CLC- Certified Lactation Counselor
Exam Questions and Answers
What duration of breastfeeding is associated with significantly reduced incidence of
acute otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than 4-6
months - answer- C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to children
fed nonhuman milk from a bottle. True of False? - answer- True
Does breastfeeding lower the risk of NEC in preterm infants? - answer- Yes
Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - answer- Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - answer- Yes
True of False. Lactational amenorrhea, or the delay in return of menses after birth, is
not associated with exclusive breastfeeding. - answer- False
What are the physical benefits of breastfeeding to the lactating parent? - answer-
Lower risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2
diabetes, reduced risk of cardiovascular disease
What are the 3 main steps of Evidence-Based Practice (EBP)? - answer- Best
available clinical evidence, Clinical expertise, Patient concerns and needs
What are the benefits of breastfeeding for infants? - answer- Protective against
respiratory infections, asthma, gastrointestinal infections and diarrhea, ear infections,
dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes, higher
performance on intelligence tests
What are hypotonic lips in an infant? - answer- Abnormally LOW muscle tone or
weakness in lips- may impact amount of suction, increase work of feeding, can
contribute to milk loss and fatigue during feedings
What are hypertonic lips in an infant? - answer- Abnormally HIGH muscle tone or
overuse of lips- increased lip activity to hold breast in mouth
What can hypertonic lips be an indication of? - answer- 1. Neurological abnormality
or injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for
muscular weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility
secondary to a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory
in nature (hypo- or hypersensitive)
Exam Questions and Answers
What duration of breastfeeding is associated with significantly reduced incidence of
acute otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than 4-6
months - answer- C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to children
fed nonhuman milk from a bottle. True of False? - answer- True
Does breastfeeding lower the risk of NEC in preterm infants? - answer- Yes
Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - answer- Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - answer- Yes
True of False. Lactational amenorrhea, or the delay in return of menses after birth, is
not associated with exclusive breastfeeding. - answer- False
What are the physical benefits of breastfeeding to the lactating parent? - answer-
Lower risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2
diabetes, reduced risk of cardiovascular disease
What are the 3 main steps of Evidence-Based Practice (EBP)? - answer- Best
available clinical evidence, Clinical expertise, Patient concerns and needs
What are the benefits of breastfeeding for infants? - answer- Protective against
respiratory infections, asthma, gastrointestinal infections and diarrhea, ear infections,
dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes, higher
performance on intelligence tests
What are hypotonic lips in an infant? - answer- Abnormally LOW muscle tone or
weakness in lips- may impact amount of suction, increase work of feeding, can
contribute to milk loss and fatigue during feedings
What are hypertonic lips in an infant? - answer- Abnormally HIGH muscle tone or
overuse of lips- increased lip activity to hold breast in mouth
What can hypertonic lips be an indication of? - answer- 1. Neurological abnormality
or injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for
muscular weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility
secondary to a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory
in nature (hypo- or hypersensitive)
