Certified lactation consultant exam with correct
answers
,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 - Correct
Answer - Promoting breastfeeding
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) - Correct Answer - CDC
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. - Correct Answer - Prolactin causes
milk to be made.
Which of the following mechanisms cause oxytocin to be released? Complete delivery of the placenta Elevated
levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - Correct Answer - Nipple
stretching with appropriate latch-on
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. - Correct Answer - Frequent milk removal and nipple
stimulation.
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 diet - Correct Answer - The speed/efficiency with which the baby removes
milk
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 - Correct Answer - Feeding with species-specific milk According
to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation. Weight loss of
more than 7% from birth weight indicates possible breastfeeding problems. 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. - Correct Answer - Weight loss of
more than 7% from birth weight indicates possible breastfeeding problems.
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 - Correct Answer - Responded to their infants more appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because 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 - Correct Answer - Fosters the growth of good bacteria that crowd
out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
, False - Correct Answer - F
Lactogenesis 2 occurs after the complete delivery of the placenta. True False -
Correct Answer - T
Lactogenesis 3 is also called Galactocemia. True
False - Correct Answer - F It
is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - Correct Answer - It is driven by the nursing parent's fluid
intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk supply. True
False - Correct Answer - F
The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement. True
False - Correct Answer - T
For all breastfeeding individuals, bras are essential for comfort during lactation. True
False - Correct Answer - F
Breast surgery can potentially impact breastfeeding. True
False - Correct Answer - T
Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency. True False -
Correct Answer - False.
answers
,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 - Correct
Answer - Promoting breastfeeding
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) - Correct Answer - CDC
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. - Correct Answer - Prolactin causes
milk to be made.
Which of the following mechanisms cause oxytocin to be released? Complete delivery of the placenta Elevated
levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - Correct Answer - Nipple
stretching with appropriate latch-on
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. - Correct Answer - Frequent milk removal and nipple
stimulation.
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 diet - Correct Answer - The speed/efficiency with which the baby removes
milk
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 - Correct Answer - Feeding with species-specific milk According
to the AAP regarding weight loss in the breastfeeding newborn:
Weight loss of more than 7% from birth weight requires formula supplementation. Weight loss of
more than 7% from birth weight indicates possible breastfeeding problems. 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. - Correct Answer - Weight loss of
more than 7% from birth weight indicates possible breastfeeding problems.
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 - Correct Answer - Responded to their infants more appropriately
Harmful bacteria have difficulty growing in the breastfed infants' gut because 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 - Correct Answer - Fosters the growth of good bacteria that crowd
out other organisms
Colostrum is made after there is a complete delivery of the placenta. True
, False - Correct Answer - F
Lactogenesis 2 occurs after the complete delivery of the placenta. True False -
Correct Answer - T
Lactogenesis 3 is also called Galactocemia. True
False - Correct Answer - F It
is called galactopoiesis
The following statement about Lactogenesis 3 is NOT true:
It is also called Galactopoiesis. Prolactin levels rise because of nipple stimulation.
Frequency of removal of milk decreases milk in the breast.
It is driven by the nursing parent's fluid intake. - Correct Answer - It is driven by the nursing parent's fluid
intake.
Engorgement is physiologically normal and is a marker for an excellent future of milk supply. True
False - Correct Answer - F
The more time spent breastfeeding in the first 48 hours, the less chance there is for engorgement. True
False - Correct Answer - T
For all breastfeeding individuals, bras are essential for comfort during lactation. True
False - Correct Answer - F
Breast surgery can potentially impact breastfeeding. True
False - Correct Answer - T
Peri-areolar incisions with breast surgery are least significantly associated with milk insufficiency. True False -
Correct Answer - False.
