean they should universally be used. All of the above are true.: All of the above are true. 56. Those who had a negative experience with breastfeeding support had a higher risk of postpartum depression. True False: T 57. In order to improve confidence, lactation care providers should give any reassurance to parents, even if it's not true. True False: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 15 of 69 7/29/2024, 2:43 AM 16 / 58. There is usually only one reason for milk supply issues. True False: F 59. Along with colleagues,Women's Ways of Knowing was written by: Barbara Dossey Mary Higgins Clark Mary Belenky Carol Gilligan: Mary Belenky 60. Prenatal breastfeeding groups should always involve using the most sci- entific words and plenty of PowerPoint slides to meet the needs of all types of knowers. True False: F 61. benefit from the opportunity to see and then return demonstration when learning a new skill.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 16 of 69 7/29/2024, 2:43 AM 17 / Women in Silence Receivers of Knowledge Subjective Knowers Procedural Knowers: Receivers of Knowledge 62. In the hierarchy of infant feeding, mothers expressed milk is number 1. True False: F Baby at Mother's breast is #1 1. Mother's milk at the breast2. Mother's own expressed milk3. Donated Breastmilk at a registered milk bank4. Commercial infant formulas 63. The FDA has never had reports of injuries from breast pumps. True False: F 64. Breast pump flanges come in various sizes; finding the right size can improve the comfort and efficiency of milk removal. True False: T 65. Research has shown that milk expressed by a breast pump has higher fat milk than milk that is expressed by hand (manually). T/F: F. Milk expressed by hand has a higher fat content than milk expressed by an electronic pump.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 17 of 69 7/29/2024, 2:43 AM 18 / 66. Breastmilk is not considered a raw food, as it is warm when removed from the breast. T/F: F 67. Breastmilk from Human Milk Banking Association of North America has been screened by donor history, serology and bacteriology. T/F: T 68. Informal sharing of breastmilk is always safe. T/F: F 69. Research shows that the personalization of the microbiota of pasteurized donor milk with mother's own milk showed no difference with the microbiota within the combined milk. T/F: F 70. Human milk purchased on the internet is a safe option for people who do not live near an approved milk bank. T/F: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 18 of 69 7/29/2024, 2:43 AM 19 / 71. The hierarchy of infant feeding choices puts soy formula above cow milk formula, as it is plant-based. T/F: F 72. US research shows that parents are well informed about how to correctly prepare formula. T/F: F 73. Clostridia and its spores have been found in infant formula. T/F: T 74. Powdered infant formula is always a sterile product. T/F: F 75. The reason for mixing powdered infant formula with the water (158 F) is because of potentially dangerous organisms that could be in the infant formula.: T 76. Research discussed in this section explained that percent of new- borns spit up daily in the first month of life. 73% 100% 50% 5%: 73% 77. It is important to understand the difference between health claims and mar- keting claims, when examining promotional material from formula companies. T/F: T 78. Evidence shows that supplementing breastfeeding mothers with LCPUFA will improve growth and development of the baby.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 19 of 69 7/29/2024, 2:43 AM 20 / T/F: F 79. The major concern about homemade formulas is that they may decrease the profits of formula companies. T/F: F 80. Scurvy was found to be associated with giving babies almond milk in the first year of life. T/F: T 81. In this section, we discuss how the recommended the use of WHO growth charts in 2010. FDA HH S CD C ALPP: CDC 82. Which of the following statements is true? Relative to babies who are solely formula-fed, breastfed babies:Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 20 of 69 7/29/2024, 2:43 AM 10 / 34 Gain more at first and then slow down the rate of growth at around 4 -6 months. Gain less than formula-fed babies at first but then should catch up by around 4 months. Gain at the same pace as formula-fed babies throughout the first year. Gain less than formula-fed babies throughout the first year.: Gain more at first and then slow down the rate of growth at around 4 -6 months. 83. Research reported in this section showed a relationship between exclusive breastmilk and decreased risk of non-insulin dependent diabetes (or in some cases a later onset of NIDDM). T/F: T 84. Obesity rates of children who had been formula fed are greater than those who were breastfed. T/F: T 85. Along with , breastfeeding is one of the strategies for obesity prevention. Vitamin E supplements Increased physical activities Less time in subways More time in the classroom: Increased physical activities 86. This section reported that 1 in babies have galactocemia. 1,000 100,000 40,000 60,000: 60,000Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 21 of 69 7/29/2024, 2:43 AM 10 / 34 87. When looking at diseases and medications, it is important to have an excellent memory. T/F: F 88. The Center for Disease Control keeps an updated list of contraindications to breastfeeding on their website and it is important to check there each and every time you are asked about contraindications. T/F: T 89. The most up to date evidence-based medication and lactation information can be found: In a textbook on your desk On the LactMed website In your notes from a conference By searching on the internet for blogs or other people's experiences: On the LactMed websiteCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 22 of 69 7/29/2024, 2:43 AM 11 / 34 90. Mothers who smoke may wean earlier because: Their time is consumed by smoking. Their prolactin levels are lower.Their babies are jittery and crabbier.Their milk is too full of nicotine to feed babies.- : Their prolactin levels are lower. 91. Pacifier use by tube-fed babies who were born prematurely may: Increase their NICU length of stay. Decrease their appetite and cause them to eat less. Increase their weight gain. Decrease their success at breastfeeding.: Increase their weight gain. 92. The FDA reports that: Mothers in the US are routinely taught how to make formula safely.Young mothers are less likely to make formula safely. There is no consistent pattern of who does and does not make formula safely. Safe formula preparation is highly overrated.: There is no consistent pattern of who does and does not make formula safely. 93. Which of the following does not reduce the storage capacity of the breast? A push-up bra Amount of tea mom drinks Breast implants Engorgement: Amount of tea mom drinks 94. With Sheehan's Syndrome: Pituitary function may be impaired permanently. There are always retained placental fragments. Symptoms begin in pregnancy. The mother feels thirsty when her milk let down happens.: Pituitary function mayCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 23 of 69 7/29/2024, 2:43 AM 12 / 34 be impaired permanently. 95. Wendy is a WIC nutritionist who teaches a three-hour, comprehensive breastfeeding class. Which group of "knowers" may have the most difficulty with Wendy's class? Constructed knowers Receivers of knowledge Women in silence Procedural knowers: Women in silence 96. Studies on childhood obesity demonstrate that: Breastfed babies secrete more insulin and deposit more fat than formula-fed infants. There is a positive relationship between longer breastfeeding duration and an increased risk of childhood obesity. Obesity is not an issue for formula-fed infants; it is an issue for breastfed babies.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 24 of 69 7/29/2024, 2:43 AM 13 / 34 There is an inverse relationship between breastfeeding duration and obesity prevalence in a large population.: There is an inverse relationship between breast- feeding duration and obesity prevalence in a large population. 97. Which of the following statements is true: Reflux may be due to immaturity, food, or mechanics of feeding. Reflux is only a temporary condition and causes few problems. Breastfed babies never have reflux. Rice cereal used to thicken formula is very effective in curing reflux.: Reflux may be due to immaturity, food, or mechanics of feeding. 98. Formula contamination with organisms is: Not a risk in North America. A greater problem with powder than liquid. A greater problem with liquid than powder. An issue for women in resource inadequate homes.: A greater problem with powder than liquid. 99. Babies who are fed formula are more likely to have which of the following outcomes? less obesity higher IQs less diabetes higher rates of SIDS: higher rates of SIDS 100. The US national campaign was risk based, aimed at people who planned to have a baby in the next 5 years and: Increased breastfeeding initiation rates. Positively changed the perception of men regarding nursing in public. In-Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 25 of 69 7/29/2024, 2:43 AM 14 / 34 creased exclusive breastfeeding rates. Increased breastfeeding rates at 6 months.: Positively changed the perception of men regarding nursing in public. 101. Thinking about the work of Solomon Asch can help lactation providers remember that one person can make a difference, but we are challenged by who will take the first chair in any setting. T/F: T 102. As discussed in this section, exclusive breastfeeding rates are increased through increased education. T/F: F 103. Families may choose formula feeding because of their perception that it is "easier." T/F: T 104. In a study of mothers, focusing on advantages of breastfeeding for the baby increased the rates of breastfeeding.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 26 of 69 7/29/2024, 2:43 AM 15 / 34 T/F: F In a study of mothers, focusing on advantages of breastfeeding for the baby de- creased the rates of breastfeeding. 105. Research discussed in this section showed that empowerment is greater with peer counseling. T/F: T 106. The biggest problem with teaching fathers about breastfeeding is that they don't want to learn. T/F: F 107. Studies of fathers learning about breastfeeding in China and Italy indicate that teaching prospective fathers about breastfeeding improved breastfeeding outcomes. T/F: T 108. While not all partners are men, the research specifically on fathers showed that men were worried breasts changed negatively with breastfeed- ing. T/F: T 109. When helping with breastfeeding, it is important to use your own hands to guide the baby to the breast. T/F: F 110. Research shows that "hands on" breastfeeding help is empowering and how parents like to be helped with breastfeeding. T/F: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 27 of 69 7/29/2024, 2:43 AM 16 / 34 111. Family concerns need to be heard and valued. T/F: T 112. Research tells us that it is important to counsel individually and not just treat mothers as "milk producers." T/F: T 113. Families with financial problems do not need more breastfeeding help. T/F: F 114. Extra breastfeeding support may be needed for parents of late preterm infants. T/F: T 115. Women with a history of Pre-Menstrual Syndrome are at lower risk of Post Partum Depression. T/F: F They are at higher risk!Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 28 of 69 7/29/2024, 2:43 AM 17 / 34 116. As discussed in this section up to % of post partum women met the criteria for Postpartum Post-Traumatic Stress Disorder after childbirth. 2 9 18 22: 9% 117. In research discussed in this section, babies born in the night and early morning were less likely to receive supplementation than those born in the daytime. T/F: F 118. Doulas and other labor support people help increase the odds of exclu- sive breastfeeding. T/F: T 119. In research discussed in this section, babies whose mothers had synthet- ic oxytocin had increased Apgar scores at 5 minutes.: F 120. In research discussed in this section, higher doses of Fentanyl during labor were associated with less breastfeeding difficulties.: F 121. Banning formula discharge bags has had a measurable impact on breast- feeding rates in the United States.: T 122. The mPINC is a survey for maternity facilities and comes from the: FDA CDC HHS AAP: CDC 123. The Joint Commission includes which of the following in the PerinatalCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 29 of 69 7/29/2024, 2:43 AM 18 / 34 Care Core Measure Sets: Decreased elective cesarean delivery Increased timely transfer to the NICU Skin to skin in the first hour Pacifiers for premature infants only: Decreased elective cesarean delivery Also: Decreased elective delivery Decreased cesarean delivery Increased antenatal steroids Decreased healthcare (associated bloodstream infections in newborns) Increased exclusive breastmilk feeding 124. Skin to skin in the first hour: Is one of the most powerful steps in influencing breastfeeding outcomes HasCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 30 of 69 7/29/2024, 2:43 AM 19 / 34 been found to increase exclusive breastfeeding Is a good starting point for change All of the above: All of the above 125. Babies who are born via cesarean may still be able to go to skin to skin during "closing." T/F: T 126. Brimdyr and colleagues found that higher the doses of fentanyl in labor were related to decreased chances of suckling. T/F: T 127. Mothers who have received medication in labor will need the same amount of time skin to skin with baby as if she received no medication in labor. T/F: F 128. Smell is important for newborns: To attract the baby to the breast Because babies are comforted by their own mother's smell Because they are likely to stop crying and start seeking the breast when they smell their own mother All of the above: All of the above 129. Delaying the newborn bath can improve breastfeeding outcomes. T/F: T 130. Babies cry less going skin to skin. T/F: T 131. Mothers who held their baby skin to skin were likely to send their baby toCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 31 of 69 7/29/2024, 2:43 AM 20 / 34 the nursery more often. T/F: F 132. Delayed breastfeeding can lead to: Increased prolactin levels in mother Increased milk volume Decreased risk of hypoglycemia None of the above: None of the above 133. Healthy Children Project operationalized the LAT tool for assessment and continuity of care. T/F: T 134. When we look at skin to skin on the LAT tool, we should note if there is skin to skin prior to this specific feeding. T/F: T 135. Crying is an early feeding cue. T/F: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 32 of 69 7/29/2024, 2:43 AM 21 / 34 136. Babies don't need to nurse for the first 24 hours. T/F: F 137. In order to feed enough in the first 24 hours, observe the REM during sleep, and encourage the parent to move the baby toward the breast at this time. T/F: T 138. Research on mothers and babies showed that babies show more feeding cues when away from their mother. T/F: F 139. When the baby frets at the breast, encourage holding the baby skin to skin and reteach feeding cues. T/F: T 140. In research of women who had cesarean births, the side-lying position was less comfortable than the laid-back position. T/F: F 141. Baby's hips and shoulders should not be in alignment when at the breast. T/F: F 142. The baby's arms should be tucked under the breast so that they don't get in the way. T/F: F 143. Swaddling helps the baby get to the best nursing position. T/F: F 144. During the latching process, the baby's nose should be opposite the nipple, and the nursing parent's hand should be at the base of the baby's neck, not theCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 33 of 69 7/29/2024, 2:43 AM 22 / 34 back of the head. T/F: T 145. The baby crying is the same as a gape response. T/F: F 146. Baby's head needs to be free to tilt back while approaching the breast, with the lower lip making contact first T/F: T 147. More of the lower breast tissue should be in the baby's mouth with an asymmetric latch. T/F: T 148. Baby's nose and chin should be far from the breast. T/F: F 149. When nursing, the baby's mouth should be open degrees. 90 100-120Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 34 of 69 7/29/2024, 2:43 AM 23 / 34 140-160 360: 140-160 150. The baby's tongue takes up half the mouth. T/F: T 151. Ideally, the cheek line (profile) should be -----: Dimpled Indented Rounded None of the above: Rounded 152. The nursing rhythm should be: Irregular with burst of 1 suck to 1 pause for a swallow or 2 sucks to 1 pause for swallows Regular with many bursts of sucks Regular with 4 sucks to 1 pause for a swallow None of the above: Irregular with burst of 1 suck to 1 pause for a swallow or 2 sucks to 1 pause for swallows 153. When latched, the baby should be on the breast like a bulls-eye with even amounts of areola showing equally at the top and lower lip. T/F: F 154. Rocker motion describes the baby's jaw motion when the latch is effec- tive. T/F: T 155. One concern about the piston motion of the jaw is that it's often associ- ated with numerous sucks with fewer swallows. T/F: TCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 35 of 69 7/29/2024, 2:43 AM 24 / 34 156. Ideally, the feeding should end:When the clock says the nursing session was 15 minutes per side When the baby ends the feeding None of the above All of the above: When the baby ends the feeding 157. What is the most effective strategy in breastfeeding counseling? Talking Giving advice Listening Making referrals: Listening 158. Susie Suckle is two days old and she is not living up to her name. What is one possible reason for her incorrect/unsuccessful breastfeeding? A two-hour delay in initiating feeding Immediate suckling within the first hour of life Rooming in 24 hours a day in the hospital The hospital's hearing test policy: A two-hour delay in initiating feedingCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 36 of 69 7/29/2024, 2:43 AM 25 / 34 159. An optimal state for breastfeeding is when the baby is: Crying REM sleep Fussy and pulling up legs Deep sleep: REM sleep 160. One of the advantages of having babies room-in with their mothers is that: Grandparents can have more contact with the baby Medical records staff can find the baby Mothers can feed when feeding cues are given Babies are more easily fed on a schedule: Mothers can feed when feeding cues are given 161. Helping a mother to learn about correctly latching the baby on involves: Observation of pre-feeding and readiness behaviors Starting with the nipple pointing at the baby's chin Waiting until the baby starts crying Shaping the mother's breast like a wedge before putting it into the baby's mouth: Observation of pre-feeding and readiness behaviors 162. When latching the baby to the breast: Guide the baby to the breast with pressure to the back of the head. Start with the baby's nose at the level of the nipple. Start with the baby's lips stroking the nipple. Be sure that the baby is first wide awake and ready to feed.: Start with the baby's nose at the level of the nipple.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 37 of 69 7/29/2024, 2:43 AM 26 / 34 163. Which of the following is an advantage of being skin-to-skin for the infant? Babies cry less Babies exercise their lungs with more crying Babies' heart rates become more rapid and uneven None of the above: Babies cry less 164. Pregnant women choose formula because they: Think it will be more economical Believe that they will be unable to find breastfeeding help Think their diet lacks adequate quality Feel more comfortable with the idea of formula feeding: Feel more comfortable with the idea of formula feeding 165. Smell is: The only sense that is available to the newborn immediately after birth The only sense that is available in uteroCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 38 of 69 7/29/2024, 2:43 AM 27 / 34 A sense that helps guide babies to the breast Not available to the newborn immediately after birth: A sense that helps guide babies to the breast 166. Studies about mothers' hospital experience indicate that of mothers who intend to breastfeed: The majority of them reported that they were given formula packs at discharge Most reported their baby had not been given a pacifier Most reported that hospitals are very helpful to new mothers according to the mPINC survey Most reported that formula packs at discharge helped them breastfeed better: The majority of them reported that they were given formula packs at discharge 167. The following true/false question pertains to the first practice LAT:The infant is in a deep sleep state.: F 168. The following true/false question pertains to the first practice LAT:The latch is asymmetrical.: T 169. The following true/false question pertains to the first practice LAT:The baby demonstrates a gape response.: F 170. The following true/false question pertains to the first practice LAT:The angle is less than 140 degrees.: T 171. The following true/false question pertains to the first practice LAT:The jaw motion is rocker.: F 172. Which of the following is true ideally? Breastfeeding hurts for 10 days and then gets better. Breastfeeding should not be painful.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 39 of 69 7/29/2024, 2:43 AM 28 / 34 Breastfeeding hurts for the first couple days and gets better. Breastfeeding hurts for the first few seconds and then gets better during the feeding.: Breast- feeding should not be painful. 173. According to research discussed in this section about sore nipples: The best healing took place with glycerine gel therapy The three groups had ratings of less pain after the intervention, including the group that only received corrective intervention assessing latch The group with lanolin healed best None of the above: The three groups had ratings of less pain after the intervention, including the group that only received corrective intervention assessing latch 174. In the same research study, pain was found to be associated with all aspects of poor latch.: T 175. Observation of more pre-feeding behaviors (feeding babies according to cue) was associated with less sore nipples.: TCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 40 of 69 7/29/2024, 2:43 AM 20 / 34 176. A misshapen nipple at the end of the feeding is an optimal finding, and is not related to feeding issues.: F 177. Thompson's research showed that the following was associated with nipple trauma: Shaping the breast A hand on the back of the baby's head Baby's hand covered with mittens 1 and 2: 1 and 2 178. There should be no cupping the breast (c-hold) and the baby should be brought to the breast, not directing the breast to the baby. It is important not to have hands on the back of the baby's head. No more sandwiching the breast. Breastfeeding help should be conducted in a hands-off way.: T 179. All-purpose nipple ointment (APNO) was not found to be superior to lanolin when put on damaged nipples. T/F: T 180. Green, shiny stools: Are a normal finding Are not related to feeding Are a sign of not enough milk May be a sign of oversupply: May be a sign of oversupply 181. Which of the following may not be helpful with oversupply? Decreasing additional nipple stimulation if possible Considering block feeding Trying the Australian posture Suggesting herbs such as sage: Suggesting herbs such as sageCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 41 of 69 7/29/2024, 2:43 AM 20 / 34 182. There are concerns about vitamin E being ingested by the baby when it is put on nipples. T/F: T 183. Raynaud's phenomenon is sometimes inappropriately treated for organ- isms such as yeast.: T 184. In this section, we discussed that there is no high-level evidence for tongue tie release and lip tie release to ease breastfeeding difficulties.: T 185. Anyone with a lactation credential can diagnose tongue tie.: F 186. Parents may be surprised to see milk come out that looks like string when there is: Oversupply Too much prolactin Plugs or caked breasts Mastitis: Plugs or caked breastsCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 42 of 69 7/29/2024, 2:43 AM 21 / 34 187. Blebs sometimes need to be lanced by a surgeon or other appropriate health care provider.: T 188. Common mastitis typically occurs in both breasts simultaneously.: F 189. One concern about Methicillin-resistant Staphylococcus aureus (MRSA) is: It can sometimes look like mastitis on the breast. It often looks like yeast. It frequently looks like Raynaud's. It may be mistaken for oversupply.: It can sometimes look like mastitis on the breast. 190. Any unusual or suspicious area on or appearance of the breast, nipple or areola should be referred to a qualified health care provider.: T Could be MRSA or herpes! 191. Persistent refusal of the baby to nurse on one or both breasts can be concerning.: T 192. Cancer diagnosis may be seen as late as 5 years after Goldsmith's sign.: T 193. Babies who have difficulty sustaining a feed in the first few days may have one of many conditions, including: High blood sugar Lactose intolerance Autism Spectrum Disorder Jaundice: Jaundice 194. As discussed in this section on neonatal hypoglycemia, according to the AAP Committee on the Fetus and Newborns, a reasonable (although arbitrary)Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 43 of 69 7/29/2024, 2:43 AM 22 / 34 cutoff for treating symptomatic infants is: 20 30 40 50: 40 195. Babies who present with jaundice should not breastfeed.: F 196. Underfeeding is one reason for early onset jaundice.: T 197. The best position for a mother to be in when doing KMC with her premie is laid back.: F Upright is best! 198. When a mother is skin to skin with premie twins, each breast warms up to heat the closest baby.: T 199. Babies need extra calories when skin to skin because they burn more calories.: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 44 of 69 7/29/2024, 2:43 AM 23 / 34 200. According to the research discussed in this section, guidelines for ini- tiation of breastfeeding for preterm infants should be based on age and weight.: F 201. Research discussed in this section showed that preterm infants do better on human milk and they have: Better brainstem maturation Greater nuclear gray matter volume More rapid intestinal barrier function All of the above: All of the above 202. Use of during gavage feedings enabled earlier transition to the breast. odor of breastmilk human milk fortifier synthetic oxytocin prolactin inhibitory factor inhibitor: odor of breastmilk 203. Infants who have Down Syndrome, may: Struggle with the skill of breastfeeding but breastfeeding may be possible Have depressed reflexes Nurse using the Dancer technique All of the above: All of the above 204. For infants with cleft lip or cleft palate, may be the challenge. Making a seal Creating a vacuum Sustaining a feeding All of the above: All of the above 205. Milk removal is needed in order to make milk.: TCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 45 of 69 7/29/2024, 2:43 AM 24 / 34 206. Milk expression should start within of birth for the highest milk volume. 4 hours 24 hours 1 hour 3 hours: 1 hour 207. Research in this section showed that early hand expression was more effective then pumping on days 1 to 3.: T 208. Milk from hand expression, as presented in this section, was found to have higher calories and fat than pumped milk.: T 209. Research on guided imagery while expressing milk showed an increase in milk volume.: T 210. Recommending herbs is prescribing.: T 211. In this section regarding fenugreek: There are concerns that fenugreek can reduce the absorption of other medications (including blood pressureCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 46 of 69 7/29/2024, 2:43 AM 25 / 34 medicine, birth control pills and other medication). The research show it doubles milk production. The research showed that it is effective in improving milk supply. Indicates it is appropriate for non-prescribing helpers to suggest: There are concerns that fenugreek can reduce the absorption of other medications (including blood pressure medicine, birth control pills and other medication). 212. Domperidone is: Useful for increasing milk supply FDA approved in the United States Known to be harmless Has rare but serious health risks: Has rare but serious health risks 213. When looking at the research in this section on galactogogues, there is correlation between increasing serum prolactin levels and long term breastfeeding success. A direct No direct Somewhat of a None of the above: No direct 214. Relactation and induced lactation are both about increasing milk supply. The statement above is not correct. The statement above is correct.: The statement above is correct 215. In this section, was discussed as a strategy for emer- gencies. Galactagogues Induced lactationCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 47 of 69 7/29/2024, 2:43 AM 26 / 34 Relactation Powdered infant formula: Relactation 216. When counseling to help a parent increase milk supply: It's not necessary to assess a feeding Suggest fenugreek Suggest massage between feedings to increase blood flow to the breast Consider how often the baby is being fed, how effective feeding is, and what the baby is being fed: Consider how often the baby is being fed, how effective feeding is, and what the baby is being fed 217. All supplemental feeding devices are easy for all parents to use.: F 218. A baby who is unable to sustain a seal and a feed can still easily feed with an at breast supplementer.: F 219. There are safety and efficacy studies for all of the supplemental feeding devices.: FCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 48 of 69 7/29/2024, 2:43 AM 27 / 34 220. According to research presented in this section, feeding infants bottles of breast milk is no different than nursing at the breast, in terms of long-term breastfeeding rates.: F 221. When considering supplemental feeding methods, above all, the baby cannot be compromised.: T 222. Research discussed in this section showed which of the following, re- garding terminating breastfeeding: At 12 weeks, return to work or school was the major reason. At 4 weeks, return to work or school was the major reason. At 12 weeks, breast pain was the major reason. At 12 weeks, not enough milk was the major reason.: At 12 weeks, return to work or school was the major reason. 223. The Lactational Amenorrhea Method (LAM) is always effective for family planning as long as nursing is still happening.: F 224. Avoiding common allergenic foods during pregnancy and breastfeeding is an excellent way to decrease food allergies in children, according to the policy statements discussed in this section.: F 225. Modifiable factors for food allergies, as discussed in this section, include: Elective Cesarean birth Type of infant feeding method Maternal smoking All of the above: All of the above 226. Cow's milk whey is the one substance that consistently causes colic symptoms in some babies.: T 227. The recommendation discussed in this section suggests that anyoneCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 49 of 69 7/29/2024, 2:43 AM 28 / 34 breastfeeding, even those partially breastfeeding, should always avoid all cow milk products in order to have a baby who cries less.: F 228. Hidden bottle practice: Refers to when someone else is giving formula without the breastfeeding parent's knowledge Refers to when breastfeeding parents tell friends that they are exclusively breastfeeding when they are also feeding formula Refers to giving bottle of pumped milk at night, at home Refers to the use of opaque bottles so that the person feeding the baby can't see how much milk is left: Refers to when someone else is giving formula without the breastfeeding parent's knowledge 229. Calcium demand is met in the same way during pregnancy as during lactation: F 230. Research on garlic showed that babies: Nurse less on garlic flavored milkThat garlic should be avoided during breast-Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 50 of 69 7/29/2024, 2:43 AM 29 / 34 feeding That babies nurse longer on garlic flavored milk: That babies nurse longer on garlic flavored milk 231. As discussed in this section, research reported in this section: Involved how babies get the flavors of their culture through the taste and flavors in human milk That longer duration of breastfeeding is associated with better food variety at 3 years That foods that are unfamiliar may be rejected All of the above: All of the above 232. Caffeine is contraindicated with breastfeeding.: F 233. Beer, especially imported beer, increases milk supply.: F 234. Alcohol may block oxytocin, according to a study discussed in this section.: T 235. Pumping and dumping the milk is a research-based strategy to use for breastfeeding individuals who have consumed alcohol.: F 236. The testing of breastmilk is a way to see the impact of pollution in an area, because it is easily accessible and full of fat.: T 237. When a supplement has been ordered, which of the following is MOST important when considering using an at-breast supplementer? Whether the supplement is medically necessary Whether the supplemental device is made in the United States Whether the baby is able to be positioned and transfer adequately at the breast Whether the mother is a smoker: Whether the baby is able to be positioned andCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 51 of 69 7/29/2024, 2:43 AM 30 / 34 transfer adequately at the breast 238. One plausible suggestion that might help a mother to increase the volume of milk is to: Use two flanges and pump both breasts at the same time Pump in a quiet room away from the baby Pump both breasts at the same time using the highest possible vacuum setting Pump one breast, then wait 5 minutes and pump the other breast: Use two flanges and pump both breasts at the same time 239. Raynaud's of the nipple is characterized by: Fever Blanching of the nipple Itchy, flaky skin Deep fissures: Blanching of the nippleCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 52 of 69 7/29/2024, 2:43 AM 31 / 34 240. The best advice for a mother suffering from mastitis is to: Keep breastfeeding frequently on both sides Breastfeed on the unaffected side only Stop breastfeeding entirely Stop taking her antibiotics as soon as she feels better: Keep breastfeeding frequently on both sides 241. Which of the following has been found to be a significant risk factor for mastitis? Poor maternal nutrition Inadequate rest for the mother Return to work Hurried, infrequent feedings: Hurried, infrequent feedings 242. The 2010 Health Care Reform Act: Provides paid time off to express milk Provides company sponsored lactation support Provides time for milk expression during the work day Provides a safe place to store expressed milk: Provides time for milk expression during the work day 243. Peggy Poop is 4 months old and exclusively breastfed. She has been hav- ing visible blood in her stools. What is the most likely breastfeeding-related reason for this blood? Too much fiber in the mother's diet Too much spicy food in the mother's diet Not enough vitamin supplementation for the infant Cow's milk protein in the mother's diet: Cow's milk protein in the mother's diet 244. Alcohol consumption by the breastfeeding mother may result in: Having to pump and dump her milk for 24 hoursCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 53 of 69 7/29/2024, 2:43 AM 32 / 34 Lower milk consumption by the baby after the alcohol is consumed Slower weight gain for the baby An inebriated baby: Lower milk consumption by the baby after the alcohol is consumed 245. Which of the following is NOT a question that is important to the success of the Lactational Amenorrhea Method (LAM)? Exclusive breastfeeding of baby under 6 months of age No return of menses No pacifier use Adequate nutrition of the mother: Adequate nutrition of the mother 246. Environmental contaminants in breastmilk are: A concern for every mother Minimal compared to uterine exposure Never a problem The #1 reason mothers stop breastfeeding: Minimal compared to uterine expo- sureCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 54 of 69 7/29/2024, 2:43 AM 33 / 34 247. For the second practice LAT: pre-feeding behaviors cannot be assessed.- : F 248. For the second practice LAT: the angle of the baby's mouth was more than 140 degrees.: F 249. For the second practice LAT:The baby's cheek line is not rounded.: T 250. For the second practice LAT:The baby's jaw motion is piston.: T 251. For the second practice LAT:The baby's lips are sealed.: F 252. Research indicates that infants of mothers who identify as black are much more likely to receive formula in the hospital.This is structural racism.: T 253. The state version of the World Breastfeeding Trends Initiative (WBTi) for the United States can be used by state coalitions and others as a blueprint for action.: T 254. Social support has been found to be important to those who are breast- feeding.: T 255. Growth spurts happen in the early months with predictable regularity.: F 256. Babies who have days with more frequency of feeding are more likely to be about to have a growth spurt.: F 257. Newborn infants should not need to nurse more than 10 times in 24 hours.: F 258. Newborn breastfeeding babies stool infrequently; counting stools is not a marker of intake of breastmilk.: F 259. The recommendation of the World Health Organization is to breastfeed exclusively for a year.: F 260. The American Academy of Pediatrics states that all breastfed infantsCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 55 of 69 7/29/2024, 2:43 AM 34 / 34 should receive a supplement of vitamin D, beginning at hospital discharge.: T 261. Nursing a baby who is 4 to 6 months old may be different than a newborn; the baby may be distractible at this time and may also have some separation anxiety.: T 262. Teething is only a problem for babies who are receiving infant formula because of the enzymes in the breastfeeding baby's mouth.: F 263. National and international organizations generally recommend: Exclusive breastfeeding for 6 months, with the addition of complementary foods and continuing to nurse for a year or beyond One year of exclusive breastfeeding, with the introductions of solids between 4 and 6 months 2 years of exclusive breastfeeding Any amount of breast milk because any amount of breast milk has the same health benefits: Exclusive breastfeeding for 6 months, with the addition of comple- mentary foods and continuing to nurse for a year or beyondCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 56 of 69 7/29/2024, 2:43 AM 35 / 34 264. Babies bite when they want to wean from breastfeeding.: F 265. Research in this section reported that breastfeeding through the first year can result in less conflict at mealtimes.: T 266. As discussed in this section, there are human strategies for wean- ing: 3 267. With parent-led weaning, the baby's least favorite nursing is dropped first, substituting something equally as good in the eyes of the child.: T 268. With society-led weaning, all babies around the world are weaned at 9 months.: F 269. When counseling about weaning, the focus should be less about the timing of the weaning and more about breastfeeding parent's feelings about ending nursing.: T 270. A nursing strike involves: A sudden refusal to nurse Reasons that may be obscure Not the ending of breastfeeding, but may be perceived as such by parents All of the above: All of the above 271. When discussing sleep with parents: It is important to tell them that babies should all sleep through the night by 4 months. It is important to tell them that nursing even once or twice at night is a sign of milk supply problems. It is important to remember that the lactation counselor's viewpoint may not be the same as that of the breastfeeding individual. It is important to remember that babies should not be spoiled.: It is importantCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 57 of 69 7/29/2024, 2:43 AM 36 / 34 to remember that the lactation counselor's viewpoint may not be the same as that of the breastfeeding individual. 272. Breastfeeding: Has a protective effective against SIDS starting at 2 months and increases over time Exclusively at 1 month of age halved the chances of SIDS Babies should be placed on their backs to sleep and on a safe sleep surface All of the above: All of the above 273. Which of the following is true about the Baby-Friendly Hospital Initiative: Baby-Friendly designated hospitals may not provide any infant formula to babies Immediate, continuous and uninterrupted skin to skin is part of Step 4 Infant formula discharge bags are important for breastfeeding success The WHO code is implemented in all of the US and infant formula companies do not advertise directly to parents: Immediate, continuous and uninterrupted skin to skin is part of Step 4Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 58 of 69 7/29/2024, 2:43 AM 37 / 34 274. As reported in this section, research on the Baby-Friendly Hospital Initia- tive: Showed increase infant abandonment in the hospital practicing the 10 Steps to Successful Breastfeeding Showed more breastfeeding at 12 months in the intervention sites Showed increase eczema in the intervention site All of the above: Showed more breastfeeding at 12 months in the intervention sites 275. Which of the following is true: Nearly 30% of babies born in the US in 2019 were born at Baby-Friendly designated facilities. 8.1 % of babies born in the US in 2019 were born at Baby-Friendly designated facilities The Joint Commission's Perinatal Core Measure Set shows higher birth costs at Baby-Friendly designated facilities None of the above are true: Nearly 30% of babies born in the US in 2019 were born at Baby-Friendly designated facilities. 276. Makita is the 19 year old mother of a one month old baby boy, Jon. Jon was born vaginally at 39 week gestation and weight 8Ibs 13oz. Jon and Makita had problems getting started with breastfeeding in the hospital. Given his gestational age at birth, Jon would be considered a preterm infant. T/F: F. Preterm is born before 37 weeks. 277. Jon wouldn't latch on and when Makita tried to pump she got only a few drops of breast milk. As a result, Jon received 1oz of formula after each breastfeeding attempt for the first 3 days as advised by his pediatric careCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 59 of 69 7/29/2024, 2:43 AM 38 / 34 provider. Makita felt she had a lot of milk beginning on day four. After consult- ing with Jon's pediatric care provider and getting Jon latched on correctly she stopped giving formula after each feeding. Which of the following statements are correct? -International health authorities recommend that exclusive breastfeeding con- tinue for 4 months -Be definition, the formula Jon received on days 1-3 would be considered complementary feeding. -In the example above, baby Jon was not exclusively breastfed in the hospital for the first 3 days -Because Makita is a young mother, she probably cannot make enough milk for her baby.: In the example above, baby Jon was not exclusively breastfed in the hospital for the first 3 days 278. Jon weighed 8Ibs 13oz at birth and 8Ibs 6oz at discharge. Using appendix H in the pocket guide, determine what percent weight loss Jon experiencedCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 60 of 69 7/29/2024, 2:43 AM 30 / 34 between birth and hospital discharge. -None -5% -7% -10%: 5% 279. At 2 weeks Jon weighed 8Ibs 14oz. At one month he weighs 9Ibs 12oz. Between two weeks and one month of age, Jon's average daily weight gain was: Higher than expected Lower than expected Unacceptable Within the expected range: Within the expected range 280. Which suggestion would be most appropriate to make to Makita at Jon's two week checkup? -Breastfeeding is going well. We'd like to see you again in 4 weeks -How wonderful that you're breastfeeding Jon! I'd like to ask you more ques- tions and assess a feeding today. -You should get more rest to increase your milk production. -Why did you stop giving formula after each feeding? Your baby needs more food than you're providing: How wonderful that you're breastfeeding Jon! I'd like to ask you more questions and assess a feeding today. Baby's should gain 1oz or more per day after the initial weight loss. Since he weighed 8Ibs 6oz at discharge, he has gained 8oz.Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 61 of 69 7/29/2024, 2:43 AM 30 / 34 281. According to appendix G in the pocket guide, what is the approximate daily milk requirement of a thriving baby for Jon's weight (9Ibs 12oz) at the one month checkup? -22oz -24oz -28oz -30oz: 24oz 282. Janelle is breastfeeding her 8 month old and has just been diagnosed with Lyme disease. She asks her lactation counselor about the safety of of nursing with this illness. The counselor consults the CDC website and finds that: -The organism associated with Lyme disease has been proven to transfer into breast milk; immediate weaning is best -While the organism that causes Lyme is not thought to transfer into breast milk, the antibiotics used to treat it are contraindicated. Thus, breastfeedingCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 62 of 69 7/29/2024, 2:43 AM 31 / 34 is not recommended -There are no documented cases of transmission of Lyme through breast milk. Breastfeeding can continue and Janelle should consult with her healthcare providers who can prescribe an antibiotic that is safe to use while breastfeed- ing -Breastfeeding is not advised, as it may spread Lyme to not only the baby but other family members through contact with her milk: There are no documented cases of transmission of Lyme through breast milk. Breastfeeding can continue and Janelle should consult with her healthcare providers who can prescribe an antibiotic that is safe to use while breastfeeding 283. A client is concerned she may have been exposed to the Zika virus because her current sexual partner is from Brazil. The client is wondering if she should stop breastfeeding because of this possible exposure. After researching this issue, the lactations counselor found: -The Zika virus is transmitted into breastmilk. If the client is infected, them her baby will become infected. -The current recommendation is that breastfeeding women who are infected with Zika breastfeed their infants -Zika is not spread through sexual intercourse -Donor milk from a milk bank is the problem, since the virus cannot be inactivated by the pasteurization process: The current recommendation is that breastfeeding women who are infected with Zika breastfeed their infants 284. Amala recently developed a case of diarrhea. In the past, before she had a baby, she has taken Pepto-Bismol (bismuth subsalicylate). Is there any concern is Amala chooses to use Pepto-Bismol while she is breastfeeding?Certified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 63 of 69 7/29/2024, 2:43 AM 32 / 34 -Yes. Alternatives are preferred, as there is possibility of absorption of salicy- late from the breastmilk by the infant -No. Pepto-Bismol has been used safely for years as an over-the-counter remedy for diarrhea. -No. Pepto-Bismol is only a concern if given directly to the infant. -Yes. Pepto-Bismol can suppress lactation for 24 hours after the mother ingests the medication.: Yes. Alternatives are preferred, as there is possibility of absorption of salicylate from the breastmilk by the infant 285. Tomiko is working with a breastfeeding mother who has been diagnosed with an active herpes lesion on her breast. What is the current recommenda- tion regarding herpes and breastfeeding? -A mother should pump her milk from both breasts, discard the milk until the lesions are healed, and in the meantime feed her baby formula -The active lesion should be well covered. If the lesion is well covered and notCertified Lactation Consultant E file:///C:/Users/Admin/Desktop/New/Certified%20Lactation%20Consul... 64 of 69 7/29/2024, 2:43 AM 33 / 34 within the range of the infant's mouth during breastfeeding, the mother can continue to breastfeed from both breasts -The milk should be manually expressed from the affected breast, scalded, and fed to the infant. -The mother can breastfeed from the unaffected breast. However, the lesions on the affected breast must be well covered so as not to expose the infant, and she should not breastfeed from the affected breast until the care provider says it is safe.: The mother can breastfeed from the unaffected breast. However, the lesions on the affected breast must be well covered so as not to expose the infant, and she should not breastfeed from the affected breast until the care provider says it is safe. 286. Margit has just been diagnosed with postpartum depression and her