2025 CLC Certification Exam New Latest Version
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Actual Past Exam and Correct Answers
When nursing, the baby's mouth should be open _____ degrees.
o 90
o 100-120
o 140-160
o 160 ----------- Correct Answer -------------- 140-160
(T/F): The baby's tongue takes up half the mouth. ----------- Correct Answer -------------- True
Ideally, the cheek line (profile) should be ----:
o Dimpled
o Idented
o Rounded
o None of the above. ----------- Correct Answer -------------- Rounded
In this section, we discuss how the ___ recommended the use of WHO growth charts in 2010.
o FDA
o HHS
o CDC
o ALPP ----------- Correct Answer -------------- CDC
Which of the following statements is true? Relative to babies who are solely formula-fed,
breastfed babies:
o Gain more at first and then slow down the rate of growth at around 4-6 months
o Gain less than formula-fed babies at first but then should catch up by around 4 months.
o Gain at the same pace as formula-fed babies throughout the first year.
o Gain less than formula-fed babies throughout the first year. ----------- Correct Answer -----------
--- Gain more at first and then slow down the rate of growth at around 4-6 months
(T/F): Research reported in this section showed a relationship between exclusive breastmilk and
decreased risk of non-insulin dependent diabetes (or in some cases a later onset of NIDDM). -----
------ Correct Answer -------------- True
(T/F): Obesity rates of children who had been formula fed are greater than those who were
breastfed. ----------- Correct Answer -------------- True
Along with ____, breastfeeding is one of the strategies for obesity prevention.
o Vitamin E supplements
o Increased physical activities
o Less time in subways
o More time in the classroom ----------- Correct Answer -------------- Increased physical activities
,(T/F): Galactocemia not a serious condition. ----------- Correct Answer -------------- False
This section reported that 1 in _______ babies have galactocemia.
o 1,000
o 100,000
o 40,000
o 60,000 ----------- Correct Answer -------------- o 60,000
(T/F): When latched, the baby should be on the breast like a bulls-eye with even amounts of
areola showing equally at the top of and lower lip. ----------- Correct Answer -------------- False
(T/F): Rocker motion describes the baby's jaw motion when the latch is effective. -----------
Correct Answer -------------- True
One concern about the piston motion of the jaw is that it's often associated with numerous sucks
with fewer swallows. ----------- Correct Answer -------------- True
Ideally, the feeding should end:
o When the clocks says the nursing session was 15 minutes per side
o When the baby ends the feeding
o None of the above
o All of the above ----------- Correct Answer -------------- When the baby ends the feeding
Susie Suckle is two days old and she is not living up to her name. What is one possible reason
for her incorrect/unsuccessful breastfeeding?
o A two-hour delay in initiating feeding
o Immediate suckling within the first hour of life
o Rooming in 24 hours a day in the hospital
o The hospital's hearing test policy ----------- Correct Answer -------------- A two-hour delay in
initiating feeding
An optimal state for breastfeeding is when the baby is:
o Crying
o REM sleep
o Fussy and pulling up legs
o Deep sleep ----------- Correct Answer -------------- REM sleep
One of the advantages of having babies room-in with their mothers is that:
o Grandparents can have more contact with the baby
o Medical records staff can find the baby
o Mothers can feed when feeding cues are given
o Babies are more easily fed on a schedule ----------- Correct Answer -------------- Mothers can
feed when feeding cues are given
Helping a mother to learn about correctly latching the baby on involves:
,o Observation of pre-feeding and readiness behaviors
o Starting with the nipple pointing at the baby's chin
o Waiting until the baby starts crying
o Shaping the mother's breast like a wedge before putting it into the baby's mouth -----------
Correct Answer -------------- Observation of pre-feeding and readiness behaviors
Which of the following is an advantage of being skin-to-skin for the infant?
o Babies cry less
o Babies exercise their lungs with more crying
o Babies' heart rates become more rapid and uneven
o None of the above. ----------- Correct Answer -------------- Babies cry less
When latching the baby to the breast:
o Guide the baby to the breast with pressure to the back of the head.
o Start with the baby's nose at the level of the nipple.
o Start with the baby's lips stroking the nipple
o Be sure that the baby is first wide awake and ready to feed ----------- Correct Answer ------------
-- Start with the baby's nose at the level of the nipple
Pregnant women choose formula because they:
o Think it will be more economical
o Believe they will be unable to find breastfeeding help
o Think their diet lacks adequate quality
o Feel more comfortable with the idea of formula feeding ----------- Correct Answer --------------
Feel more comfortable with the idea of formula feeding
Smell is:
o The only sense that is available to the newborn immediately after birth
o The only sense that is available in utero
o A sense that helps guide babies to the breast
o Not available to the newborn immediately after birth ----------- Correct Answer -------------- a
sense that helps guide babies to the breast
Studies about mother's hospital experience indicate that of mothers who intend to breastfeed:
o The majority of them reported that they were given formula packs at discharge
o Most reported their baby had not been given a pacifier
o Most reported that hospitals are very helpful to new mothers according to the mPINC survey
o Most reported that formula packs at discharge helped them breastfeed better ----------- Correct
Answer -------------- Majority of them reported that they were given formula packs at discharge
Which of the following is true ideally?
o Breastfeeding hurts for 10 days and then gets better.
o Breastfeeding should not be painful
o Breastfeeding hurts for the first couple of days and gets better.
o Breastfeeding hurts for the first few seconds and then gets better during the feeding. -----------
Correct Answer -------------- Breastfeeding should not be painful
, According to research discussed in this section about sore nipples:
o The best healing took place with glycerin gel therapy.
o The three groups had ratings of less pain after the intervention, including the group that only
received corrective intervention assessing latch
o The group with lanolin healed best
o None of the above. ----------- Correct Answer -------------- The three groups had ratings of less
pain after the intervention, including the group that only received corrective intervention
assessing latch
(T/F): In the same research study, pain was found to be associated with all aspects of poor latch.
----------- Correct Answer -------------- True
(T/F): Observation of more pre-feeding behaviors (feeding babies according to cue) was
associated with less sore nipples. ----------- Correct Answer -------------- True
(T/F): A misshapen nipple at the end of a feeding is an optimal finding and is not related to
feeding issues. ----------- Correct Answer -------------- False
Thompson's research showed that the following was associated with nipple trauma:
o Shaping the breast
o A hand on the back of the baby's head
o Baby's hand covered by mittens
o 1 & 2 ----------- Correct Answer -------------- 1 & 2
(T/F): There should be no cupping the breast (c-hold) and the baby should be brought to the
breast, not directing the breast to the baby. It is important not to have hands on the back of the
baby's head. No more sandwiching the breast. Breastfeeding should be conducted in a hands-off
way. ----------- Correct Answer -------------- True
(T/F): All-purpose ointment (APNO) was not found to be superior to lanolin when put on
damaged nipples. ----------- Correct Answer -------------- True
Green, shiny stools:
o Are a normal finding
o Are not related to feeding
o Are a sign of not enough milk
o May be a sign of oversupply ----------- Correct Answer -------------- May be a sign of
oversupply
Which of the following may NOT be helpful with oversupply?
o Decreasing additional nipple stimulation if possible
o Considering block feeding
o Trying the Australian posture
o Suggesting herbs such as sage ----------- Correct Answer -------------- Suggesting herbs such as
sage
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