CLE Protocol Development & Review 3

Question 1

A CLE is creating a protocol for managing hypoglycemia in breastfed newborns. Which intervention should the protocol include BEFORE recommending formula supplementation?

Accepted Answer

Frequent breastfeeding or expressed colostrum feeds

Answer

Per evidence-based guidelines, frequent breastfeeding and expressed colostrum are recommended first-line management for mild neonatal hypoglycemia before formula supplementation.

Question 2

When a breastfeeding protocol is implemented in a new unit, the MOST effective training method is:

Accepted Answer

Competency-based staff education with return demonstration

Answer

Competency-based education with return demonstration ensures staff can correctly apply the protocol steps, not just recall information.

Question 3

A protocol for breast pump use in the NICU should specify minimum pumping frequency for establishing full milk supply as:

Accepted Answer

8-12 times per 24 hours

Answer

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.

Question 4

In a protocol review process, 'stakeholder input' most appropriately refers to:

Accepted Answer

Input from all staff and patients affected by the protocol

Answer

Effective protocol development includes input from nurses, physicians, lactation staff, and ideally patients/families who are directly affected by the protocol.

Question 5

A late preterm infant (35-36 weeks) is struggling to breastfeed effectively. Which protocol element is most critical to include for this population?

Accepted Answer

Supplement with expressed breast milk if intake is inadequate and monitor weight

Answer

Late preterm infants are at high risk for poor intake and jaundice; protocols should address supplementation with expressed breast milk and close weight monitoring.

(CLE) Certified Lactation Educator Practice Test

(CLE) Certified Lactation Educator Practice Test

CLE Protocol Development & Review 3