Certified Lactation Specialist Lactation Specialist Clinical Tools & Breastfeeding Devices 3 â Questions and Answers
Question 1: Which assessment tool is used to quantify infant breastfeeding behavior including latch, audible swallowing, nipple type, comfort, and hold?
- LATCH scoring system (Correct answer)
- IBFAT (Infant Breastfeeding Assessment Tool)
- BSES-SF (Breastfeeding Self-Efficacy Scale Short Form)
- WHO weight-for-age z-score chart
Correct answer: LATCH scoring system
The LATCH tool scores five componentsâLatch, Audible swallowing, Nipple type, Comfort, and Holdâto evaluate and document breastfeeding sessions.
Question 2: An infant feeding scale accurate to 2 grams is used primarily to:
- Determine maternal milk fat content
- Measure milk intake during a test-weight feed (Correct answer)
- Calculate infant caloric needs per kilogram
- Assess breast storage capacity
Correct answer: Measure milk intake during a test-weight feed
Test-weight feedingâweighing the infant before and after breastfeedingâquantifies milk transfer during a single nursing session.
Question 3: A hospital-grade multi-user breast pump differs from a personal single-user pump primarily because it:
- Uses a closed system preventing milk contamination between users (Correct answer)
- Has higher cycle speeds unsuitable for home use
- Requires sterile water to clean the motor after each use
- Operates only with AC power and cannot be battery-powered
Correct answer: Uses a closed system preventing milk contamination between users
Hospital-grade pumps use a closed system so milk cannot enter the motor, making them safe for multiple users with individual collection kits.
Question 4: Which type of breast pump is most appropriate for an exclusively pumping mother who needs to build and maintain full supply long-term?
- Single-user personal pump used 4 times daily
- Hospital-grade double electric pump used 8 or more times daily (Correct answer)
- Manual pump used after each nursing session
- Wearable hands-free pump used continuously throughout the day
Correct answer: Hospital-grade double electric pump used 8 or more times daily
A hospital-grade double electric pump used at least 8 times per 24 hours most effectively establishes and maintains full milk production for exclusive pumpers.
Question 5: Breast shells (milk cups worn inside the bra) are clinically used to:
- Stimulate letdown before nursing sessions
- Collect dripping milk and provide non-compressive nipple protection (Correct answer)
- Increase nipple eversion in women with inverted nipples before birth
- Deliver topical antibiotics to the nipple surface
Correct answer: Collect dripping milk and provide non-compressive nipple protection
Breast shells collect leaking milk and relieve pressure on sore nipples by keeping fabric from rubbing against them.
Question 6: During ultrasound imaging of a lactating breast, the finding most associated with effective milk removal is:
- Visible dilated ducts that persist throughout the feeding
- Duct diameter decreasing after infant suckling begins (Correct answer)
- Hypoechoic nodules near the areola margin
- Increased echogenicity of the posterior breast parenchyma
Correct answer: Duct diameter decreasing after infant suckling begins
Decreasing duct diameter during suckling indicates milk is being actively removed from the ducts, reflecting effective infant milk transfer.
Question 7: A tongue-tie assessment tool such as the Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) evaluates which two domains?
- Nipple shape and areola elasticity
- Appearance of the frenulum and functional movement of the tongue (Correct answer)
- Infant weight gain and maternal milk output
- Oral reflexes and palate shape
Correct answer: Appearance of the frenulum and functional movement of the tongue
The HATLFF scores the appearance (anatomy) of the lingual frenulum and the functional items (tongue movement) that affect breastfeeding.
Certified Lactation Specialist Lactation Specialist Clinical Tools & Breastfeeding Devices 3
Which assessment tool is used to quantify infant breastfeeding behavior including latch, audible swallowing, nipple type, comfort, and hold?