CLC Breastfeeding Challenges & Clinical Solutions

Question 1

What is the most common cause of sore nipples during the early days of breastfeeding?

Accepted Answer

Improper latch positioning

Answer

Improper latch is the most frequent cause of nipple soreness. When the baby does not take enough breast tissue into the mouth, the nipple is compressed against the hard palate, causing pain and tissue damage.

Question 2

What is mastitis and how should a lactation counselor advise a mother experiencing it?

Accepted Answer

A bacterial breast infection requiring continued breastfeeding, rest, and often antibiotics

Answer

Mastitis is a bacterial infection of breast tissue causing pain, swelling, and fever. Treatment includes continued frequent breastfeeding/pumping to drain the breast, rest, fluids, and antibiotics when needed.

Question 3

What does the term 'engorgement' refer to in breastfeeding?

Accepted Answer

Overfilling of the breasts with milk causing swelling, hardness, and pain

Answer

Engorgement occurs when breasts become overly full of milk, causing swelling, firmness, and discomfort. It commonly happens in the first week postpartum as milk 'comes in' and can be managed with frequent feeding or pumping.

Question 4

What is a tongue-tie (ankyloglossia) and how can it affect breastfeeding?

Accepted Answer

A restricted lingual frenulum that can limit tongue movement and impair the baby's ability to latch and transfer milk effectively

Answer

Tongue-tie occurs when the frenulum under the tongue is too short or tight, restricting tongue movement needed for effective breastfeeding. It can cause poor latch, nipple pain, and inadequate milk transfer.

Question 5

What are the signs that a breastfed newborn is getting adequate milk intake?

Accepted Answer

6 or more wet diapers and 3-4 stools daily by day 4, steady weight gain, and satisfied behavior after feeds

Answer

Adequate intake indicators include sufficient wet and soiled diapers, return to birth weight by 10-14 days, steady weight gain of about 5-7 oz per week, and content behavior between feedings.

CLC - Certified Lactation Counselor Practice Test

CLC - Certified Lactation Counselor Practice Test

CLC Breastfeeding Challenges & Clinical Solutions