Protocol Development & Review 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.
Read the first 7 Protocol Development & Review flashcards as text
A CLE is creating a protocol for managing hypoglycemia in breastfed newborns. Which intervention should the protocol include BEFORE recommending formula supplementation?
Answer: Frequent breastfeeding or expressed colostrum feeds
Per evidence-based guidelines, frequent breastfeeding and expressed colostrum are recommended first-line management for mild neonatal hypoglycemia before formula supplementation.
When a breastfeeding protocol is implemented in a new unit, the MOST effective training method is:
Answer: Competency-based staff education with return demonstration
Competency-based education with return demonstration ensures staff can correctly apply the protocol steps, not just recall information.
A protocol for breast pump use in the NICU should specify minimum pumping frequency for establishing full milk supply as:
Answer: 8-12 times per 24 hours
Research supports that mothers of NICU infants should pump 8-12 times per 24 hours, mirroring newborn feeding frequency, to establish and maintain full milk supply.
In a protocol review process, 'stakeholder input' most appropriately refers to:
Answer: Input from all staff and patients affected by the protocol
Effective protocol development includes input from nurses, physicians, lactation staff, and ideally patients/families who are directly affected by the protocol.
A late preterm infant (35-36 weeks) is struggling to breastfeed effectively. Which protocol element is most critical to include for this population?
Answer: Supplement with expressed breast milk if intake is inadequate and monitor weight
Late preterm infants are at high risk for poor intake and jaundice; protocols should address supplementation with expressed breast milk and close weight monitoring.
Which metric is most useful for evaluating whether a hospital's breastfeeding protocol is achieving its goals?
Answer: Exclusive breastfeeding rates at discharge
Exclusive breastfeeding rates at discharge directly reflect whether hospital protocols and practices are supporting breastfeeding initiation and continuation.
A CLE reviews a protocol and finds it references a study from 2005 as its sole evidence base. The appropriate action is to:
Answer: Search for updated systematic reviews and revise references accordingly
Protocols must reflect current best evidence; a CLE should search for updated systematic reviews or meta-analyses and revise the evidence base before the next review cycle.