CLE Site Management & Monitoring 2

Question 1

A breastfeeding mother reports that her baby is gaining less than 20 grams per day at 2 weeks of age. What is the most appropriate immediate action?

Accepted Answer

Refer to a physician or IBCLC for evaluation of feeding adequacy

Answer

Weight gain below 20–30 g/day after the first week warrants prompt referral for thorough feeding evaluation.

Question 2

Which of the following urine output patterns in a 5-day-old breastfed infant is MOST consistent with adequate intake?

Accepted Answer

6–8 wet diapers per day with pale yellow urine

Answer

By day 5, six to eight pale, wet diapers per day indicate the infant is receiving sufficient breast milk.

Question 3

A lactation educator reviewing a newborn feeding log notices the baby is feeding only 4 times in 24 hours at day 3. What should the educator advise?

Accepted Answer

Encourage feeding at least 8–12 times per 24 hours and assess latch

Answer

Newborns need 8–12 feedings per 24 hours to stimulate milk production and ensure adequate intake.

Question 4

When monitoring for mastitis in a breastfeeding client, the CLE should look for which combination of signs?

Accepted Answer

Localized redness, warmth, swelling, and flu-like symptoms

Answer

Mastitis classically presents with a localized red, hot, swollen area of the breast accompanied by systemic flu-like symptoms.

Question 5

A client at a hospital lactation education visit asks how to know if her colostrum is 'enough' for her newborn. The best evidence-based response is:

Accepted Answer

Small volumes of colostrum are designed to meet the newborn's stomach capacity and nutritional needs

Answer

Colostrum volume is small by design, matching the newborn's stomach size (5–7 mL) while providing concentrated nutrition and immune factors.

(CLE) Certified Lactation Educator Practice Test