Certified Lactation Consultant Exam with
Questions and 100% Correct Solutions
When considering both chest masculinization surgery and breast reduction surgery:
The likelihood of breastfeeding is unknown.
Assessment and close nutritional follow up is key.
It is important to assure nutrition of the infant.
All of the above - ✔✔All of the above
Suboptimal breast anatomy can potentially impact breastfeeding and should be seen as a "red
flag" for close assessment and follow up. True
False - ✔✔T
Hypoplastic breasts always make ample milk.
True
False - ✔✔F
There is no concern when a client reports a breast implant on only one side.
True
False - ✔✔F
This could indicate history of discrepant breast size.
With flat and inverted nipples, there will be inadequate production of milk-making hormones
because prolactin involves nipple stretching while oxytocin involves nipple stroking.
True
False - ✔✔F
Prolactin = nipple stroking
,Oxytocin = nipple stretching
The nipple stretches to four times its resting length in the baby's mouth, according to Smith's
research.
True
False - ✔✔F
Stretches to 2x its length
An everted nipple is necessary for babies to attach to the breast. Unlike other mammals, they
cannot form a teat.
True
False - ✔✔F
When counseling someone who has had a breast surgery, it is important to consider:
If the milk ducts are patent
If the nipple pores are patent
The need to monitor the baby's weight gain very closely
All of the above - ✔✔All of the above
Grade 3 inverted nipples are difficult or impossible to pull out/evert.
True
False - ✔✔T
You can tell looking at a nipple at rest how it will function.
True
All of the above - ✔✔Prolactin levels (decreased nipple stroking/stretching)
Almost all mothers have grade 3 inverted nipples.
True
False - ✔✔F
Prenatal nipple preparation should be recommended for all women. True
False - ✔✔F
No research supports, in fact research showed that the non-treatment group BF for longer
duration
Jo Alexander's research indicates that 1 out of 5 women have inverted nipples.
True
False - ✔✔F
3/5 mothers has inverted nipples.
The best way to prepare and inverted nipple for breastfeeding is: Doing nothing to the nipple
during pregnancy
Stretching the nipple and areola during pregnancy
Using a breast shell during pregnancy
Stretching the nipple and using a breast shell during pregnancy - ✔✔Doing nothing to the
nipple during pregnancy
, The women who used a breast shell had the best breastfeeding outcomes at 6 weeks in the
Alexander study.
True
False - ✔✔F
A staff member is fond of telling mothers how expensive it is to formula feed infants and how
inexpensive it is to breastfeed. What is she doing when she talks to mothers on this topic?
Prolonging breastfeeding Promoting breastfeeding Protecting breastfeeding Supporting
breastfeeding - ✔✔Promoting breastfeeding
Who currently collects the most comprehensive breastfeeding statistics in the United States?
The United States Breastfeeding Committee Ross Laboratories The Centers for Disease Control
(CDC) The US Department of Agriculture (WIC) - ✔✔CDC
Which of the following statements about prolactin is TRUE?
Prolactin is a great laxative. Prolactin causes milk to be released.
Prolactin causes milk to be made. Prolactin is produced in the renal gland. - ✔✔Prolactin
causes milk to be made.
Which of the following mechanisms cause oxytocin to be released? Complete delivery of the
placenta Elevated levels of gastrointestinal hormones
Frequent feeding and milk removal Nipple stretching with appropriate latch-on - ✔✔Nipple
stretching with appropriate latch-on
Lactogenesis III requires which of the following to succeed?
Frequent milk removal and nipple stimulation.
Adequate rest and alternating starting breast at each feed. Adequate protein and
carbohydrates for the mother. Adequate maternal hydration and lack of maternal stress. -
✔✔Frequent milk removal and nipple stimulation.
One way the fat content of milk suckled by the baby is determined is:
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