Site Management & Monitoring Flashcards
7 cards from real CLE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Site Management & Monitoring flashcards as text
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?
Answer: Refer to a physician or IBCLC for evaluation of feeding adequacy
Weight gain below 20–30 g/day after the first week warrants prompt referral for thorough feeding evaluation.
Which of the following urine output patterns in a 5-day-old breastfed infant is MOST consistent with adequate intake?
Answer: 6–8 wet diapers per day with pale yellow urine
By day 5, six to eight pale, wet diapers per day indicate the infant is receiving sufficient breast milk.
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?
Answer: Encourage feeding at least 8–12 times per 24 hours and assess latch
Newborns need 8–12 feedings per 24 hours to stimulate milk production and ensure adequate intake.
When monitoring for mastitis in a breastfeeding client, the CLE should look for which combination of signs?
Answer: Localized redness, warmth, swelling, and flu-like symptoms
Mastitis classically presents with a localized red, hot, swollen area of the breast accompanied by systemic flu-like symptoms.
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:
Answer: Small volumes of colostrum are designed to meet the newborn's stomach capacity and nutritional needs
Colostrum volume is small by design, matching the newborn's stomach size (5–7 mL) while providing concentrated nutrition and immune factors.
Which monitoring tool is most commonly used by CLEs to track infant weight trends over multiple visits?
Answer: WHO Child Growth Standards weight-for-age chart
WHO Child Growth Standards are the recommended reference for plotting breastfed infant weight trajectories.
A CLE is conducting a follow-up home visit at 10 days postpartum. The baby has not regained birth weight. The MOST appropriate step is:
Answer: Refer the mother-infant dyad to a physician and IBCLC for further evaluation
Most infants regain birth weight by 10–14 days; failure to do so by day 10 requires physician and IBCLC evaluation.