CLC Practice Exam questions and answers latest release 2025 updates, Exams of Nursing

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As you walk into the hospital room to see Erin, you find her breastfeeding her baby, chatting with a couple of friends, with her gown down around her waist and her breasts exposed. Your response is to: a) tell her to cover herself up, as there is no need to just "whip it out", b) do and say nothing about the exposed breasts, c) cover her and the infant with a baby blanket, or d) ask the visitors to please leave until Erin is finished nursing - Correct Answer ✅b) do and say nothing about the exposed breasts The most important information to include in your breastfeeding class is: a) advantages of breastmilk, b) a video showing how to latch a baby on the breast, c) how dads can help with breastfeeding, or d) strategies for making breastfeeding eaier - Correct Answer ✅d) strategies for making breastfeeding easier Susie is considering pregnancy for the first time. One supplement she should be certain to include is: a) vitamin A, b) vitamin C, c) vitamin D, or d) vitamin E - Correct Answer ✅c) vitamin D Bertha, who is pregnant, asks you when her breasts will stop getting bigger so she can get some new bras. You tell her that usually most pregnancy breast growth is completed by week: a) 18, b) 24, c) 29, or d) 34 - Correct Answer ✅c) 29

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Which of the following is most likely to be a symptom of postpartum depression? a) bodily aches and pains, b) overeating, c) feeling tired and grumpy, or d) sadness lasting longer than 2 weeks - Correct Answer ✅d) sadness lasting longer than 2 weeks Which infant is at risk for iron-deficiency anemia? a) infant weighing more than 3000 g at birth, b) breastfed infant whose mother lost 2 units of blood at delivery, c) infant who is exclusively breastfed for longer than 6 months, or d) infant who is fed cow's milk before a year of age - Correct Answer ✅d) infant who is fed cow's milk before a year of age Sixteen-year-old Trudy delivered her son at 29 weeks gestation. The NICU staff reports that she plans on formula-feeding. You decide to talk to her about breastfeeding. The most important reason you decide to do this is because: a) When women hear about the benefits of breast milk for their preterm infants, many will decide to at least pump while the baby is in the NICU, b) Trudy probably chose to formula-feed because it was unlikely she had any role models that had breastfed, c) the staff probably assumed she was going to formula-feed because Trudy is an adolescent, or d) the infant is still NPO and you have time to convince Trudy to changer her mind - Correct Answer ✅a) when women hear about the benefits of breast milk for their preterm infants, many will decide to at least pump while the baby i in the NICU

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When examining the newborn's palate, you should see (or feel) a: a) U-shape, b) flat shape, c) V-shape, or d) C-shape - Correct Answer ✅a) U-shape The most important societal change necessary to increase breastfeeding is: a) reduce marketing of non-human milks, b) acceptance of the breast as other than an object of pleasure, c) reduce society's dependence on the use of pacifiers for infants, d) include breastfeeding education in the training of health care professionals - Correct Answer ✅b) acceptance of the breast as other than an object of pleasure Foods ingested by the mother can affect which of the following? a) the pH of the milk, b) the gaseous content of the milk, c) the protein content of the milk, or d) the flavor of the milk - Correct Answer ✅d) the flavor of the milk Three-week-old David is having stools twice a week. David weighed 7 lbs., 4 oz. at birth and today he weighs 8 lbs., 8 oz. David last nursed 2.5 hours ago. Doing ac/pc weights, in 30 minutes he takes 63 mL from the right breast and 40 mL from the left. Residual pumping gives 13 mL from the right and 10 mL from the left. You suspect: a) David may be receiving inadequate calories, b) Marlene may have a lower than normal amount of fat in her milk, c) David could have Hirschprung's disease, or d) David could have a metabolic disease which in interfering with the

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peristalsis of the intestines - Correct Answer ✅c) David could have Hirschsprung's disease Which of the following is true about weight gain from birth through the first two months in exclusively breastfed infants? a) most babies will lose around 10% of their birth weight within the first three days of life, b) infants should regain their birth weight by 10-14 days of age, c) between 2 and 6 weeks, the average daily weight gain is 24-26 grams, or d) an infant who is gaining 10 grams per day in considered FTT - Correct Answer ✅b) infants should regain their birth weight by 10-14 days of age What temperature should water that is to be mixed with powdered formula be to kill the Cronobacter sakazkii bacteria? a) boiled water cooled to body temperature, b) room temerature, c) at least 158 deg F, or d) boiling - Correct Answer ✅c) at least 158 deg F Which of the following would most likely be the best treatment for a yeast infection of the nipples? a) oral antifungal prescription medication, b) antifungal ointment, c) coconut oil, or d) eliminate yeast foods from her diet - Correct Answer ✅b) antifungal ointment

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decreased, c) it's going to be in her best interest to not breastfeed, or d) when she weans her baby, her insulin levels will vary - Correct Answer ✅b) after delivery she may find her insulin needs are decreased The WHO Code is: a) part of a global initiative to promote breastfeeding, b) important to decreasing formula feeding in third world counties, c) a law in the U.S., or d) concerned with the marketing of breast milk substitutes - Correct Answer ✅d) concerned with the marketing of breast milk substitutes Lactoferrin does all of the following EXCEPT: a) promotes growth of the intestinal epithelium, b) withholds iron from iron-requiring pathogens, c) alters the properties of the bacterial cell wall, or d) destroys overgrowth of mutated cells - Correct Answer ✅a) promotes growth of the intestinal epithelium The onset of copious milk supply in Lactogenesis 2 seems to be triggered primarily by: a) an increase in lactose, b) a drop in estrogen, c) withdrawal or progesterone, or d) an increase in plasma prolactin - Correct Answer ✅c) withdrawal of pregesterone Which of the following is true about the transmission of HIV? a) formula-feeding prevents the transmission of HIV, b) exclusive breastfeeding limits the

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transmission of HIV, c) engorgement can be a risk factor for the transmission of HIV, or d) mixed feeds (breastfeeding and formula) slow the transmission of HIV - Correct Answer ✅b) exclusive breastfeeding limits the transmission of HIV Physiologic jaundice of the newborn is caused by which of the following? a) rapid breakdown of immature fetal RBCs, b) ineffective breastfeeding, not getting enough protein, c) a substance in colostrum that inhibits conjugation of bilirubin, or d) not enough albumin in the plasma for the bilirubin to bind to - Correct Answer ✅a) rapid breakdown of immature RBCs The whey:casein ratio in late lactation is: a) 90:10, b) 60:40, c) 50:50, or d) 18:82 - Correct Answer ✅c) 50: Mavis contacts you concerned that 4-month-old Henry, who is 5 lbs. over his birth weight and who has been sleeping 8-9 hours at night, has suddenly started waking to nurse 2-3 times. Your first response to her is: a) you might want to have him checked by the pediatrician. Something may be physically wrong with him, b) it's not uncommon for this to happen. If you just go in and pat him, he'll be fine. He obviously doesn't need to be fed, c) you really enjoyed that nighttime sleep, didn't you? It's frustrating that Henry is waking up again just when you thought things were getting better, or d) I'm so sorry. You should probaby just let him cry it out for a couple of night and he'll start going back to sleep on his own. - Correct

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c) breastfeeding regularly every 3 hours, or d) apply heat and gentle massage over affected area - Correct Answer ✅d) apply heat and gentle massage over affected area Leukocytes in human milk are: a) are more concentrated in the first 6 months, b) pathogen killing cells, c) organic oligosaccharides, or d) anti-inflammatory factor - Correct Answer ✅b) pathogen killing cells Which of the following is most likely to be an early factor in causing insufficient milk supply at 10 days? a) not breastfeeding within the first hour after birth, b) injectable progestin contraceptive given shortly after delivery, c) infant not suckling effectively within the first 24 hours, or d) inadequate oxytocin levels - Correct Answer ✅b) injectable progestin contraceptive given shortly after delivery One of the main reasons the Lactation Amenorrhea Method (LAM) prevents conception is that: a) frequent suckling results in higher prolactin levels which prevents ovulation, b) levels gonadotropin are decreased in all postpartum women, c) levels of the follicle stimulating hormone (FSH) are increased, or d) levels of the luteinizing hormone (LH) are increased - Correct Answer ✅a) frequent suckling results in higher prolactin levels which prevents ovulation

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The neonatologist has determined that week old, 3 lbs. 15 oz. baby Noah in the NICU needs to take in 35 mL/feeding- feeding q3h. What is the best way to ensure that this breastfed baby is getting an adequate caloric intake? a) preterm infants need to receive 109-140 kcal/kg body weight per day depending on gestational age, weight, and medical/physical problems, b) have the mother pump her milk and feed 35 mL mixed with human milk fortifier at each feed, c) do a before and after weight (ac/pc) and supplement to reach 35 mL at each feed after breastfeeding if needed, or d) since ac/pc weights are inaccurate at this point, follow each breastfeed with the required amount of supplement - Correct Answer ✅c) do a before and after weight (ac/pc) and supplement to reach 35 mL at each feed after breastfeeding if needed The IBCLC decides to use a nipple shield with baby Noah and his mom. At what point do you expect Noah will be able to be weaned off it? a) when the baby is approximately his full-term corrected age, b) as soon as the baby can latch comfortably and transfer milk using the shield, c) the chances of the infant being weaned from the shield is unlikely, or d) since milk supply will be decreased dramatically, shields should never be used with preterm infants - Correct Answer ✅a) when the baby is approximately his full-term corrected age

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Which of the following do infants need for optimal development? a) their own room, b) a stay-at-home mom, c) interaction with adults, or d) a predictable schedule - Correct Answer ✅c) interaction with adults You are an IBCLC and have the opportunity to attend a lunch and learn given by the formula representative regarding their new organic formula. From an ethical perspective, which is your best course of action? a) not attend since this is presented by a formula company and by attending you will be in violation of the International Code of the Marketing of Breast-Milk Substitutes (The Code), b) attend the presentation, but announce when the lunch is served that you are not permitted to eat the food or you will be in violation of The Code, c) attend the presentation, bringing your own lunch with you, or d) not attend since this is a presentation about formula and as a lactation consultant there is no need for you to learn about formulas - Correct Answer ✅c) attend the presentation, bringing your own lunch with you Tiffany comes to your prenatal clinic and asks you how she can best prepare her nipples and breasts for breastfeeding. You advise her to: a) do a pinch test to determine grasp-ability, otherwise nothing, b) gently roll and pull the nipple 3 times a day, do the Hoffman technique 3 times a day, or d) express colostrum and rub into the areola daily - Correct Answer ✅a) do a pinch test to determine grasp- ability, otherwise nothing

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A neutral attitude towards breastfeeding may result in: a) not allowing a mother to make an informed and unbiased decision, b) providing a balanced choice environment without undue pressure, c) increasing the likelihood of early cessation of breastfeeding, or d) increasing the opportunity for a supportive environment for breastfeeding - Correct Answer ✅c) increasing the likelihood of early cessation of breastfeeding When would finger-feeding be most appropriate? a) finger-feeding is never appropriate in any case, b) in order to evaluate a baby's suck, swallow and breathe patterns, c) to supplement an infant who is unable to nurse at the breast, or d) to transition a breastfeeding infant to the bottle - Correct Answer ✅b) in order to evaluate a baby's suck, swallow and breathe patterns In teaching mothers about safe sleep, it is important to emphasize: a) the baby must be in her own crib in her own room, b) the room should be kept warm enough so no covers are needed, c) the baby must be on her back on a flat, firm surface, or d) the baby's pillow must be no more than 1" deep - Correct Answer ✅c) the baby must be on her back on a flat, firm surface