Page 1 of 78
NEW CLC EXAM PRACTICE QUESTIONS WITH
CORRECT ANSWERS GUARENATEED PASS AND
GRADED A+ 2025/2026 NEW UPDATE TESTED AND
APPROVED
What is a symmetric latch - Correct answer-Not a good latch, causes nipple
damage Asymmetric latch - Correct answer-Optimal attachment to the breast,
where the baby's lips are not centered in relationship to the areolar, but rather
vertically off-centered with the baby's chin and lower lip closer to the edge of
the areola than the baby's upper lip. A baby should form a teat with breast tissue
underneath the nipple as part of a latch
Do nipple creams work? - Correct answer-Continued questions of effectiveness,
fear of ingestion by baby
Should a frenotomy be suggested for tongue tie? - Correct answer-No study was
able to report that frenotomy led to better long term breastfeeding
Tongue tied breastfeeder - Correct answer--complete feeding assessment and
suggest ways to optimize latch.
-refer onward for diagnosis (have PCP diagnose TT)
-provide support
,What is a fissure straight down the nipple evidence of? - Correct answer-A
symmetric latch. Top lip needs to have good seal, moist part of lip should be
touching nipple, can roll out top lip, to reduce injury during BF
Is there a deep latch with nipple stretching? - Correct answer-If nipple not
stretched deeply into mouth, less oxytocin flows, less fat is in mix. With less
fat, milk digested quicker = not enough time for baby to make enough lactase to
digest lactose in milk.
What are green/shiny stools a sign of? - Correct answer--sign of
overproduction leading to less fat in milk, faster digestion causing not
enough time for lactase to digest the lactose in milk. An improved latch could
allow for more fat flow
Signs of oversupply - Correct answer-Rapid weight gain in infant, unsettled
baby after feeding, recurrent plugged ducts and mastitis, painful feedings,
voluminous (huge volumes of) stools- often green & shiny
What causes nipple pain? - Correct answer-Improper latch--> need lactation
support to help with proper latch on, good seal
True/false: baby should be pulled into breast. - Correct answer-False! Do not
pull baby into breast, let baby tilt head back for optimal latch. Hand on back of
baby's head can interfere baby's interoral function by restricting the movement
of the cranio-cervical spine--> causes nipple trauma. Make sure crook of arm in
cradle position does not block baby from being able to fully tilt back.
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Should a latch be symmetric or asymmetric? - Correct answer-Asymmetric! A
baby should form a teat with breast tissue underneath the nipple as part of a
latch
What to do for oversupply? - Correct answer-Decrease additional
stimulation/milk removal if possible
Consider block feeding (only nursing on one side only per feeding)
Watch for mastitis
Try australian posture (mother down under, baby on top)
Consider donating to milk bank
Consult with HCP for medical dx
How many mL considered oversupply? - Correct answer-normal milk
production = 750- 1000 mL/day
Thrush during BF - Correct answer-painful for mother & baby. may be visible
or may not (whiteness that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - Correct answer--nystatin first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
, -flucanazole oral capsules may be used to clean yeast vectors due to the biofilm
created on pacifiers by candida
What to do if antifungal treatment for yeast doesn't work? - Correct answer-Not
candida infection!
Reynaud's Phenomenon - Correct answer--vasospasm of nipple, recognized by
triple color sign: from white--> blue--> raspberry or bicolor sign white -->
raspberry. pain is extreme and spasmodic (not continuous)
-this happens after feeding once baby's mouth comes off nipple has vasospasm,
feels like frostbite
treatment of reynauds - Correct answer--prevent/decrease cold exposure -avoid
vasoconstrictive drugs such as caffeine and hypertensive drugs, nicotine -can
use nifedipine or calcium channel blocker
Nipple pain and poor milk transfer that is persistent despite optimal latch -
Correct answer-can use nipple shield as a test to see if baby exerting too much
pressure?
-OT involvement
-in rare cases baby have a strong sucking vacuum as measured by a
pressure transducer or nipple shield
Clogs/plugs - Correct answer-Palpable lumps of milk within the lumen or duct
system, usually not visible. Solids dont get absorbed...could be too tight of a bra
NEW CLC EXAM PRACTICE QUESTIONS WITH
CORRECT ANSWERS GUARENATEED PASS AND
GRADED A+ 2025/2026 NEW UPDATE TESTED AND
APPROVED
What is a symmetric latch - Correct answer-Not a good latch, causes nipple
damage Asymmetric latch - Correct answer-Optimal attachment to the breast,
where the baby's lips are not centered in relationship to the areolar, but rather
vertically off-centered with the baby's chin and lower lip closer to the edge of
the areola than the baby's upper lip. A baby should form a teat with breast tissue
underneath the nipple as part of a latch
Do nipple creams work? - Correct answer-Continued questions of effectiveness,
fear of ingestion by baby
Should a frenotomy be suggested for tongue tie? - Correct answer-No study was
able to report that frenotomy led to better long term breastfeeding
Tongue tied breastfeeder - Correct answer--complete feeding assessment and
suggest ways to optimize latch.
-refer onward for diagnosis (have PCP diagnose TT)
-provide support
,What is a fissure straight down the nipple evidence of? - Correct answer-A
symmetric latch. Top lip needs to have good seal, moist part of lip should be
touching nipple, can roll out top lip, to reduce injury during BF
Is there a deep latch with nipple stretching? - Correct answer-If nipple not
stretched deeply into mouth, less oxytocin flows, less fat is in mix. With less
fat, milk digested quicker = not enough time for baby to make enough lactase to
digest lactose in milk.
What are green/shiny stools a sign of? - Correct answer--sign of
overproduction leading to less fat in milk, faster digestion causing not
enough time for lactase to digest the lactose in milk. An improved latch could
allow for more fat flow
Signs of oversupply - Correct answer-Rapid weight gain in infant, unsettled
baby after feeding, recurrent plugged ducts and mastitis, painful feedings,
voluminous (huge volumes of) stools- often green & shiny
What causes nipple pain? - Correct answer-Improper latch--> need lactation
support to help with proper latch on, good seal
True/false: baby should be pulled into breast. - Correct answer-False! Do not
pull baby into breast, let baby tilt head back for optimal latch. Hand on back of
baby's head can interfere baby's interoral function by restricting the movement
of the cranio-cervical spine--> causes nipple trauma. Make sure crook of arm in
cradle position does not block baby from being able to fully tilt back.
, Page 3 of 78
Should a latch be symmetric or asymmetric? - Correct answer-Asymmetric! A
baby should form a teat with breast tissue underneath the nipple as part of a
latch
What to do for oversupply? - Correct answer-Decrease additional
stimulation/milk removal if possible
Consider block feeding (only nursing on one side only per feeding)
Watch for mastitis
Try australian posture (mother down under, baby on top)
Consider donating to milk bank
Consult with HCP for medical dx
How many mL considered oversupply? - Correct answer-normal milk
production = 750- 1000 mL/day
Thrush during BF - Correct answer-painful for mother & baby. may be visible
or may not (whiteness that can't be wiped off)
-mother will have itchy, flaky, shiny skin
-candida not found inside the ducts or milk
Treatment of candida on breast - Correct answer--nystatin first line
-flucanizole second line
-throw out all yeast vectors (pacifiers sterilize breast pumps)
, -flucanazole oral capsules may be used to clean yeast vectors due to the biofilm
created on pacifiers by candida
What to do if antifungal treatment for yeast doesn't work? - Correct answer-Not
candida infection!
Reynaud's Phenomenon - Correct answer--vasospasm of nipple, recognized by
triple color sign: from white--> blue--> raspberry or bicolor sign white -->
raspberry. pain is extreme and spasmodic (not continuous)
-this happens after feeding once baby's mouth comes off nipple has vasospasm,
feels like frostbite
treatment of reynauds - Correct answer--prevent/decrease cold exposure -avoid
vasoconstrictive drugs such as caffeine and hypertensive drugs, nicotine -can
use nifedipine or calcium channel blocker
Nipple pain and poor milk transfer that is persistent despite optimal latch -
Correct answer-can use nipple shield as a test to see if baby exerting too much
pressure?
-OT involvement
-in rare cases baby have a strong sucking vacuum as measured by a
pressure transducer or nipple shield
Clogs/plugs - Correct answer-Palpable lumps of milk within the lumen or duct
system, usually not visible. Solids dont get absorbed...could be too tight of a bra
