Free LCCE Practice Questions

Question 1

Two days after an uncomplicated birth, a parent notices brief uterine cramps during breastfeeding and milk dripping from the other breast. Which hormone links these two responses?

Accepted Answer

Oxytocin

Answer

Prolactin

Answer

Progesterone

Answer

Estrogen

Question 2

A person in first-stage labor has a clinician-confirmed occiput-posterior fetal position. Maternal and fetal assessments are reassuring. Hands-and-knees eases the person’s back discomfort. Which statement makes an unsupported inference?

Accepted Answer

Less back discomfort confirms anterior rotation of the fetal head.

Answer

Hands-and-knees is helping the person cope with the back discomfort.

Answer

The person can change positions if hands-and-knees becomes tiring.

Answer

Supported side-lying is another option if the person wants to rest.

Question 3

“I stopped eating fish because of mercury, but I would like to eat seafood again.” Which pair consists of lower-mercury choices for a pregnant learner under FDA/EPA advice?

Accepted Answer

Sardines and shrimp

Answer

Salmon and bigeye tuna

Answer

Swordfish and freshwater trout

Answer

King mackerel and shark

Question 4

Participants answer the safe-sleep quiz correctly, yet several put a folded blanket under the doll’s head during practice. After a brief corrective demonstration, which assessment would best show whether each participant can now prepare the sleep space correctly?

Accepted Answer

Have each participant arrange the bassinet and explain the choices.

Answer

Ask the group to identify the unsafe feature in a photograph.

Answer

Repeat the quiz with different wording and compare the scores.

Answer

Invite participants to rate their confidence in preparing a bassinet.

Question 5

An initial critical congenital heart disease screen in a well-appearing, 28-hour-old newborn on room air shows oxygen saturations of 97% in the right hand and 92% in one foot. Under the CDC algorithm updated in December 2025, the next screening step is:

Accepted Answer

Repeat measurements in both sites once after one hour.

Answer

Record a pass based on the higher saturation reading.

Answer

Record a failed screen and proceed immediately to diagnostic evaluation.

Answer

Schedule two further hourly screens before deciding whether the screen has failed.

Question 6

At 31 weeks, a previously normotensive patient has blood pressures of 148/94 and 150/96 mm Hg four hours apart. Her previously normal platelet count has fallen to 86,000/µL, with no alternative cause identified, and urine testing shows no proteinuria. The obstetrician diagnoses preeclampsia. Which finding explains why absent proteinuria does not exclude this diagnosis?

Accepted Answer

The platelet count is below 100,000/µL.

Answer

The readings were obtained four hours apart.

Answer

The hypertension developed after 20 weeks.

Answer

Both blood-pressure components are elevated.

Question 7

A person in spontaneous labor is 4 cm dilated. The clinical team reports reassuring findings and no contraindication to epidural analgesia. Although the birth plan described an unmedicated birth, the person now requests an epidural. Their partner asks the LCCE to keep coaching until active labor. The LCCE’s next action should be to:

Accepted Answer

Communicate the epidural request now and continue the comfort support the person wants.

Answer

Continue coaching until dilation reaches 6 cm, then revisit the request for an epidural.

Answer

Explain that an epidural before active labor increases the chance of cesarean birth.

Answer

Suggest systemic opioid analgesia first, reserving an epidural for failure of that approach.

Question 8

At four days old, an alert term infant weighs 3,204 g, down from a birth weight of 3,600 g. The parent reports ten breastfeeds daily. Using percentage loss = (birth weight − current weight) ÷ birth weight × 100, select the correct calculation and follow-up for a childbirth educator.

Accepted Answer

11% loss; arrange a prompt feeding and clinical assessment.

Answer

11% loss; recommend formula after every breastfeed to correct the loss.

Answer

12.4% loss; arrange a prompt feeding and clinical assessment.

Answer

12.4% loss; recommend formula after every breastfeed to correct the loss.

Question 9

A breast-pump manufacturer pays an educator to speak and permits adaptation of its slides. The anatomy illustrations are accurate, but several product claims are unsupported by the cited studies. Before presenting this material, what preparation would meet the educator’s professional obligations?

Accepted Answer

Disclose the payment and replace unsupported claims with accurate information.

Answer

Disclose the payment, retain the claims and identify them as the company’s recommendations.

Answer

Correct the slides without disclosing the payment.

Answer

Use only the accurate anatomy slides, treating source attribution as sufficient disclosure of the relationship.

Question 10

“My chorionic villus sampling (CVS) result was normal. Is the anatomy scan just repeating the same test?” Which reply best addresses this question?

Accepted Answer

The scan assesses fetal structures, including open neural-tube defects that CVS does not assess.

Answer

CVS estimates chromosome risk; the scan provides diagnostic confirmation of that result.

Answer

After normal CVS findings, an anatomy scan is needed only if another pregnancy risk factor appears.

Answer

They assess the same fetal conditions; using both mainly checks that the findings agree.

Free LCCE Practice Questions

Domain 1: PREGNANCY BIRTH RISK FACTORS & COMPLICATIONS

Question 1

Question 2

Question 3

Domain 2: LABOR & BIRTH

Question 4

Question 5

Domain 3: IMMEDIATE POSTPARTUM & NEWBORN TRANSITION

Question 6

Question 7

Question 8

Domain 4: CURRICULUM DEVELOPMENT, PEDAGOGY & PROFESSIONALISM

Question 9

Question 10

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