CLC Cultural Competence & Diversity in Lactation Support

Question 1

Which racial/ethnic group in the United States has historically had the lowest breastfeeding initiation rates according to CDC data?

Accepted Answer

Non-Hispanic Black mothers

Answer

Non-Hispanic Black mothers have consistently shown the lowest breastfeeding initiation and duration rates in the US, a disparity driven by systemic, social, and structural factors.

Question 2

A new mother from a Southeast Asian background believes she should not breastfeed for the first few days because colostrum is 'dirty.' What is the most culturally competent response by a CLC?

Accepted Answer

Acknowledge her belief, then gently provide evidence-based education about colostrum's immune benefits

Answer

Acknowledging cultural beliefs before providing education preserves trust and rapport, making the client more receptive to evidence-based information about colostrum.

Question 3

What does the concept of 'cultural humility' emphasize that distinguishes it from 'cultural competence'?

Accepted Answer

Maintaining a lifelong, self-reflective process of learning and openness to others' perspectives

Answer

Cultural humility emphasizes ongoing self-reflection and recognizing the limits of one's own knowledge, rather than achieving a finite level of cultural mastery.

Question 4

In many Latin American and Middle Eastern cultures, a postpartum 'cuarentena' or '40-day rest period' is observed. How should a CLC incorporate this into lactation support?

Accepted Answer

Recognize that this period of rest and family support can actually facilitate breastfeeding success

Answer

The traditional 40-day rest period, during which family members provide support, often aligns with the critical early weeks of establishing breastfeeding and can be a protective factor.

Question 5

A CLC is working with a Hmong family where the grandmother is the primary decision-maker about infant feeding. What is the most appropriate approach?

Accepted Answer

Engage the grandmother respectfully as a key stakeholder in the breastfeeding support plan

Answer

In many cultures, elders hold primary family authority over infant care decisions, and including the grandmother as a respected partner increases the likelihood of breastfeeding support at home.

CLC - Certified Lactation Counselor Practice Test

CLC - Certified Lactation Counselor Practice Test

CLC Cultural Competence & Diversity in Lactation Support