CLE Site Management & Monitoring 3

Question 1

During a lactation education class, a mother asks about 'breast refusal' — her 3-week-old baby turns away from the breast. Which scenario is LEAST likely to cause this behavior?

Accepted Answer

Infant receiving adequate milk volume at breast

Answer

Adequate milk transfer is not a cause of breast refusal; it is actually the goal of breastfeeding management.

Question 2

A CLE educator is monitoring a support group for mothers returning to work. Which strategy BEST supports sustained milk supply during maternal employment?

Accepted Answer

Maintain a pumping schedule that mirrors the infant's feeding frequency

Answer

Pumping at intervals matching the infant's feeding frequency maintains the stimulation needed to sustain milk supply.

Question 3

What is the recommended minimum internal temperature for storing freshly expressed breast milk in a standard refrigerator to maximize safety?

Accepted Answer

40°F (4°C) or below

Answer

Breast milk should be stored at or below 40°F (4°C) in a refrigerator for up to 4 days.

Question 4

A CLE is monitoring a mother who complains of nipple pain rated 8/10 throughout the entire feeding. The FIRST assessment priority is:

Accepted Answer

Observe a complete feeding to assess latch, positioning, and infant oral function

Answer

Observing a complete feeding is the essential first step to identify the root cause of persistent nipple pain.

Question 5

Which document would a CLE use to systematically record observations from a breastfeeding assessment session for continuity of care?

Accepted Answer

Lactation assessment or SOAP note

Answer

A SOAP note or structured lactation assessment form documents subjective, objective, assessment, and plan information for continuity of care.

(CLE) Certified Lactation Educator Practice Test

(CLE) Certified Lactation Educator Practice Test

CLE Site Management & Monitoring 3