Skip to content
Past Exams

2024 CLC Postnatal Health Certified Lactation Counselor Exam With Answers (253 Solved Questions)

Improve your exam scores with 2024 CLC Postnatal Health Certified Lactation Counselor Exam With Answers, providing you with the most relevant past exams to guide your studies.

Preview 8 of 25 pages

See the first 8 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    CLC- Certified Lactation Counselor Exam Latest Updated 2024 Babies born between these hours of the day or more at risk to receive supplementation: - 10pm-9am Pitocin during labor may inhibit the body's natural process of oxytocin release for up to how many days postpartum? - Day 2. Labor and birth interventions may: - Delay the onset of milk coming in amd/or cause need for extra breastfeeding support in the early hours/days postpartum. The most powerful step in influencing breast feeding outcomes directly following birth? - Skin-to-skin Delaying a bath for how many hours post-birth raises EBF rates? - 2-12 hours post birth. In-hospital supplementation of formula lead to: - 2.5 -6X higher risk of early weaning. What is the percentage of infection rate with lanolin versus non-lanolin creams? - 62% infection rate with lanolin users. Non-lanolin users 18%. The Thompson Method found two common practices are most associated with nipple pain and trauma... - A hand on the back of babies head and shaping the breast. These common practices may interfere with the babies inter-oral function by restricting movement of the cranial cervical spine and nuchal alignment, greatly related to nipple trauma. Lactose Overload - Too much lactose in the gut can cause bacterial fermentation, gas, acid buildup, which leads to abdominal pain and flatulence in the infant. Most commonly associated with explosive, frothy green stools. Percentage of breast abscess positive for MRSA? - 60%. Needs to be assessed by HCP for safety.

  2. Page 2
  3. Page 3
    Read page 3 as text

    Uncommon and emergent mastitis: - The tissues of both breasts are inflamed. Strep is a probable organism - potentially fatal with whole body inflammation and probable sepsis. Immediate concern to be seen by HCP. A reasonable cut off for treating symptomatic hypoglycemia in infants is what glucose blood level? - 40 mg/dL Pathological Jaundice - Before 24 hours of age. Usually due to sepsis or blood incompatibility. Early Onset Jaundice - Between 72-96 hours. Often called physiological or "starvation" or "lack of breastfeeding jaundice." Frequently related to underfeeding. Late Onset Jaundice - Breast milk jaundice may actually be related to metabolic or other issues with the infant. Presents in second week and persist for up to 12 weeks. Kanagroo Mother Care - A special kind of skin to skin holding for premature and fragile babies that has been shown to decrease mortality by 36%, as well as sepsis, hypoglycemia, hypothermia, and hospital admission. Preterm babies who receive kangaroo care: - Better long-term psychological and can genitive control, improve cerebral blood flow, improved weight gain, may have nostrils decolonized by MRSA/MRSE, have a sleep patterns that are more mature, warmer and more physiologically stable, burn fewer calories than in the incubator, and may have better breastfeeding outcomes. Extremely premature infants who receive an exclusive human milk diet have significantly lower as of which incidences? - NEC (Necrotizing enterocolitis) and mortality. During lactation there is a what percent decrease in bone density? - 3% to 9% decrease. Newborn expectations: - 10-12 feedings per 24 hour time, several bowel movements every day from day 2 through the first 6weeks (quarter sized bowels) & (4 on 4), expect stool

  4. Page 4
    Read page 4 as text

    color to transition to yellow and seedy by day 5, 1 + heavy wet diaper for each day of life until day 6. (6+ on day 6+). A heavy wet diaper is approximately how much fluid? - 4 tablespoons. Postpartum Mood Disorders: - Baby blues, postpartum depression, postpartum panic disorder, postpartum obsessive thought disorder and obsessive compulsive disorder (OCD), postpartum post-traumatic stress disorder (PTSD), postpartum psychosis, dysphoric milk ejection reflex (D-MER) AAP - American Academy of Pediatrics ABM - Academy of Breastfeeding Medicine AGA - Appropriate for gestational age. Alveoli - Small glands in the breast that produce breast milk. Amenorrhea - The absence of menstruation. Aysemmetric latch - Optimal attachment to the breast, where the babies lips are not centered in relationship to the areola, but rather vertically off centered, with the babies chin and lower lip closer to the edge of the areola and the babies upper lip. Atopy - And allergy for which there is a genetic predisposition, such as asthma, eczema, or rhinitis. (BFHI) Baby Friendly Hospital Initiative - The UNICEF baby friendly hospital initiative, an international program recognizing hospitals and birth centers that implement the 10 steps to successful breastfeeding.

  5. Page 5
    Read page 5 as text

    Bilirubin - The byproduct of the breakdown of the hemoglobin portion of red blood cells. Bilirubin Encephalopathy - Damage to the brain and central nervous system related to hyperbilirubinemia (Jaundice); Also known as "Kernicterus." Milk Bleb - A firm, small, white spot near the nipple pore opening containing accumulated milk solids. Also referred to as a milk blister. Block Feeding - A pattern of feeding: used to deal with an over-abundant milk supply. In block feeding, the mother offers the baby only one breast for one, two, or three feedings to generate mild local pressure to slow down milk production. Then she offers the other breast for another block of time. Blocked Duct - A condition in which milk from one part of the breast does not flow well and forms a lump of solidified milk that blocks the milk duct. Brachial Plexus Injury - Decreased movement or sensation in the arm caused by injury to the bundle of nerves passing through the shoulder area. This may be caused during birth by pressure to the shoulder area. Bradycardia - Slow heart rate, less than 100 bpm in an infant. Breast Abscess - An area in the breast that feels hot and painful and is full of fluid. Typically resulting from unresolved mastitis. Breast Compression - A hands-on method used during nursing or pumping to increase the flow of milk. The mother gently sneezes, or compresses gently, her breast. Typically used when milk flow stops or slows, to increase milk flow again. Also called "alternate massage." Breastmilk Jaundice - Jaundice occurring in the breast fed infant after 10-14 days of life. The cause of breastmilk jaundice is unknown and the incident is less than 1%.

  6. Page 6
    Read page 6 as text

    Brucellosis - Bacterial infection from contact with animals carrying the Brucella bacteria. Infection causes an undulating fever that spikes in waves. Candida - A family of parasitic fungi occurring especially in the mouth, vagina, and intestinal tract. They are usually benign but can become pathogenic and include the caustive agent (candida albicans) of thrush. Caput Succedaneum - Swelling of the soft tissues of a newborn baby's scalp that develops as a baby travels through the birth canal. CDC - Centers for Disease Control and Prevention Cephalohematoma - A lump that rises on the head of a newborn with an hours of birth due to bleeding beneath the bones of the skull. Chorioamniotis - Inflammation of the fetal membrane due to infection. Cleft Lip and/or Palate - A congenital birth defect causing a division or opening in the roof of the mouth and/or split in the lip. Cyanosis - A bluish discoloration of the skin and mucous membranes. Colostrum - The first milk, produced in the breast by the seventh month of pregnancy. It is thick, sticky, and clear to yellowish in color; is high in protein and vitamin A; causes a laxative effect, thus, helping the baby to pass meconium stools. Immunoglobulins (mostly IgA) In colostrum provide an anti-infection protection to the baby and their gut microbiome. Contraindication - A condition or factor that makes something in advisable. Craniofacial - Involving the head and skull. Cooper's Ligaments - The triangular-shaped ligaments underlying the breasts.

  7. Page 7
    Read page 7 as text

    Cytomegalovirus - A virus of the herpes family that is relatively harmless and adults but can cause severe systemic infection in infants, particularly those born premature. Dehydration Signs - Symptoms include, but are not limited to the following: Dry or sticky mouth, low or no urine output, concentrated urine that appears dark yellow, non-production of tears, sunken eyes, markedly sunken fontanelles in an infant, lethargic or coma (severe). Diabetes Mellitus - A group of diseases in which the body has difficulty managing stable blood sugar. Discordant Twins - Twin pairs with a marked difference in size at birth. Discrepancy Breasts - A condition in which a woman's breast are markedly different in size and/or shape. This is associated with potential milk supply problems. Also called "asymmetric "breasts. Down Syndrome - A congenital condition characterized by moderate to severe mental retardation *[textbook definition]*. Also called trisomy 21. Dyad - A group of two. In lactation terms, usually refers to a nursing mother and baby. Duarte Galactosemia - A variant of galactosemia with generally milder complications. EBF - Exclusively breastfed. ELBW (Acronym) - Extremely low birth weight. An infant with a birth weight less than <1,000 grams (2.2 pounds). Failure to Thrive (FTT) - A serious condition in which baby's growth is inadequate and requires medical evaluation. Engorgement - Swelling in the breast that blocks milk flow; caused by inadequate or infrequent milk removal the breast(s). Breasts will be hot to the touch, painful and will look

  8. Page 8
    Read page 8 as text

    tight and shiny. With severe engorgement, milk production may stop. With inadequate drainage, clogs and/or mastitis can occur. Everted Nipple - A nipple that turns outward when stimulated. Exclusive Breastmilk Feeding (EBMF) - A term used by The Joint Commission (2011) to describe those babies who are receiving only human milk. Feeding Cues - Infant behavior that indicates an interest in eating, including rapid eye movement, movement of hands near the face and mouth (sucking hands and fingers), rooting and seeking motions (turning head side to side while gaping). Flat Nipple - A nipple that everts in response to stimulation but is otherwise not projected. Foremilk - The milk that is expressed from the breast at the beginning of a feed. Glactocele - A milk-filled cyst in the breast, most likely caused by an obstructed duct. Glactogogue - Food or drinks given to the lactating parent that are believed to increase milk production. Galactose - A simple sugar that is portion of lactose; the sugar present in milk. Galactosemia - Congenital metabolic disorder causing inability of the body to use the simple sugar galactose, causing accumulation of galactose 1-phosphate in the body, which results in damage to the liver, central nervous system, and other body systems with permanent, even fatal, outcomes. Gestational Diabetes Mellitus (GDM) - A form of diabetes that occurs in pregnancy. Goldsmith's Sign - The association of a baby's persistent refusal of one breast with possible breast cancer in the mother.

17 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Medicine study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.