CLC: Certified Lactation Consultant Exam |
Questions and Verified Answers| 2023/2024
Latest Update
QUESTION
How does pH of the gut effect babies
Answer:
Gut pH of breastfed babies is higher than those who are formula fed or even mixed fed. Higher
pH means less harmful bacteria is able to grow which helps have less issues with diarrhea
QUESTION
How does iron effect baby's gut
Answer:
Low iron in the gut is good, breastmilk has relativly low iron content
Tons of different bacteria thrives on excess iron so having to much can cause issues
QUESTION
How does the presence of lactobacillus bifidus affect baby's gut
Answer:
Presence of bifidus factor in breast milk promotes the growth of lactobacillus bifidus which helps
maintain the low pH and crowd out the harmful bacteria
QUESTION
How does the presence of SIgA antibodies effect baby's gut
Answer:
,Antibodies such as SIgA bind to microbes in the baby's intestinal tract and prevent them from
being absorbed into the rest of the body. Mothers IgA has been found to protect against the
development of necrotizing enterocolitis in preterm infants
QUESTION
Weight loss in breastfed infant
Answer:
No more than 7% weight loss from with birth weight and no more weight loss by day 5 and
should be back to birth weight by 2 weeks
Weight loss greater than 7% from birth weight indicates a possible breastfeeding problem and
requires more intensive evaluation of breastfeeding and possibly intervention (not
supplementation!) to correct problems and improve milk production and transfer
QUESTION
What causes infants to lose weight in the first postpartum days
Answer:
Labor medications
More intrapartum fluids are given, they have more fluid to loss which is a normal process
No labor prior to a c-section, maybe they weren't ready to be born
QUESTION
How do I know my baby is getting enough milk?
Answer:
One wet diaper for how old the baby is (however this can be skewed by the diuresing process
and is not a good indicator of adequate hydration)
4 wets on day 4 and each day after
Multiple poops each day that change in consistency and color
QUESTION
How much weight should my baby be gaining
, Answer:
Approximently 1 ounce per day is expected in the early months by more may be needed for
babies with metabolic or respiratory distress because they tend to burn more calories breathing,
keeping warm, etc..
QUESTION
Size of the breast relates to the amount of milk produced
Answer:
No!! the proportion of glandular and fat tissue and the number and size of the ducts are not
related to milk production
QUESTION
Need to drink a lot of fluids to produce a lot of milk
Answer:
No!! There is not enough evidence to support increasing fluid intake beyond what breastfeeding
mothers are likely to require to meet their needs
QUESTION
Maternal exercise is related to infant weight gain growth
Answer:
No!!
QUESTION
Increased worry of stress my diminish milk supply
Answer:
Not necessarily, worry/stress may alter behavior which could alter supply but not nursing enough
or removing milk often enough
Questions and Verified Answers| 2023/2024
Latest Update
QUESTION
How does pH of the gut effect babies
Answer:
Gut pH of breastfed babies is higher than those who are formula fed or even mixed fed. Higher
pH means less harmful bacteria is able to grow which helps have less issues with diarrhea
QUESTION
How does iron effect baby's gut
Answer:
Low iron in the gut is good, breastmilk has relativly low iron content
Tons of different bacteria thrives on excess iron so having to much can cause issues
QUESTION
How does the presence of lactobacillus bifidus affect baby's gut
Answer:
Presence of bifidus factor in breast milk promotes the growth of lactobacillus bifidus which helps
maintain the low pH and crowd out the harmful bacteria
QUESTION
How does the presence of SIgA antibodies effect baby's gut
Answer:
,Antibodies such as SIgA bind to microbes in the baby's intestinal tract and prevent them from
being absorbed into the rest of the body. Mothers IgA has been found to protect against the
development of necrotizing enterocolitis in preterm infants
QUESTION
Weight loss in breastfed infant
Answer:
No more than 7% weight loss from with birth weight and no more weight loss by day 5 and
should be back to birth weight by 2 weeks
Weight loss greater than 7% from birth weight indicates a possible breastfeeding problem and
requires more intensive evaluation of breastfeeding and possibly intervention (not
supplementation!) to correct problems and improve milk production and transfer
QUESTION
What causes infants to lose weight in the first postpartum days
Answer:
Labor medications
More intrapartum fluids are given, they have more fluid to loss which is a normal process
No labor prior to a c-section, maybe they weren't ready to be born
QUESTION
How do I know my baby is getting enough milk?
Answer:
One wet diaper for how old the baby is (however this can be skewed by the diuresing process
and is not a good indicator of adequate hydration)
4 wets on day 4 and each day after
Multiple poops each day that change in consistency and color
QUESTION
How much weight should my baby be gaining
, Answer:
Approximently 1 ounce per day is expected in the early months by more may be needed for
babies with metabolic or respiratory distress because they tend to burn more calories breathing,
keeping warm, etc..
QUESTION
Size of the breast relates to the amount of milk produced
Answer:
No!! the proportion of glandular and fat tissue and the number and size of the ducts are not
related to milk production
QUESTION
Need to drink a lot of fluids to produce a lot of milk
Answer:
No!! There is not enough evidence to support increasing fluid intake beyond what breastfeeding
mothers are likely to require to meet their needs
QUESTION
Maternal exercise is related to infant weight gain growth
Answer:
No!!
QUESTION
Increased worry of stress my diminish milk supply
Answer:
Not necessarily, worry/stress may alter behavior which could alter supply but not nursing enough
or removing milk often enough
