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
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?
Answer: Infant receiving adequate milk volume at breast
Adequate milk transfer is not a cause of breast refusal; it is actually the goal of breastfeeding management.
A CLE educator is monitoring a support group for mothers returning to work. Which strategy BEST supports sustained milk supply during maternal employment?
Answer: Maintain a pumping schedule that mirrors the infant's feeding frequency
Pumping at intervals matching the infant's feeding frequency maintains the stimulation needed to sustain milk supply.
What is the recommended minimum internal temperature for storing freshly expressed breast milk in a standard refrigerator to maximize safety?
Answer: 40°F (4°C) or below
Breast milk should be stored at or below 40°F (4°C) in a refrigerator for up to 4 days.
A CLE is monitoring a mother who complains of nipple pain rated 8/10 throughout the entire feeding. The FIRST assessment priority is:
Answer: Observe a complete feeding to assess latch, positioning, and infant oral function
Observing a complete feeding is the essential first step to identify the root cause of persistent nipple pain.
Which document would a CLE use to systematically record observations from a breastfeeding assessment session for continuity of care?
Answer: Lactation assessment or SOAP note
A SOAP note or structured lactation assessment form documents subjective, objective, assessment, and plan information for continuity of care.
When a CLE identifies that a breastfed infant has jaundice on day 4, the most critical monitoring parameter related to breastfeeding is:
Answer: Stool color and frequency as indicators of bilirubin excretion and milk intake
Stool frequency reflects milk intake and bilirubin excretion; frequent, yellow stools after day 4 indicate adequate feeding and bilirubin clearance.
A CLE at a community health center notices a mother's documentation shows four missed follow-up visits. The most person-centered approach is to:
Answer: Contact the client to identify and address barriers to attendance
Reaching out to identify barriers (transportation, work, childcare) reflects client-centered care and supports breastfeeding continuation.