CLC Breastfeeding Challenges & Clinical Solutions 2

Question 1

What is the recommended position for breastfeeding a baby with gastroesophageal reflux?

Accepted Answer

An upright or semi-upright position to reduce reflux episodes

Answer

A flat, lying-down position

Answer

A head-down position to aid digestion

Answer

Position does not affect reflux

Question 2

What is a galactagogue and when might a lactation counselor discuss it?

Accepted Answer

A substance believed to increase breast milk production, discussed when other supply-building strategies have been tried first

Answer

A medication to stop lactation

Answer

A type of breast pump

Answer

A formula supplement for low-weight infants

Question 3

What is the proper storage duration for expressed breast milk at room temperature (77°F/25°C)?

Accepted Answer

Up to 4 hours

Answer

Up to 8 hours

Answer

Up to 24 hours

Answer

Up to 1 hour

Question 4

What role does skin-to-skin contact play in establishing breastfeeding?

Accepted Answer

It triggers the baby's innate feeding reflexes, regulates temperature, and promotes bonding and milk production

Answer

It is only important for premature babies

Answer

It has no effect on breastfeeding outcomes

Answer

It should be limited to 5 minutes after birth

Question 5

When should a lactation counselor recommend a mother seek medical evaluation rather than continuing lactation counseling alone?

Accepted Answer

When there are signs of infection (fever, red streaks), significant infant weight loss, or jaundice

Answer

Only when the mother requests a referral

Answer

Never, as lactation counselors handle all breastfeeding issues

Answer

Only after six weeks of unsuccessful breastfeeding

Question 6

What is the WHO recommendation for exclusive breastfeeding duration?

Accepted Answer

6 months of exclusive breastfeeding, with continued breastfeeding alongside complementary foods up to 2 years or beyond

Answer

3 months of exclusive breastfeeding

Answer

12 months of exclusive breastfeeding

Answer

Until the baby's first tooth appears