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CLC EXAM 2022 QUESTIONS WITH CORRECT ANSWERS
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CLC EXAM 2022 QUESTIONS WITH CORRECT ANSWERS
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CLC EXAM 2022 QUESTIONS WITHCORRECT ANSWERS
What sare sgreen/shiny sstools sa ssign sof? -sign sof soverproduction sleading sto sless sfat sin smilk,
sfaster sdigestion scausing snot senough stime sfor slactase sto sdigest sthe slactose sin smilk. sAn simproved
slatch scould sallow sfor smore sfat sflow
Signs sof soversupply Rapid sweight sgain sin sinfant, sunsettled sbaby safter sfeeding, srecurrent
splugged sducts sand smastitis, spainful sfeedings, svoluminous s(huge svolumes sof) sstools- soften sgreen
s& sshiny
What scauses snipple spain? Improper slatch--> sneed slactation ssupport sto shelp swith sproper slatch
son, sgood sseal
True/false: sbaby sshould sbe spulled sinto sbreast. False! sDo snot spull sbaby sinto sbreast, slet sbaby
stilt shead sback sfor soptimal slatch. sHand son sback sof sbaby's shead scan sinterfere sbaby's sinteroral
sfunction sby srestricting sthe smovement sof sthe scranio-cervical sspine--> scauses snipple strauma. sMake
ssure scrook sof sarm sin scradle sposition sdoes snot sblock sbaby sfrom sbeing sable sto sfully stilt sback.
Should sa slatch sbe ssymmetric sor sasymmetric?Asymmetric! sA sbaby sshould sform sa steat swith sbreast
stissue sunderneath sthe snipple sas spart sof sa slatch
What sis sa ssymmetric slatch Not sa sgood slatch, scauses snipple sdamage
Asymmetric slatch Optimal sattachment sto sthe sbreast, swhere sthe sbaby's slips sare snot scentered sin
srelationship sto sthe sareolar, sbut srather svertically soff-centered swith sthe sbaby's schin sand slower slip
scloser sto sthe sedge sof sthe sareola sthan sthe sbaby's supper slip. sA sbaby sshould sform sa steat swith sbreast
stissue sunderneath sthe snipple sas spart sof sa slatch
Do snipple screams swork? Continued squestions sof seffectiveness, sfear sof singestion sby sbaby
Should sa sfrenotomy sbe ssuggested sfor stongue stie? No sstudy swas sable sto sreport sthat sfrenotomy
sled sto sbetter slong sterm sbreastfeeding
Tongue stied sbreastfeeder -complete sfeeding sassessment sand ssuggest sways sto soptimize slatch. s
-refer sonward sfor sdiagnosis s(have sPCP sdiagnose sTT)
-provide ssupport
What sis sa sfissure sstraight sdown sthe snipple sevidence sof? A ssymmetric slatch. sTop slip sneeds sto
shave sgood sseal, smoist spart sof slip sshould sbe stouching snipple, scan sroll sout stop slip, sto sreduce sinjury
sduring sBF
Is sthere sa sdeep slatch swith snipple sstretching? If snipple snot sstretched sdeeply sinto smouth, sless
soxytocin sflows, sless sfat sis sin smix. sWith sless sfat, smilk sdigested squicker s= snot senough stime sfor
sbaby sto smake senough slactase sto sdigest slactose sin smilk.
What sto sdo sfor soversupply? Decrease sadditional sstimulation/milk sremoval sif spossible
Consider sblock sfeeding s(only snursing son sone sside sonly sper sfeeding)
Watch sfor smastitis
Try saustralian sposture s(mother sdown sunder, sbaby son stop)
Consider sdonating sto smilk sbank
Consult swith sHCP sfor smedical sdx
How smany smL sconsidered soversupply? normal smilk sproduction s= s750-1000 smL/day
Thrush sduring sBF painful sfor smother s& sbaby. s
may sbe svisible sor smay snot s(whiteness sthat scan't sbe swiped soff)
-mother swill shave sitchy, sflaky, sshiny sskin
,-candida snot sfound sinside sthe sducts sor smilk
Treatment sof scandida son sbreast -nystatin sfirst sline
-flucanizole ssecond sline
-throw sout sall syeast svectors s(pacifiers ssterilize sbreast spumps)
-flucanazole soral scapsules smay sbe sused sto sclean syeast svectors sdue sto sthe sbiofilm screated son
spacifiers sby scandida
What sto sdo sif santifungal streatment sfor syeast sdoesn't swork? Not scandida sinfection!
Reynaud's sPhenomenon -vasospasm sof snipple, srecognized sby striple scolor ssign: sfrom swhite--
> sblue--> sraspberry sor sbicolor ssign swhite s--> sraspberry. s
pain sis sextreme sand sspasmodic s(not scontinuous)
-this shappens safter sfeeding sonce sbaby's smouth scomes soff snipple shas svasospasm, sfeels slike
sfrostbite
treatment sof sreynauds -prevent/decrease scold sexposure
-avoid svasoconstrictive sdrugs ssuch sas scaffeine sand shypertensive sdrugs, snicotine
-can suse snifedipine sor scalcium schannel sblocker
Nipple spain sand spoor smilk stransfer sthat sis spersistent sdespite soptimal slatch -can suse snipple sshield
sas sa stest sto ssee sif sbaby sexerting stoo smuch spressure?
-OT sinvolvement
-in srare scases sbaby shave sa sstrong ssucking svacuum sas smeasured sby sa spressure stransducer sor
snipple sshield
Clogs/plugs Palpable slumps sof smilk swithin sthe slumen sor sduct ssystem, susually snot svisible.
sSolids sdont sget sabsorbed...could sbe stoo stight sof sa sbra sslowing sflow sof smilk
what sto sdo sfor sclogs/plugs Encourage smassage susing sside sof shand sand swarm scompresses. sDo
sdouble snursing sby sdoubling sup son sside sof sclog sto spush sit sout. spoint sbaby's schin stoward sclog
See sPCP sif sclog shasnt smoved sin s24-48 shours sor ssystemic ssymptoms sof sinflammation s(flu slike ss/s)
When sto scall sPCP sfor sclog/plug If splug shasn't smoved sin s24-48 shrs sor ssystemic ssigns sof
sinflammation s(flu slike ss/s)
Causes sof sclogs/plug too stight snursing sbra
what sis sa sbleb small swhite sspots son sthe sface sof sthe snipple sthat slook slike smilk-filled sblisters. sone
sduct sopening sis susually scovered
what sdoes sa sbleb sfeel slike painful sstabbing spinpoint spain
how sto sget srid sof sblebs Same sas sclog streatment. sSometimes sneed st sbe slanced sby sHCP
Common smastitis -can sbe snon-infective sor sinfective s
-blocked sducts sfrom sengorgment, shurried sfeedings, snipple sshield s(pressure swill sbuild suntil smilk
ssneaks sout sof sspace, sbody sreacts sto sthis slike sinvader)
causes sof scommon smastitis -tight sbra s(look sfor sindentation sof sbreast sstraps)
-use sof sbreast sshell sor snipple sshell
-attachment sdifficulties
-anemia sin sthe smother
-tongue stie sin sbaby s(ineffective smilk semptying)
s/s scommon smastitis systemic- sfever, sill, smalaise, sredness, spain, sone sinflamed sbreast
What sbacteria scauses sinfective smastitis Staphylococcus
tx scommon smastitis NSAIDS sfirst sline sbut smake ssure sdiagnosed sby sPCP
-must skeep spumping/breastfeeding sto skeep smilk sflowing. skeeps sbreasts ssoft/comfortable sto savoid
sabscess sdevelopment
, Abscess son sbreast Localized sareas sof spus sand snecrotic stissue sthat scan sdevelop swith sa sbreast
sinfection
•Can sdevelop sin sthe ssubcutaneous, sintramammary, sretromammarylayers
•Symptoms sinclude spain, sswelling, sredness, sfever, sincreased sWBC scount, spalpable smass
-pocket sof spus sforms sin sthe sbreast
-from suntreated smastitis
Antibiotics sfor smastitis? Usually sfor sdouble smastitis, snot sgenerally sproscribed sfor sone sbreast
scommon smastitis. sIf streatment suneffective sconsider sanemia, sductal sor sinflammatory sbreast
scancer
Double smastitis EMERGENT sAND sUNCOMMON- stissue sof sboth sbreasts sinflamed.
organism scause sof sdouble smastitis strep s-potentially sfatal, swhole sbody sinflammation, ssepsis
-not sa sproblem swith smilk
signs sof sinflammatory sbreast scancer - sbreast stissue sis sred, swarm, shas sorange speel s(peau
sd'orange), spitting sappearance son sskin ssurface s
- sbreast smass smay sor smay snot sbe spresent
True/false: sMRSA scan slook slike smastitis swhen son sbreast TRUE scan smasquerade sas smastitis.
smight ssee speeling sskin, spitting. scan salso scause slesions sand sabscess.
Abscess son sbreast sis sfull sof s...PUS snot sMILK. sas smany sas s60% spositive sfor sMRSA.
can syou snurse son ssame sside sas sabscess No sshould snurse son sother sbreast. smust sbe saware sof
spossible scontamination son sflanges, spump sparts, scan snot strack sinfection sfrom sone sside sto sother.
abscess ssurgical sintervention can scut sthrough snerves sand sducts. stry sto savoid ssurgical sintervention
treatment sof sabscess drainage sthrough sultrasound-guided stechnique sis sfirst schoice s(needle
saspiration soften shas sto sbe srepeated)
Report sany ssuspicious sarea sof sthe sbreast sto sa squalified sprovider sbecause sit scould sbe... MRSA
sor sherpes- sfatal sfor sbabies
Goldsmith's ssign The sassociation sof sa sbaby's spersistent srefusal sof sone sbreast swith spossible
sbreast scancer sin sthe smother
-can salso shappen ssuddenly swith solder sbabies s
-rule sout scommon sproblems ssuch sas sear sinfection, steething, sbirth strauma s
-CA smay sbe sdiagnosed sas slate sas s5 syrs safter sthis ssign
Neonatal shypoglycemia -symptomatic sinfants s= sglucose sof s40 srequires sper sAPP
-dextrose s& sBF s= sfirst sline stx
-SGA, sLGA, sdiabetic smoms, slate spreterm sinfants sat sgretest srisk
Signs sof sneonatal shypoglycemia • sJitteriness, stremors
• sPoor smuscle stone
• sDiaphoresis s(sweating)
• sPoor ssuck, sfailing sto ssustain slatch
• sTachypnea
• sTachycardia
• sDyspnea
• sGrunting
• sCyanosis
• sApnea
• sLow stemperature
• sHigh-pitched scry
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