Practice Quiz

Lactation Consultant Exam Prep - Question List

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66. A newborn has difficulty breathing and experiences severe coughing spells during breastfeeding. The newborn is diagnosed with a tracheoesophageal fistula. Without proper management, the newborn is most likely to lose which reflex?
  1. Sucking reflex
  2. Swallowing reflex
  3. Rooting reflex
  4. Extrusion reflex
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67. A client had a cesarean delivery. The client informs the nurse midwife that she intends to breastfeed her baby. Which of the following instructions is the most effective for a client who wants to breastfeed after a cesarean delivery?
  1. “Use the football hold when breastfeeding.”
  2. “Choose the position that is most comfortable during breastfeeding.”
  3. “Breast feeding is withheld for the first 12 hours of life.”
  4. “Breastfeed the newborn every 4 to 8 hours.”
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68. A nurse midwife is assessing a client and her infant one week after delivery. The infant’s birth weight was 7.5 pounds. Which of the following findings indicate that the infant is getting enough milk?

I.The mother reports that the infant is wetting 6 to 8 diapers a day.
II.The mother informs the nurse midwife that the infant appears content between feedings.
III.The infant’s weight is 6.8 pounds.
IV.The mother reports that the infant quietly swallows during breastfeeds.
  1. I and II
  2. I, II and III
  3. I, II and IV
  4. All of the findings indicate sufficient milk intake.
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69. A newborn with physiological jaundice is placed on phototherapy. Which of the following actions of the nurse midwife are appropriate for the newborn on phototherapy?

I.Maintain eye dressings during breastfeeding.
II.Place the lights 30 inches above the newborn.
III.Monitor axillary temperature of the newborn.
IV.Undress the infant, except for the diaper, when exposed to the light.
  1. I, II and III
  2. II, III and IV
  3. I, III and IV
  4. All of the actions are appropriate.
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70. An 18-year-old client is pregnant for the first time. A few weeks before her due date, the client informs the nurse midwife that she has decided to breastfeed her baby after birth. As a part of the teaching plan, the nurse midwife informs the client that she need to needs to add some calories to her current RDA to ensure sufficient milk production. If the pre-pregnancy RDA of the client is 2,200 calories per day and her pregnancy RDA is 2,500 calories per day, the client’s RDA during the lactation period is:
  1. 2,800 calories per day.
  2. 3,000 calories per day.
  3. 2,200 calories per day.
  4. 2,700 calories per day.
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