CLC PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS VERIFIED | UPDATED 2024 AL, Exams of Nursing

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CLC PRACTICE EXAM QUESTIONS

WITH 100% CORRECT ANSWERS |

VERIFIED | UPDATED 2024 ALREADY

GRADED A

According to the 2015 U.S. Department of Health and Human Service guidelines, how long can breast milk be stored in the refrigerator? a) 24 hours b) 72 hours c) 5 days d) 8 days - CORRECT ANSWER-c) 5 days Crying is more frequent in infants who are: a) Not held for at least 90 minutes immediately after birth b) Picked up immediately when they start crying c) Between birth and 6 weeks of age d) Between 6 weeks and 3 months of age - CORRECT ANSWER- c) Between birth and 6 weeks of age

Which of the following would be perceived as a conflict of interest for an IBCLC) a) Working as a lactation consultant for a non-Baby Friendly Hospital b) Suggesting the use of formula to supplement a low weight gaining baby c) Including her name on a list of private practice IBCLCs given out at the hospital d) Speaking at a conference where her honoria is paid by a formula company - CORRECT ANSWER-d) Speaking at a conference where her honoria is paid by a formula company The most important reason to provide breast milk to infants during a disaster is: a) Unavailability of ready-to-feed formula b) Prevention of GI diseases such as diarrhea c) Breast milk will be at the correct temperature d) Water for reconstitution of formula may not be available or safe - CORRECT ANSWER-b) Prevention of GI diseases such as diarrhea

Slade is able to stick his tongue out over his lower gum because of which nerve? a) Trigeminal b) Hypoglossal c) Facial d) Glossopharyngeal - CORRECT ANSWER-b) Hypoglossal A pregnant woman who attended your breastfeeding class calls to tell you that she has found out that she is HIV positive and she has been told she can't breastfeed. What is the first thing you would say to her? a) As long as you take the AZT, you can go ahead and breastfeed b) It's a good thing you live in the U.S. where you can bottlefeed without any problems c) If you determine that you will exclusively breastfeed without giving any supplements, you can go ahead and breastfeed d) I'm so sorry to hear that. You must be devastated. I know how much you were looking forward to breastfeeding your baby - CORRECT ANSWER-d) I'm so sorry to hear that. You

must be devastated. I know how much you were looking forward to breastfeeding your baby Christie comes in for a breastfeeding assessment, and it's evident that her baby is getting too much milk at a feeding. Which of the following would be the best advice to give her? a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before switching sides b) Pump off some of the breast milk before you put the baby to the breast to lessen the let-down c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally d) Drink two cups of sage tea per day to decrease your milk supply - CORRECT ANSWER-a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before switching sides The amount of weight a mother gains during her pregnancy may have an impact on breastfeeding because: a) A large weight gain during the pregnancy may encourage the mother to try to diet while lactating

b) Fat stored during pregnancy is more easily mobilized for breast milk content than the fat stored before the pregnancy c) A low weight gain may indicate an eating disordeer d) A weight gain of over 38 lbs. may decrease the protein in her breast milk - CORRECT ANSWER-b) Fat stored during pregnancy is more easily mobilized for breast milk content than the fat stored before the pregnancy Of the following, which is the most important issue for the lactation consultant to address with the mother in the first few days postpartum? a) Teach the mother how to prevent sore nipples b) Teach the mother how to treat her engorgement once she goes home c) Teach the mother ways of coping with a crying baby d) Teach the mother how to determine if the infant is getting enough breast milk - CORRECT ANSWER-d) Teach the mother how to determine if the infant is getting enough milk The FIL (Feedback Inhibitor of Lactation) is: a) Required for increasing milk production

b) Is only stimulated during engorgement c) A suppressor peptide that signals the brain to make less milk d) An integral part of the endocrine control of milk production

• CORRECT ANSWER-c) A suppressor peptide that signals the brain to make less milk Women of childbearing age should consume at least 400 mcg of folate per day in order to reduce the incidence of: a) Tetrology of Fallot b) Neural tube defects c) Bilateral club feet d) Cleft lip and/or palate - CORRECT ANSWER-b) Neural tube defects Which of the following statements about Muslim women during pregnancy and lactation is true? a) Women are considered unclean during pregnancy, parturition, and breastfeeding b) Fasting at Ramadan often decreases supply, and mother has to nurse more frequently to make up for it

c) Breastfeeding beyond six months if frowned upon in Muslim culture as women need to return to fertility quickly d) Women will often fast with everyone else because they don't want to make it up at another time - CORRECT ANSWERd) Women will often fast with everyone else because they don't want to make it up at another time Sophia has an infant who was born at 28 weeks gestation. Which criteria is important in choosing a pump for her? a) The pressure gradient must be able to cycle automatically b) Her insurance company will send a proper pump to her as long as she tells them she has a preterm infant c) Must be quiet so it can be used without attracting attention d) No pump is needed as all mothers are taught hand expression for preterm births - CORRECT ANSWER-a) The pressure gradient must be able to cycle automatically Petunia has a 4-week-old infant, Hermione, who is 6 oz. over her birth weight. Petunia says its hard to keep Hermione awake to nurse. When she pumps instead of nursing, she gets about 1 oz. of milk. Which breastfeeding device would be your

FIRST choice to use with the infant? a) Tube feeding at the breast b) Special Needs Feeder c) Drop-In bottle system d) Infant feeding cup - CORRECT ANSWER-a) Tube feeding at the breast What advice about breastfeeding would you give a woman who has occasional seizures? a) Since there is a chance she might drop the baby if she had a seizure while breastfeeding, she should probably bottle-feed b) If she is going to try breastfeeding, she should have someone with her at all feeding times c) Most anti-seizure medications are considered compatible with breastfeeding d) Since she will have to take seizure medications, she should formula-feed - CORRECT ANSWER-c) Most anti-seizure medications are considered compatible with breastfeeding Ashley calls complaining that 4-week-old Moses is very fussy and she is sure it's because she has been eating strawberries.

In taking a food & nutrition history, what would be your first question or statement? a) Tell me more about when and how often Moses is fussy b) How long and how often do you eat strawberries? c) It would be uncommon for strawberries to causes Moses to be fussy d) Infant fussiness at this age is often seen just before they start having fewer bowel movements each day - CORRECT ANSWER-a) Tell me more abut when and how often Moses is fussy Scarlett asks you about supplementing exclusively breastfed 2 - month-old Rhett with fluoride. Which of the following statements is true? a) If she increases her own dietary intake of fluoride, that will be adequate b) It's important for her to start giving the baby vitamins that contain fluoride c) Babies should have their teeth brushed with a fluoride toothpaste as soon as they erupt d) If the water of her community contains less fluoride than 5 ppm, she needs to start supplementing - CORRECT ANSWER-

c) Babies should have their teeth brushed with a fluoride toothpaste as soon as they erupt Which of the following hospital practices would be the most detrimental to breastfeeding? a) Taking the infants to the nursery for the pediatrician to examine b) Supplementing all breastfed babies after nursing until the milk comes in c) Putting babies with temperatures of <97.6 under the warmer for up to 30 minutes d) Encouraging the return of infants to the nursery at night so the mothers can get more sleep - CORRECT ANSWER-b) Supplementing all breastfed babies after nursing until the milk comes in

One strategy used to help decrease the amount of nicotine passed to the infant is to have the mother smoke immediately after a feeding. What is the best reason that this is helpful? a) The baby will most likely be asleep after nursing and not stress the mother so she may not need to have a cigarette b) The longer the interval between smoking and feeding, the lower the amount of nicotine in the breast milk c) If the mother is advised to smoke after a feeding, she can do it outside d) Smoking after a feeding doesn't decrease the fat in the breast milk as it does if a mother smokes immediately prior to a feeding - CORRECT ANSWER-b) The longer the interval between smoking and feeding, the lower the amount of nicotine in the breast milk You believe that the staff at St. Wonderful Medical Center needs additional breastfeeding training. Your supervisor says that since they already have a 77% breastfeeding initiation rate, there is no need for any further training. Information that may help change the supervisor's decision is: a) Lactation education done at hospitals with good breastfeeding rates increases patient satisfaction

b) The staff always needs new information about lactation c) Additional lactation education will save the staff time in patient care d) With only a 77% initiation rate, St. Wonderful could certainly use more staff education - CORRECT ANSWER-a) Lactation education done at hospitals with good breastfeeding rates increases patient satisfaction Wanda has a plugged duct under her areola on the right breast. Which position would be best for her to use while the plugged duct is present? a) Football hold for the right breast b) Cross-cradle with the mother elevating her right breast to promote breast drainage c) Laid back breastfeeding for the right side d) Lean over the baby to nurse on the affected side - CORRECT ANSWER-d) Lean over the baby to nurse on the affected side Which of the following is most likely to have the potential to deplete a newborn infant's metabolic reserves more rapidly than physiologically anticipated:

a) Extended time under the open warmer b) Recurrent or persistent crying c) Frequent startle (moro) responses d) Skin-to-skin with dad - CORRECT ANSWER-b) Recurrent or persistent crying Baby Hammie was born via vaginal birth at 41 weeks gestation and weighed 10 lbs. 2 oz. His mothers pre-pregnancy weight was 104 lbs. Which condition would be the least likely to occur to this infant? a) Fractured clavicle b) Hypospadius c) Facial asymmetry d) Hypoglycemia - CORRECT ANSWER-b) Hypospadius The composition and/or volume of human milk is influenced by which of the following? a) Size of the breasts b) Maternal intake of electrolytes and minerals c) Age of the mother at time of delivery

d) Stage of gestation and lactation - CORRECT ANSWER-d) Stage of gestation and lactation The phase of parenting in which parents ask lots of questions and are confused by a variety of answers is known as: a) Anticipatory b) Formal c) Informal d) Personal - CORRECT ANSWER-b) Formal Tessa breastfed Christopher for 5 weeks and quit because she felt stressed. Christopher is now 12-weeks-old and Tessa wants to relactate. You tell Tessa that generally speaking, the return of her milk supply is dependent upon which of the following factors? a) Christopher's willingness to go to the breast b) Appropriate dosing of hormonal therapy c) Use of a hospital grade pump 2 or 3 times a day d) Support from her partner and other family members - CORRECT ANSWER-a) Christopher's willingness to go to the breast

In non-breastfeeding mothers, prolactin levels will return to pre-pregnant levels within: a) 5 days b) 2 weeks c) 1 month d) 3 months - CORRECT ANSWER-b) 2 weeks You do an ac/pc weight on 3-week-old Robby, who weighed 7 lbs. 12 oz. at birth. The scale indicates that he has taken in 70 mL. Mom says that this feeding is right on line with his other feedings, and that she has not fed him for 3 hours prior to seeing you. She says he nurses about 7 times in 24 hours. How much do you estimate that he is taking in a 24 hour period? a) 500 mL b) 600 mL c) 750 mL d) 850 mL - CORRECT ANSWER-) 500 mL Jennifer took your breastfeeding class and delivered her baby at 33 weeks gestation. The baby is in the NICU at the local

hospital and is on a ventilator. When she calls you to tell you about the birth, the FIRST thing you say to her is: a) It's important that you start pumping right away. Have you gotten a good pump yet? I can give you some recommendations. b) The NICU at that hospital is SO good. You are lucky you delivered there. c) Breast milk is the best food possible for preterm infants and is the best medicine for her that only you can produce d) I'm so sorry to hear that your baby was early. Tell me more about what happened and how you and she are doing. - CORRECT ANSWER-d) I'm so sorry to hear that your baby was early. Tell me more about what happened and how you and she are doing In teaching safe preparation of preterm infant's formula, which of the following instructions is the most important? a) You must throw away any formula that has been out of the refrigerator for more than an hour b) You need to keep a record of the numbers on the bottom of the can in case there is a formula recall

c) Make sure the water you use to mix the formula with has fluoride in it d) Use concentrate or ready-to-feed since powder isn't sterile - CORRECT ANSWER-d) Use concentrate or ready-to- feed since powder isn't sterile Annie has been diagnosed with a breast abscess and has had it surgically drained. She has been advised by her surgeon to stop breastfeeding because of the potential transfer of the bacteria into the breast milk. What can you share with Annie about nursing after an abscess is drained? a) The bacteria that caused the abscess was walled off in the breast and will drain out through the incision b) The baby can't get sick from the bacteria in the breast milk because the HCl in his stomach will kill it c) All the bacteria in an abscess will be absorbed and eliminated through the lymph system so she may continue to breastfeed d) Her surgeon is correct and this is one of those times when weaning is advised - CORRECT ANSWER-a) The bacteria that caused the abscess was walled off in the breast and will drain out through the incision

Leah, the mother of 14-month-old Olivia, calls you in frustration. "Olivia isn't breastfeeding well at all any more," she tells you. Olivia is eating three meals a day with the rest of the family, but only breastfeeds well" three or four times a day. The other times she nurses a few minutes then is down and off again. Leah is concerned that Olivia is learning bad habits with this snacking. Which of the following direction will your advice take? a) Teach Olivia that snacking is to be avoided as it can lead to obesity b) This type of nursing behavior is frequently seen in toddlerled weaning c) Olivia is a typical toddler, using nursing as her "touch base" with mom d) This is a type of behavior frequently leads to a nursing strike - CORRECT ANSWER-c) Olivia is a typical toddler, using nursing as her "touch base" with mom Which of the following could have a negative impact on a mother's milk supply: a) Antibiotics b) SSRIs

c) Pseudoephedrine d) Analgesics - CORRECT ANSWER-c) Pseudoephedrine A benefit of long-term lactation for mother is a reduction in the incidence of: a) Lung cancer b) Lupus c) Breast cancer d) Fibrocystic breast disese - CORRECT ANSWER-c) Breast cancer You have been working to get 18-hour-old Elmo to latch without success. Which of the following has no impact on whether or not Elmo is able to attach effectively to the breast? a) Elmo is tongue-tied b) Mom has hypoplastic breasts c) Moms labor was induced with pitocin for about 12 hours d) Elmo was fed by a bottle in the nursery throughout the night - CORRECT ANSWER-b) Mom has hypoplastic breasts

Ginger, an 18-year-old intellectually challenged woman delivers a healthy little girl at your hospital. She doesn't know how she wants to feed her baby. What do you need to consider when you are talking to her? a) She would probably be better off feeding formula at specific times during the day and night b) Breastfeeding, while is better for the baby, may be too much of a challenge for this mother to manage c) There is no reason why this new mother can't breastfeed her baby as she is capable of being taught the baby's cues d) Ginger's mother and other support people need to be taught the safest way to feed this formula - CORRECT ANSWER-c) There is no reason why this new mother can't breastfeed her baby as she is capable of being taught the baby's cues While making rounds you meet Ida Claire and ask her how breastfeeding is going. She says, "Oh, I'm not breastfeeding. I changed my mind." What is your FIRST response? a) Can you tell me what concerns you had about breastfeeding that made you change your mind? b) I'm certainly sorry to hear about that. It's too bad you and your baby will miss out on all the benefits of

breastfeeding? c) Let me give you a quick run-down of the benefits of breastfeeding for both you and your baby d) You know that breastfeeding is best for the baby. Let me help you get the baby latched on so you can give it another try

• CORRECT ANSWER-a) Can you tell me what concerns you had about breastfeeding that made you change your mind? Emily, who is clinically obese, is attempting to breastfeed. What suggestion would you give her? a) Essential that the infant have a weight and color check on day 7 b) Pull the infant to the breast using a cross-cradle hold c) Try to breastfeed at least 10-12 times in each 24 hour period d) Begin galactogogues within 48 hours of delivery - CORRECT ANSWER-c) Try to breastfeed at least 10-12 times in each 24 hour period Which of the following is in violation of the International Code of the Marketing of Breast-Milk Substitutes? a) Giving out gift bags from a formula company upon discharge from the hospital

b) Writing an article for a magazine that accepts money from formula companies c) Speaking on breastfeeding for an organization that accepts money from a formula company d) Working as an IBCLC for a hospital that is not Baby- Friendly - CORRECT ANSWER-a) Giving out gift bags from a formula company upon discharge from the hospital Rachel has been diagnosed with Raynaud's phenomenon. Which modality would be most appropriate in treating her? a) Apply vitamin E oil to her nipples after nursing b) Alternate heat and cold packs to breast for 20 minutes prior to nursing c) Have her use a nipple shield for all feeds d) Suggest she try a magnesium supplement - CORRECT ANSWER-d) Suggest she try a magnesium supplement The most common cause of positional plagiocephaly is: a) Inability to roll over from the back b) Lack of interaction with caregiver c) Prolonged periods of time in the supine position

d) Torticollis as evidenced upon exam - CORRECT ANSWER-c) Prolonged periods of the time in the supine position The addition of iron to human milk may interfere with the function of which component in breast milk? a) Lactoferrin by overwhelming it with iron b) Lactoferrin by increasing levels of SigA c) IgG by destroying this immunoglobulin d) Lysozyme by interfering with the cell walls - CORRECT ANSWER-a) Lactoferrin by overwhelming it with iron Which of the following can result in secondary insufficient lactation? a) Infant oral motor dysfunction b) Nipple piercings c) Breast hypoplasia d) Infant with celiac disease - CORRECT ANSWER-a) Infant oral motor dysfunction

Maya tells you she is concerned about the amount of fluids she takes in each day, and isn't sure she is drinking enough. What is your advice to her? a) You need to drink at least 8-10 glasses of water each day b) You will get dehydrated if you don't drink something each time your breastfeed your baby c) Listen to your body and drink whenever you are thirsty d) You need at least a quart of milk a day to make good breast milk - CORRECT ANSWER-c) Listen to your body and drink whenever you are thirsty You are an IBCLC in private practice. You receive a call from an obviously distraught mother. In tears she tells you that she needs to get a pump immediately. How do you respond to her? a) Give her the address of your office and ask her how soon she would like to come and get a pump b) Ask her to tell you a little bit about her situation and why she thinks she needs to rent a pump c) Ask her if she has checked with her insurance company about the kind of pump they provide

d) Suggest that she make an appointment with you so so you can assess which kind of pump she needs - CORRECT ANSWERb) Ask her to tell you a little bit about her situation and why she thinks she needs to rent a pump Allie and baby Ryan are waiting to see you in your outpatient clinic. After you invite her into your office, what is the first thing you need to do? a) Excuse yourself to wash your hands and get Allie a glass of water while she undresses Ryan b) Undress Ryan and do a physical exam on him prior to having Allie nurse him for his feeding evaluation c) Have Allie sign a consent form allowing you to touch both her and the baby d) Have Allie fill out a history and intake form - CORRECT ANSWER-c) Have Allie sign a consent form allowing you to touch both her and the baby Smoking while breastfeeding has been associated with: a) Decreased obesity rates in children b) Increased incidence of colic in infants