10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CLC watches a 6-day-old breastfeed. The infant's body faces the ceiling, the head is turned toward the breast, and the parent reports pinching throughout. After the infant releases the breast, the nipple is wedge-shaped. The parent agrees to another attempt. Which adjustment addresses the likely mechanical cause?
Correct answer: B - Realign the infant's whole body and bring the infant chin-first to the breast with a wide gape.
A breastfeeding parent describes burning nipple pain when leaving a warm shower or uncovering the breasts in a cool room. The nipples turn white, then bluish, then red. Warmth relieves the pain. An observed feed is comfortable, and the nipple remains rounded afterward. Which explanation best fits this pattern?
Correct answer: D - Cold-triggered nipple vasospasm
At 18 hours of age, a healthy term newborn has had several comfortable breastfeeds with observed swallowing and age-appropriate urine and stool output. During a brief separation for maternal care, the infant takes 7 mL of hand-expressed colostrum and settles. The parent asks whether such a small feeding means formula is needed. How should the CLC interpret this volume?
Correct answer: A - It fits reported first-day intakes; adequacy still depends on feeding, output, and weight.
A parent with established lactation hears the baby cry and notices milk beginning to flow before the baby reaches the breast. Which hormone-target cell pairing directly accounts for this immediate response?
Correct answer: C - Oxytocin contracting the myoepithelial cells around the alveoli
An exclusively breastfed infant weighed 3,600 g at birth and 3,456 g at hospital discharge. On day 5, the infant weighs 3,168 g on a calibrated scale. The parent reports 11 breastfeeds but only two wet diapers in the past 24 hours; stools remain dark. The infant is alert. Which assessment and plan should the CLC communicate to the pediatric clinician?
Correct answer: C - A 12% loss; arrange same-day evaluation and an individualized plan to ensure adequate intake.
Four weeks after birth, a parent develops a tender, mildly reddened area of one breast after adding pumping sessions to build a freezer supply. The parent has no fever or systemic symptoms and describes four self-care measures. Which measure is most likely to perpetuate the inflammation?
Correct answer: A - Pumping to empty after every breastfeed
The feeding record for a 40-hour-old term infant shows a LATCH score of 8/10: Latch 2, Audible swallowing 0, Type of nipple 2, Comfort 2, and Hold 2. Weight and diaper records have not yet been reviewed. What conclusion can the CLC draw from this assessment?
Correct answer: D - The total does not establish adequate transfer; the swallowing finding still needs assessment.
"I want to keep some breastfeeding, but feeding, pumping, and giving supplements at every session is taking over my day. I cannot keep doing all of it," a parent tells the CLC. Before negotiating changes, the CLC uses reflective listening. Which response most accurately reflects the parent's stated priorities?
Correct answer: B - Keeping some breastfeeding matters to you, but the current schedule feels unmanageable.
A baby born at 30 weeks is receiving the parent's expressed milk in the neonatal unit. The neonatal team prescribes a multicomponent human-milk fortifier. The parent asks, "Does adding this mean my milk is not good enough?" The fortifier is intended to address which need?
Correct answer: A - Additional protein and minerals to support preterm growth
Milk for a healthy term infant was frozen promptly after expression two months ago. It was moved to a refrigerator at 3 degrees C on Monday at 8 p.m. and became completely thawed on Tuesday at 11 a.m. It has remained refrigerated, has not been warmed, and has not been offered to the infant. On Wednesday at 8 a.m., which instruction follows CDC guidance?
Correct answer: C - Keep it refrigerated and use it by 11 a.m. today.
The full bank has 1,020 more CLC questions with explanations.
Continue in the free practice test →
View plans