CERTIFIED LACTATION
CONSULTANT EXAM TEST WITH
QUESTION AND ANSWERS
1. Pacifiers for preemies? - ANSWER May have earlier hospital discharge, tube fed may gain
weight faster, improve physiologic and behavioral responses and reduce the time to oral feeds,
will not affect breastfeeding for preemies
2. faster milk removal is associated with _____fat content and longer feeding time is associated
with ______ levels of milk transfer and _____ fat - ANSWER higher, lower, lower
3. Pregnancy can increase risk for type 2 diabetes, breastfeeding can negate this, suckling changes
insulin back to ________. - ANSWER pre pregnancy state
4. Mammal species with high fat/protein and low water content have ______ feeds. - ANSWER
infrequent
5. What is in receptor site during pregnancy? - ANSWER Progesterone
6. 22% of all SIDs contributed deaths can be contributed to - ANSWER maternal smoking during
pregnancy
7. Does it make a difference if mother is undernourished for breastfeeding? In refugee camp what
is safer breastfeeding or formula? - ANSWER No, breastfeeding - no access to clean water,
heating sterilization
8.
9. Breastfeeding stool color change - ANSWER meconium-dark to start then greenish tinge then
seedy orange or yellow
,10. Ongoing milk supply is associated with suckling within first ______ hours after birth - ANSWER 2
11. ________ hormone is affected by stress and ______ hormone is not affected by stress -
ANSWER oxytocin (extreme situation, will stop flowing), prolactin
12. When placenta leaves the body, the body responds by pushing ______ out of the receptor sites?
- ANSWER progesterone
13. How to teach procedural knowers? - ANSWER Limit personal stories, understand the option
change is part of the process
14. AAP says should be at least _____ formal evaluation and documentation of trained caregiver per
shift - ANSWER one
15. Lactose is essential for milk production because it provides the driving ______ force behind the
formation of milk. - ANSWER osmotic
16. When placenta is pushed out of body, progesterone leaves the receptor sites and they are open
briefly, what goes inside to set site for lactation? - ANSWER Prolactin
17. The International Code - ANSWER addresses improper marketing practices
18. ex hospital giving out discharge packages with formula
19. Milking Stool- 3 legs - ANSWER Protect, promote & Support-want all to be equal
20. Levels of evidence based pyramid - ANSWER top - bottom: 1.Metanalysis &systemic reviews 2.
Single randomized controlled studies 3. Cohort studies 4. Case Controlled Studies 5. Case Studies
, 21. When is greatest risk of stopping breastfeeding? - ANSWER 3-7 days (after going home from
hospital)
22. Top reasons people stop breastfeeding - ANSWER baby won't latch, breast pain/soreness,
work/school
23. Russ Labs Marketing Survey - ANSWER survey 1965-2001 formula company tracking
breastfeeding goals
24. Races in Order most likely to BF - ANSWER spanish speaking-hispanic, white, hispanic, black
25. Global Strategy for Infant and young feeding - ANSWER WHO and UNICEF developed this global
strategy to focus world attention on impact of feeding practices on the nutritional status,
growth, development and health and thus the survival of infants and young children.
26. World Breastfeeding trends innitive - ANSWER help track how they are doing on global
outcomes
27. innocenti ospitale -florence - ANSWER BF orphan babies increased rate of survival-today
UNICEF child resource nutrition center
28. path of messages to make milk - ANSWER message to breast-to nervous system -to brain- to
hormones to travel to breast- then to blood stream
29. what cells make milk - ANSWER alveolar cells
30. alveolar cells are what?
31. what are they surrounded by - ANSWER layer of cells with milk inside, surrounded by
myoepitheal cells
32. Myoepitheal cells will contract when what hits them - ANSWER oxytocin