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 establishing a community breastfeeding support group. Which element is MOST important to include in the ongoing site monitoring plan?
Answer: Tracking participant breastfeeding duration, goals met, challenges identified, and referrals made
Comprehensive monitoring of breastfeeding outcomes, challenges, and referrals demonstrates program effectiveness and guides quality improvement.
During a site assessment of a hospital maternity unit, which practice would a CLE identify as conflicting with the Baby-Friendly Hospital Initiative (BFHI)?
Answer: Routinely distributing formula company discharge bags to all new mothers
BFHI prohibits distribution of formula company promotional materials or discharge bags as they undermine breastfeeding intention.
A CLE is auditing charting at a lactation clinic and finds that outcome data is rarely documented. The BEST reason to document breastfeeding outcomes consistently is to:
Answer: Measure program effectiveness, justify resources, and identify gaps in care
Consistent outcome documentation allows programs to evaluate effectiveness, secure funding, and identify areas needing improvement.
A CLE educator at a WIC clinic is monitoring breastfeeding rates at 6 months. She notices rates drop sharply when mothers return to work at 3 months. The MOST targeted program response is:
Answer: Develop a return-to-work breastfeeding preparation class offered at 2 months postpartum
A targeted return-to-work preparation class addresses the identified drop-off point with anticipatory guidance and practical skills.
Which action BEST demonstrates a CLE applying evidence-based monitoring after a breastfeeding education intervention?
Answer: Collecting pre- and post-intervention data on breastfeeding knowledge and rates at 1 and 6 months
Pre- and post-intervention data collection at multiple time points measures actual knowledge gains and behavioral outcomes.
A CLE notices a mother at a follow-up visit is using a nipple shield that was recommended at the hospital without a plan for weaning. What is the appropriate monitoring step?
Answer: Assess whether the original indication persists and develop a plan for nipple shield weaning if appropriate
Nipple shields should be used with a plan; ongoing use requires reassessment of the original indication and a weaning strategy when appropriate.
A CLE is monitoring a mother at 4 weeks postpartum who is exclusively pumping due to latch difficulties. The most important feeding metric to monitor at this stage is:
Answer: Total daily pumped volume compared to infant's estimated needs (approximately 25 oz/day)
At 4 weeks, a fully pumping mother should produce approximately 25–35 oz per day; comparing her output to this benchmark identifies supply concerns early.