Practice Test Geeks(CLE) Certified Lactation Educator Practice Test
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Maternal & Infant Health Considerations Flashcards

7 cards from real CLE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A mother with gestational diabetes who is breastfeeding should be aware that lactation typically has what effect on her blood glucose levels?

    Answer: It helps lower blood glucose and reduces insulin requirements

    Lactation increases glucose utilization for milk production, which generally lowers maternal blood glucose and reduces insulin needs in diabetic mothers.

  2. Which postpartum condition is most commonly associated with delayed lactogenesis II (milk coming in after 72 hours)?

    Answer: Retained placental fragments

    Retained placental fragments maintain high progesterone levels, suppressing prolactin action and significantly delaying the onset of copious milk production.

  3. A mother reports her infant has been diagnosed with phenylketonuria (PKU). What is the current recommendation regarding breastfeeding?

    Answer: Breastfeeding can continue with careful monitoring and supplementation with PKU formula

    Infants with PKU can breastfeed with careful monitoring of phenylalanine blood levels, supplementing with phenylalanine-free formula to control intake.

  4. Which maternal medication is considered safest to use while breastfeeding for mild-to-moderate pain relief?

    Answer: Ibuprofen

    Ibuprofen is preferred for breastfeeding mothers because it has poor oral bioavailability, transfers minimally into breast milk, and is considered safe for infants.

  5. An infant born at 34 weeks gestation is considered:

    Answer: Late preterm

    Infants born between 34 0/7 and 36 6/7 weeks gestation are classified as late preterm and have unique feeding challenges compared to term infants.

  6. What is the most significant risk factor for breastfeeding jaundice (starvation jaundice) in the first week of life?

    Answer: Inadequate milk transfer leading to insufficient caloric intake

    Breastfeeding jaundice occurs when insufficient milk intake leads to reduced stool output, causing enterohepatic recirculation of bilirubin and elevated serum bilirubin.

  7. A mother with hypothyroidism who is being treated with levothyroxine wishes to breastfeed. What should she be advised?

    Answer: Levothyroxine is compatible with breastfeeding and treatment should continue

    Levothyroxine transfers minimally into breast milk and is considered safe; discontinuing treatment could harm the mother's health and milk supply.