Certified Lactation Specialist Site Management & Monitoring 2

Question 1

A breastfeeding mother reports that her nipple looks wedge-shaped or lipstick-shaped after feeding. What does this indicate?

Accepted Answer

Shallow latch causing nipple compression

Answer

A wedge- or lipstick-shaped nipple after feeding indicates compression from a shallow latch, which can cause pain and poor milk transfer.

Question 2

When assessing a newborn's oral anatomy, which finding would most likely interfere with effective breastfeeding?

Accepted Answer

High arched palate

Answer

A high arched palate can prevent the infant from adequately flanging the tongue and creating effective suction during breastfeeding.

Question 3

A mother calls the lactation hotline on day 3 postpartum saying her breasts feel very hard and painful. Her baby is latching poorly. What is the priority intervention?

Accepted Answer

Recommend reverse pressure softening before each feed

Answer

Reverse pressure softening moves edema fluid away from the areola, making it easier for the baby to latch during physiologic engorgement.

Question 4

Which feeding cue indicates a newborn is in an ACTIVE or ready-to-feed state?

Accepted Answer

Rooting and bringing hands to mouth

Answer

Rooting and hand-to-mouth movements are mid-level hunger cues indicating the infant is alert and ready to feed before escalating to crying.

Question 5

A lactation consultant observes a mother breastfeeding. The baby's chin is buried in the breast but the nose is pressed flat. What should be corrected?

Accepted Answer

Tilt the baby's head back slightly to free the nose

Answer

Tilting the infant's head back slightly keeps the chin in deep contact while naturally lifting the nose away from the breast for airway clearance.

Certified Lactation Specialist Practice Test

Certified Lactation Specialist Practice Test

Certified Lactation Specialist Site Management & Monitoring 2