CLC Exam 2022 Questions With Correct
Answers .
What lare lgreen/shiny lstools la lsign lof? l- l l l lcorrect lanswer.-sign lof loverproduction lleading lto lless lfat lin
lmilk, lfaster ldigestion lcausing lnot lenough ltime lfor llactase lto ldigest lthe llactose lin lmilk. lAn limproved llatch
lcould lallow lfor lmore lfat lflow
Signs lof loversupply l- l l l lcorrect lanswer.Rapid lweight lgain lin linfant, lunsettled lbaby lafter lfeeding, lrecurrent
lplugged lducts land lmastitis, lpainful lfeedings, lvoluminous l(huge lvolumes lof) lstools- loften lgreen l& lshiny
What lcauses lnipple lpain? l- l l l lcorrect lanswer.Improper llatch--> lneed llactation lsupport lto lhelp lwith lproper
llatch lon, lgood lseal
True/false: lbaby lshould lbe lpulled linto lbreast. l- l l l lcorrect lanswer.False! lDo lnot lpull lbaby linto lbreast, llet
lbaby ltilt lhead lback lfor loptimal llatch. lHand lon lback lof lbaby's lhead lcan linterfere lbaby's linteroral lfunction
lby lrestricting lthe lmovement lof lthe lcranio-cervical lspine--> lcauses lnipple ltrauma. lMake lsure lcrook lof
larm lin lcradle lposition ldoes lnot lblock lbaby lfrom lbeing lable lto lfully ltilt lback.
Should la llatch lbe lsymmetric lor lasymmetric? l- l l l lcorrect lanswer.Asymmetric! lA lbaby lshould lform la lteat
lwith lbreast ltissue lunderneath lthe lnipple las lpart lof la llatch
What lis la lsymmetric llatch l- l l l lcorrect lanswer.Not la lgood llatch, lcauses lnipple ldamage
Asymmetric llatch l- l l l lcorrect lanswer.Optimal lattachment lto lthe lbreast, lwhere lthe lbaby's llips lare lnot
lcentered lin lrelationship lto lthe lareolar, lbut lrather lvertically loff-centered lwith lthe lbaby's lchin land llower
llip lcloser lto lthe ledge lof lthe lareola lthan lthe lbaby's lupper llip. lA lbaby lshould lform la lteat lwith lbreast ltissue
lunderneath lthe lnipple las lpart lof la llatch
Do lnipple lcreams lwork? l- l l l lcorrect lanswer.Continued lquestions lof leffectiveness, lfear lof lingestion lby lbaby
Should la lfrenotomy lbe lsuggested lfor ltongue ltie? l- l l l lcorrect lanswer.No lstudy lwas lable lto lreport lthat
lfrenotomy lled lto lbetter llong lterm lbreastfeeding
,Tongue ltied lbreastfeeder l- l l l lcorrect lanswer.-complete lfeeding lassessment land lsuggest lways lto loptimize
llatch. l
-refer lonward lfor ldiagnosis l(have lPCP ldiagnose lTT)
-provide lsupport
What lis la lfissure lstraight ldown lthe lnipple levidence lof? l- l l l lcorrect lanswer.A lsymmetric llatch. lTop llip lneeds
lto lhave lgood lseal, lmoist lpart lof llip lshould lbe ltouching lnipple, lcan lroll lout ltop llip, lto lreduce linjury lduring
lBF
Is lthere la ldeep llatch lwith lnipple lstretching? l- l l l lcorrect lanswer.If lnipple lnot lstretched ldeeply linto lmouth,
lless loxytocin lflows, lless lfat lis lin lmix. lWith lless lfat, lmilk ldigested lquicker l= lnot lenough ltime lfor lbaby lto
lmake lenough llactase lto ldigest llactose lin lmilk.
What lto ldo lfor loversupply? l- l l l lcorrect lanswer.Decrease ladditional lstimulation/milk lremoval lif lpossible
Consider lblock lfeeding l(only lnursing lon lone lside lonly lper lfeeding)
Watch lfor lmastitis
Try laustralian lposture l(mother ldown lunder, lbaby lon ltop)
Consider ldonating lto lmilk lbank
Consult lwith lHCP lfor lmedical ldx
How lmany lmL lconsidered loversupply? l- l l l lcorrect lanswer.normal lmilk lproduction l= l750-1000 lmL/day
Thrush lduring lBF l- l l l lcorrect lanswer.painful lfor lmother l& lbaby. l
may lbe lvisible lor lmay lnot l(whiteness lthat lcan't lbe lwiped loff)
-mother lwill lhave litchy, lflaky, lshiny lskin
-candida lnot lfound linside lthe lducts lor lmilk
Treatment lof lcandida lon lbreast l- l l l lcorrect lanswer.-nystatin lfirst lline
-flucanizole lsecond lline
,-throw lout lall lyeast lvectors l(pacifiers lsterilize lbreast lpumps)
-flucanazole loral lcapsules lmay lbe lused lto lclean lyeast lvectors ldue lto lthe lbiofilm lcreated lon lpacifiers lby
lcandida
What lto ldo lif lantifungal ltreatment lfor lyeast ldoesn't lwork? l- l l l lcorrect lanswer.Not lcandida linfection!
Reynaud's lPhenomenon l- l l l lcorrect lanswer.-vasospasm lof lnipple, lrecognized lby ltriple lcolor lsign: lfrom
lwhite--> lblue--> lraspberry lor lbicolor lsign lwhite l--> lraspberry. l
pain lis lextreme land lspasmodic l(not lcontinuous)
-this lhappens lafter lfeeding lonce lbaby's lmouth lcomes loff lnipple lhas lvasospasm, lfeels llike lfrostbite
treatment lof lreynauds l- l l l lcorrect lanswer.-prevent/decrease lcold lexposure
-avoid lvasoconstrictive ldrugs lsuch las lcaffeine land lhypertensive ldrugs, lnicotine
-can luse lnifedipine lor lcalcium lchannel lblocker
Nipple lpain land lpoor lmilk ltransfer lthat lis lpersistent ldespite loptimal llatch l- l l l lcorrect lanswer.-can luse
lnipple lshield las la ltest lto lsee lif lbaby lexerting ltoo lmuch lpressure?
-OT linvolvement
-in lrare lcases lbaby lhave la lstrong lsucking lvacuum las lmeasured lby la lpressure ltransducer lor lnipple lshield
Clogs/plugs l- l l l lcorrect lanswer.Palpable llumps lof lmilk lwithin lthe llumen lor lduct lsystem, lusually lnot lvisible.
lSolids ldont lget labsorbed...could lbe ltoo ltight lof la lbra lslowing lflow lof lmilk
what lto ldo lfor lclogs/plugs l- l l l lcorrect lanswer.Encourage lmassage lusing lside lof lhand land lwarm
lcompresses. lDo ldouble lnursing lby ldoubling lup lon lside lof lclog lto lpush lit lout. lpoint lbaby's lchin ltoward
lclog
See lPCP lif lclog lhasnt lmoved lin l24-48 lhours lor lsystemic lsymptoms lof linflammation l(flu llike ls/s)
When lto lcall lPCP lfor lclog/plug l- l l l lcorrect lanswer.If lplug lhasn't lmoved lin l24-48 lhrs lor lsystemic lsigns lof
linflammation l(flu llike ls/s)
, Causes lof lclogs/plug l- l l l lcorrect lanswer.too ltight lnursing lbra
what lis la lbleb l- l l l lcorrect lanswer.small lwhite lspots lon lthe lface lof lthe lnipple lthat llook llike lmilk-filled
lblisters. lone lduct lopening lis lusually lcovered
what ldoes la lbleb lfeel llike l- l l l lcorrect lanswer.painful lstabbing lpinpoint lpain
how lto lget lrid lof lblebs l- l l l lcorrect lanswer.Same las lclog ltreatment. lSometimes lneed lt lbe llanced lby lHCP
Common lmastitis l- l l l lcorrect lanswer.-can lbe lnon-infective lor linfective l
-blocked lducts lfrom lengorgment, lhurried lfeedings, lnipple lshield l(pressure lwill lbuild luntil lmilk lsneaks lout
lof lspace, lbody lreacts lto lthis llike linvader)
causes lof lcommon lmastitis l- l l l lcorrect lanswer.-tight lbra l(look lfor lindentation lof lbreast lstraps)
-use lof lbreast lshell lor lnipple lshell
-attachment ldifficulties
-anemia lin lthe lmother
-tongue ltie lin lbaby l(ineffective lmilk lemptying)
s/s lcommon lmastitis l- l l l lcorrect lanswer.systemic- lfever, lill, lmalaise, lredness, lpain, lone linflamed lbreast
What lbacteria lcauses linfective lmastitis l- l l l lcorrect lanswer.Staphylococcus
tx lcommon lmastitis l- l l l lcorrect lanswer.NSAIDS lfirst lline lbut lmake lsure ldiagnosed lby lPCP
-must lkeep lpumping/breastfeeding lto lkeep lmilk lflowing. lkeeps lbreasts lsoft/comfortable lto lavoid labscess
ldevelopment
Abscess lon lbreast l- l l l lcorrect lanswer.Localized lareas lof lpus land lnecrotic ltissue lthat lcan ldevelop lwith la
lbreast linfection
Answers .
What lare lgreen/shiny lstools la lsign lof? l- l l l lcorrect lanswer.-sign lof loverproduction lleading lto lless lfat lin
lmilk, lfaster ldigestion lcausing lnot lenough ltime lfor llactase lto ldigest lthe llactose lin lmilk. lAn limproved llatch
lcould lallow lfor lmore lfat lflow
Signs lof loversupply l- l l l lcorrect lanswer.Rapid lweight lgain lin linfant, lunsettled lbaby lafter lfeeding, lrecurrent
lplugged lducts land lmastitis, lpainful lfeedings, lvoluminous l(huge lvolumes lof) lstools- loften lgreen l& lshiny
What lcauses lnipple lpain? l- l l l lcorrect lanswer.Improper llatch--> lneed llactation lsupport lto lhelp lwith lproper
llatch lon, lgood lseal
True/false: lbaby lshould lbe lpulled linto lbreast. l- l l l lcorrect lanswer.False! lDo lnot lpull lbaby linto lbreast, llet
lbaby ltilt lhead lback lfor loptimal llatch. lHand lon lback lof lbaby's lhead lcan linterfere lbaby's linteroral lfunction
lby lrestricting lthe lmovement lof lthe lcranio-cervical lspine--> lcauses lnipple ltrauma. lMake lsure lcrook lof
larm lin lcradle lposition ldoes lnot lblock lbaby lfrom lbeing lable lto lfully ltilt lback.
Should la llatch lbe lsymmetric lor lasymmetric? l- l l l lcorrect lanswer.Asymmetric! lA lbaby lshould lform la lteat
lwith lbreast ltissue lunderneath lthe lnipple las lpart lof la llatch
What lis la lsymmetric llatch l- l l l lcorrect lanswer.Not la lgood llatch, lcauses lnipple ldamage
Asymmetric llatch l- l l l lcorrect lanswer.Optimal lattachment lto lthe lbreast, lwhere lthe lbaby's llips lare lnot
lcentered lin lrelationship lto lthe lareolar, lbut lrather lvertically loff-centered lwith lthe lbaby's lchin land llower
llip lcloser lto lthe ledge lof lthe lareola lthan lthe lbaby's lupper llip. lA lbaby lshould lform la lteat lwith lbreast ltissue
lunderneath lthe lnipple las lpart lof la llatch
Do lnipple lcreams lwork? l- l l l lcorrect lanswer.Continued lquestions lof leffectiveness, lfear lof lingestion lby lbaby
Should la lfrenotomy lbe lsuggested lfor ltongue ltie? l- l l l lcorrect lanswer.No lstudy lwas lable lto lreport lthat
lfrenotomy lled lto lbetter llong lterm lbreastfeeding
,Tongue ltied lbreastfeeder l- l l l lcorrect lanswer.-complete lfeeding lassessment land lsuggest lways lto loptimize
llatch. l
-refer lonward lfor ldiagnosis l(have lPCP ldiagnose lTT)
-provide lsupport
What lis la lfissure lstraight ldown lthe lnipple levidence lof? l- l l l lcorrect lanswer.A lsymmetric llatch. lTop llip lneeds
lto lhave lgood lseal, lmoist lpart lof llip lshould lbe ltouching lnipple, lcan lroll lout ltop llip, lto lreduce linjury lduring
lBF
Is lthere la ldeep llatch lwith lnipple lstretching? l- l l l lcorrect lanswer.If lnipple lnot lstretched ldeeply linto lmouth,
lless loxytocin lflows, lless lfat lis lin lmix. lWith lless lfat, lmilk ldigested lquicker l= lnot lenough ltime lfor lbaby lto
lmake lenough llactase lto ldigest llactose lin lmilk.
What lto ldo lfor loversupply? l- l l l lcorrect lanswer.Decrease ladditional lstimulation/milk lremoval lif lpossible
Consider lblock lfeeding l(only lnursing lon lone lside lonly lper lfeeding)
Watch lfor lmastitis
Try laustralian lposture l(mother ldown lunder, lbaby lon ltop)
Consider ldonating lto lmilk lbank
Consult lwith lHCP lfor lmedical ldx
How lmany lmL lconsidered loversupply? l- l l l lcorrect lanswer.normal lmilk lproduction l= l750-1000 lmL/day
Thrush lduring lBF l- l l l lcorrect lanswer.painful lfor lmother l& lbaby. l
may lbe lvisible lor lmay lnot l(whiteness lthat lcan't lbe lwiped loff)
-mother lwill lhave litchy, lflaky, lshiny lskin
-candida lnot lfound linside lthe lducts lor lmilk
Treatment lof lcandida lon lbreast l- l l l lcorrect lanswer.-nystatin lfirst lline
-flucanizole lsecond lline
,-throw lout lall lyeast lvectors l(pacifiers lsterilize lbreast lpumps)
-flucanazole loral lcapsules lmay lbe lused lto lclean lyeast lvectors ldue lto lthe lbiofilm lcreated lon lpacifiers lby
lcandida
What lto ldo lif lantifungal ltreatment lfor lyeast ldoesn't lwork? l- l l l lcorrect lanswer.Not lcandida linfection!
Reynaud's lPhenomenon l- l l l lcorrect lanswer.-vasospasm lof lnipple, lrecognized lby ltriple lcolor lsign: lfrom
lwhite--> lblue--> lraspberry lor lbicolor lsign lwhite l--> lraspberry. l
pain lis lextreme land lspasmodic l(not lcontinuous)
-this lhappens lafter lfeeding lonce lbaby's lmouth lcomes loff lnipple lhas lvasospasm, lfeels llike lfrostbite
treatment lof lreynauds l- l l l lcorrect lanswer.-prevent/decrease lcold lexposure
-avoid lvasoconstrictive ldrugs lsuch las lcaffeine land lhypertensive ldrugs, lnicotine
-can luse lnifedipine lor lcalcium lchannel lblocker
Nipple lpain land lpoor lmilk ltransfer lthat lis lpersistent ldespite loptimal llatch l- l l l lcorrect lanswer.-can luse
lnipple lshield las la ltest lto lsee lif lbaby lexerting ltoo lmuch lpressure?
-OT linvolvement
-in lrare lcases lbaby lhave la lstrong lsucking lvacuum las lmeasured lby la lpressure ltransducer lor lnipple lshield
Clogs/plugs l- l l l lcorrect lanswer.Palpable llumps lof lmilk lwithin lthe llumen lor lduct lsystem, lusually lnot lvisible.
lSolids ldont lget labsorbed...could lbe ltoo ltight lof la lbra lslowing lflow lof lmilk
what lto ldo lfor lclogs/plugs l- l l l lcorrect lanswer.Encourage lmassage lusing lside lof lhand land lwarm
lcompresses. lDo ldouble lnursing lby ldoubling lup lon lside lof lclog lto lpush lit lout. lpoint lbaby's lchin ltoward
lclog
See lPCP lif lclog lhasnt lmoved lin l24-48 lhours lor lsystemic lsymptoms lof linflammation l(flu llike ls/s)
When lto lcall lPCP lfor lclog/plug l- l l l lcorrect lanswer.If lplug lhasn't lmoved lin l24-48 lhrs lor lsystemic lsigns lof
linflammation l(flu llike ls/s)
, Causes lof lclogs/plug l- l l l lcorrect lanswer.too ltight lnursing lbra
what lis la lbleb l- l l l lcorrect lanswer.small lwhite lspots lon lthe lface lof lthe lnipple lthat llook llike lmilk-filled
lblisters. lone lduct lopening lis lusually lcovered
what ldoes la lbleb lfeel llike l- l l l lcorrect lanswer.painful lstabbing lpinpoint lpain
how lto lget lrid lof lblebs l- l l l lcorrect lanswer.Same las lclog ltreatment. lSometimes lneed lt lbe llanced lby lHCP
Common lmastitis l- l l l lcorrect lanswer.-can lbe lnon-infective lor linfective l
-blocked lducts lfrom lengorgment, lhurried lfeedings, lnipple lshield l(pressure lwill lbuild luntil lmilk lsneaks lout
lof lspace, lbody lreacts lto lthis llike linvader)
causes lof lcommon lmastitis l- l l l lcorrect lanswer.-tight lbra l(look lfor lindentation lof lbreast lstraps)
-use lof lbreast lshell lor lnipple lshell
-attachment ldifficulties
-anemia lin lthe lmother
-tongue ltie lin lbaby l(ineffective lmilk lemptying)
s/s lcommon lmastitis l- l l l lcorrect lanswer.systemic- lfever, lill, lmalaise, lredness, lpain, lone linflamed lbreast
What lbacteria lcauses linfective lmastitis l- l l l lcorrect lanswer.Staphylococcus
tx lcommon lmastitis l- l l l lcorrect lanswer.NSAIDS lfirst lline lbut lmake lsure ldiagnosed lby lPCP
-must lkeep lpumping/breastfeeding lto lkeep lmilk lflowing. lkeeps lbreasts lsoft/comfortable lto lavoid labscess
ldevelopment
Abscess lon lbreast l- l l l lcorrect lanswer.Localized lareas lof lpus land lnecrotic ltissue lthat lcan ldevelop lwith la
lbreast linfection
