CLC Cultural Competence & Diversity in Lactation Support 2

Question 1

What is implicit bias in the context of lactation care?

Accepted Answer

Unconscious attitudes or stereotypes that affect clinical decisions and interactions without the provider's awareness

Answer

Implicit bias operates below conscious awareness and can influence clinical recommendations, tone, and the quality of support offered to clients from marginalized groups.

Question 2

A client from a culture where breastfeeding in public is considered shameful is struggling with returning to work. Which intervention is most appropriate?

Accepted Answer

Explore her comfort level and discuss private pumping spaces and milk storage as culturally acceptable options

Answer

Exploring private options like pumping in a designated room at work respects the client's cultural values while supporting her breastfeeding goals.

Question 3

What is 'structural racism' in the context of US breastfeeding disparities?

Accepted Answer

Policies and systems within institutions that create and perpetuate racial inequities in access to breastfeeding support

Answer

Structural racism refers to how policies, norms, and institutional practices create racially inequitable outcomes in healthcare access and quality, contributing to breastfeeding disparities.

Question 4

In some African American communities, formula feeding has historically been associated with economic success and modernity. How should a CLC approach this cultural context?

Accepted Answer

Acknowledge this historical and social context while providing supportive, non-judgmental breastfeeding education

Answer

Acknowledging the historical reasons behind formula preference — including marketing, segregation-era nursing employment, and survival strategies — builds trust and avoids a paternalistic approach.

Question 5

A mother asks about using traditional herbal galactogogues from her culture (e.g., fenugreek, moringa). What is the most appropriate CLC response?

Accepted Answer

Acknowledge her tradition, review what is known about safety and efficacy, and help her make an informed decision

Answer

A culturally competent CLC acknowledges traditional practices, reviews available safety and efficacy data, and supports informed decision-making without dismissing cultural knowledge.

CLC - Certified Lactation Counselor Practice Test

CLC - Certified Lactation Counselor Practice Test

CLC Cultural Competence & Diversity in Lactation Support 2