CLE Breastfeeding Education & Promotion 3

Question 1

A mother of a 3-week-old says she produces 'watery milk' after the first letdown. What should the CLE explain?

Accepted Answer

The watery foremilk is normal and transitions to creamier hindmilk as the feeding continues

Answer

Foremilk is thinner and higher in lactose, while hindmilk, released later in a feeding, is richer in fat — both are normal parts of the same milk.

Question 2

During a prenatal breastfeeding class, a participant asks about the composition of colostrum. Which answer is MOST accurate?

Accepted Answer

Colostrum is high in immunoglobulins, protein, and growth factors, and lower in fat and lactose than mature milk

Answer

Colostrum is uniquely concentrated with secretory IgA, protein, and growth factors while containing less fat and lactose than mature milk.

Question 3

A mother wants to return to work at 12 weeks and maintain breastfeeding. Which anticipatory guidance is MOST helpful from a CLE?

Accepted Answer

Start pumping 2–3 weeks before returning to build a freezer stash and practice the pump

Answer

Beginning pumping 2–3 weeks before returning to work allows mothers to build a freezer supply and adjust to the pump without supply disruption.

Question 4

Which federal law in the United States protects a nursing employee's right to pump at work?

Accepted Answer

PUMP for Nursing Mothers Act (2022)

Answer

The PUMP for Nursing Mothers Act of 2022 expanded break time and private space protections for most nursing employees for up to one year after birth.

Question 5

A CLE notices a mother consistently holds her infant in the cradle hold with the baby's body rotated away. What is the MOST important correction to suggest?

Accepted Answer

Ensure the baby's chest, hips, and knees are aligned and facing the mother's body

Answer

Proper alignment — ear, shoulder, and hip in a straight line facing the breast — facilitates effective latch and milk transfer.

(CLE) Certified Lactation Educator Practice Test

(CLE) Certified Lactation Educator Practice Test

CLE Breastfeeding Education & Promotion 3