Certified Lactation Consultant Exam (CLC)
The Updated Exam Review Questions and
Answers 100% A+ Graded Excel!!!
The World Health Organization and UNICEF have set out three strategies needed for increasing
breastfeeding initiation and duration in every country. What are the 3 strategies? - CORRECT
ANSWER-Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Focuses on advantages of breastfeeding on a personal (personal connection), community,
country (amount spent on healthcare), or global level (waste from formula & formula products)
Focuses on the good "advantages" of breastfeeding - CORRECT ANSWER-Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to assure breast feeding's ability
to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison, etc.. -
CORRECT ANSWER-Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development and
implementation - CORRECT ANSWER-Breastfeeding Support
Women how do not breastfeed are at a greater risk for what diseases? - CORRECT ANSWER-
Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
,Reason #1 why women do not exclusively breastfeed - CORRECT ANSWER-Unrealistic
expectations from society about motherhood. Along with lack of preparation for what the
newborn period would be like.
Reason #2 why women do not exclusively breastfeed - CORRECT ANSWER-Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for stopping which is when
they are home from the hospital and alone with no support. The fastest drop-off is in the first 10
days following discharge from the hospital
The International Code of Marketing of Breast milk Substitutions - CORRECT ANSWER-An
international health policy framework to regulate the marketing of breast milk substitutes in
order to protect breastfeeding. It was written in response to the marketing activities of the infant
feeding industry which were promoting formula feeding over breastfeeding, which in turn was
leading to a dramatic increase in maternal and infant morbidity and mortality.
What does "The Code" do? - CORRECT ANSWER-Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together with feeding
bottles, and teats, intended for babies and young children. Sets standards for the labeling and
quality of products and for how the law should be implemented and monitored within countries.
Aims to make sure that parental choices on feeding are based on full, impartial information,
rather than misleading, inaccurate or biased marketing claims.
The Global Strategy for Infant & Young Child Feeding - CORRECT ANSWER-Is intended as a
guide for action; it identifies interventions with a proven positive impact, it emphasizes
providing mothers and families the support they need to carry out their crucial roles, and it
explicitly defines the obligations and responsibilities in this regard of governments, international
organizations, and other concerned parties.
What contributes to low rates of exclusive breastfeeding globally? - CORRECT ANSWER-
Caregiver and societal beliefs favoring mixed feedings (believing that breast milk is not enough
or that babies actions/issues are related to the breast milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than promoting
support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of proper
breastfeeding techniques
, How to support exclusive breastfeeding - CORRECT ANSWER-Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the baby-friendly
hospital initiative in health systems
Provide community based strategies including communication campaigns tailored to the local
context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and subsequent
resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and support
What is the role of the pituitary glade in milk making? - CORRECT ANSWER-Messages from
certain stimulation travels through the breast to the pituitary gland which triggers it to produce
prolactin and oxytocin which are two hormones needed to make milk.
How in prolactin produced? - CORRECT ANSWER-Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - CORRECT ANSWER-Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes with the
association of smell, touch, sounds of baby at the breast. Also occurs on babies end with
knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - CORRECT ANSWER-Nipple stretching
that occurs with a proper latch
What is a third way oxytocin can be triggered? - CORRECT ANSWER-Baby hand massage
What does prolactin do? - CORRECT ANSWER-Enters receptor sites in the milk making cells
and helps produce breastmilk
What does oxytocin do? - CORRECT ANSWER-Allows for the milk to move from the milk
making cells and through the nipple with "contractions" that squeeze the cells and the ducts.
Preterm milk - CORRECT ANSWER-Appears to have different composition for the first 5-7
weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not matter if the
baby is SGA or LGA only dependent of gestational age
The Updated Exam Review Questions and
Answers 100% A+ Graded Excel!!!
The World Health Organization and UNICEF have set out three strategies needed for increasing
breastfeeding initiation and duration in every country. What are the 3 strategies? - CORRECT
ANSWER-Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Focuses on advantages of breastfeeding on a personal (personal connection), community,
country (amount spent on healthcare), or global level (waste from formula & formula products)
Focuses on the good "advantages" of breastfeeding - CORRECT ANSWER-Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to assure breast feeding's ability
to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison, etc.. -
CORRECT ANSWER-Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development and
implementation - CORRECT ANSWER-Breastfeeding Support
Women how do not breastfeed are at a greater risk for what diseases? - CORRECT ANSWER-
Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
,Reason #1 why women do not exclusively breastfeed - CORRECT ANSWER-Unrealistic
expectations from society about motherhood. Along with lack of preparation for what the
newborn period would be like.
Reason #2 why women do not exclusively breastfeed - CORRECT ANSWER-Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for stopping which is when
they are home from the hospital and alone with no support. The fastest drop-off is in the first 10
days following discharge from the hospital
The International Code of Marketing of Breast milk Substitutions - CORRECT ANSWER-An
international health policy framework to regulate the marketing of breast milk substitutes in
order to protect breastfeeding. It was written in response to the marketing activities of the infant
feeding industry which were promoting formula feeding over breastfeeding, which in turn was
leading to a dramatic increase in maternal and infant morbidity and mortality.
What does "The Code" do? - CORRECT ANSWER-Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together with feeding
bottles, and teats, intended for babies and young children. Sets standards for the labeling and
quality of products and for how the law should be implemented and monitored within countries.
Aims to make sure that parental choices on feeding are based on full, impartial information,
rather than misleading, inaccurate or biased marketing claims.
The Global Strategy for Infant & Young Child Feeding - CORRECT ANSWER-Is intended as a
guide for action; it identifies interventions with a proven positive impact, it emphasizes
providing mothers and families the support they need to carry out their crucial roles, and it
explicitly defines the obligations and responsibilities in this regard of governments, international
organizations, and other concerned parties.
What contributes to low rates of exclusive breastfeeding globally? - CORRECT ANSWER-
Caregiver and societal beliefs favoring mixed feedings (believing that breast milk is not enough
or that babies actions/issues are related to the breast milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than promoting
support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of proper
breastfeeding techniques
, How to support exclusive breastfeeding - CORRECT ANSWER-Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the baby-friendly
hospital initiative in health systems
Provide community based strategies including communication campaigns tailored to the local
context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and subsequent
resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and support
What is the role of the pituitary glade in milk making? - CORRECT ANSWER-Messages from
certain stimulation travels through the breast to the pituitary gland which triggers it to produce
prolactin and oxytocin which are two hormones needed to make milk.
How in prolactin produced? - CORRECT ANSWER-Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - CORRECT ANSWER-Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that comes with the
association of smell, touch, sounds of baby at the breast. Also occurs on babies end with
knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - CORRECT ANSWER-Nipple stretching
that occurs with a proper latch
What is a third way oxytocin can be triggered? - CORRECT ANSWER-Baby hand massage
What does prolactin do? - CORRECT ANSWER-Enters receptor sites in the milk making cells
and helps produce breastmilk
What does oxytocin do? - CORRECT ANSWER-Allows for the milk to move from the milk
making cells and through the nipple with "contractions" that squeeze the cells and the ducts.
Preterm milk - CORRECT ANSWER-Appears to have different composition for the first 5-7
weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not matter if the
baby is SGA or LGA only dependent of gestational age
