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 CLE is supporting a mother of twins. Which feeding approach is MOST likely to establish and maintain an adequate milk supply for two infants?
Answer: Simultaneously breastfeeding both twins at each feeding when possible
Simultaneous breastfeeding of twins maximizes breast stimulation and time efficiency, supporting adequate supply for two infants.
During a hospital lactation round, a CLE notices a 36-week late-preterm infant is sleepy and difficult to rouse for feedings. The educator's BEST recommendation is:
Answer: Implement a scheduled feeding plan every 2–3 hours with active arousal techniques
Late-preterm infants require scheduled feedings with active arousal because their immature neurology makes demand feeding unreliable.
A CLE is monitoring milk storage practices at a workplace lactation room. Which finding requires immediate corrective education?
Answer: Milk stored in a regular zip-lock sandwich bag not designed for breast milk
Regular zip-lock bags are not designed for breast milk storage and can leach chemicals, lose integrity, and are difficult to seal securely.
When assessing milk transfer during a weighed feeding (test weight), what does a 1-gram increase in infant weight correspond to?
Answer: 1 mL of breast milk transferred
A 1-gram increase in infant weight on a precision scale corresponds to approximately 1 mL of milk transferred.
A CLE conducting a 2-week postpartum phone follow-up hears that a mother's breasts feel 'less full' than they did in the first week. The educator should explain that this change most likely reflects:
Answer: Normal transition from endocrine-driven milk production to autocrine supply-demand regulation
Around 2–3 weeks postpartum, breasts soften as milk production shifts from hormonal drive to a supply-and-demand autocrine system, which is normal.
Which of the following is an appropriate role for a CLE when a mother discloses symptoms of postpartum depression during a lactation visit?
Answer: Acknowledge her feelings, offer support, and refer to appropriate mental health services
CLEs should acknowledge postpartum depression symptoms empathetically and facilitate referral to qualified mental health professionals.
A breastfeeding mother reports consistently producing only 1–2 oz total per pumping session after 6 weeks postpartum, though her baby seems satisfied after nursing. The CLE's BEST interpretation is:
Answer: Pumping output does not accurately reflect the amount of milk available to the nursing infant
Pumping output is often lower than actual milk transfer at the breast and should not be used alone as a measure of supply adequacy.