ALPP Certified Lactation Counselor (CLC)
Exam | 2025/2026 Edition – REAL
Proctored Exam, 3 Versions Included
(300 Verified Questions & Correct
Answers | Graded A+)
1. The primary hormone responsible for milk production is:
A. Oxytocin
B. Estrogen
C. Prolactin
D. Progesterone
Correct Answer: C
Rationale: Prolactin stimulates milk synthesis in the alveolar cells of the breast.
2. Oxytocin plays a major role in:
A. Milk synthesis
B. Milk ejection (let-down)
C. Breast development
D. Infant digestion
Correct Answer: B
Rationale: Oxytocin causes contraction of myoepithelial cells, resulting in milk ejection.
3. Colostrum is best described as:
A. Mature milk
B. Transitional milk
C. Thick, antibody-rich early milk
D. Formula substitute
,Correct Answer: C
Rationale: Colostrum is rich in immunoglobulins and provides immune protection to the
newborn.
4. Colostrum production typically lasts:
A. 1–2 weeks
B. 3–5 days postpartum
C. 1 month
D. Until weaning
Correct Answer: B
Rationale: Colostrum is produced during the first several days before transitional milk
appears.
5. Transitional milk usually appears:
A. Immediately after birth
B. Days 3–5 postpartum
C. After 6 months
D. Only with pumping
Correct Answer: B
Rationale: Transitional milk bridges colostrum and mature milk as volume increases.
ANATOMY & PHYSIOLOGY
6. Milk is produced in the:
A. Milk ducts
B. Montgomery glands
C. Alveoli
D. Areola
Correct Answer: C
Rationale: Alveoli are the milk-producing structures of the breast.
,7. Myoepithelial cells function to:
A. Produce hormones
B. Store milk
C. Contract to eject milk
D. Prevent infection
Correct Answer: C
Rationale: These cells contract in response to oxytocin, causing milk flow.
8. Which structure carries milk from alveoli to the nipple?
A. Lobes
B. Blood vessels
C. Milk ducts
D. Lymph nodes
Correct Answer: C
Rationale: Milk ducts transport milk to the nipple openings.
9. The areola primarily functions to:
A. Store milk
B. Lubricate the nipple and aid latch
C. Control milk flow
D. Produce prolactin
Correct Answer: B
Rationale: Montgomery glands secrete oils that protect and lubricate the nipple.
INFANT FEEDING BEHAVIOR
10. Early feeding cues include:
A. Crying
B. Rooting and hand-to-mouth movements
C. Sleeping
D. Hiccups
, Correct Answer: B
Rationale: Crying is a late feeding cue; early cues indicate readiness to feed.
11. The best time to initiate breastfeeding is:
A. Within the first hour after birth
B. After hospital discharge
C. When milk “comes in”
D. At 24 hours
Correct Answer: A
Rationale: Early initiation supports bonding, milk supply, and infant stability.
12. A deep latch is characterized by:
A. Lips tucked inward
B. Painful feeding
C. Wide-open mouth with flanged lips
D. Shallow nipple grasp
Correct Answer: C
Rationale: A deep latch improves milk transfer and reduces nipple trauma.
13. Audible swallowing during feeding indicates:
A. Infant choking
B. Milk transfer
C. Air intake
D. Overfeeding
Correct Answer: B
Rationale: Swallowing sounds reflect effective milk intake.
POSITIONING & LATCH
14. Proper positioning aligns:
Exam | 2025/2026 Edition – REAL
Proctored Exam, 3 Versions Included
(300 Verified Questions & Correct
Answers | Graded A+)
1. The primary hormone responsible for milk production is:
A. Oxytocin
B. Estrogen
C. Prolactin
D. Progesterone
Correct Answer: C
Rationale: Prolactin stimulates milk synthesis in the alveolar cells of the breast.
2. Oxytocin plays a major role in:
A. Milk synthesis
B. Milk ejection (let-down)
C. Breast development
D. Infant digestion
Correct Answer: B
Rationale: Oxytocin causes contraction of myoepithelial cells, resulting in milk ejection.
3. Colostrum is best described as:
A. Mature milk
B. Transitional milk
C. Thick, antibody-rich early milk
D. Formula substitute
,Correct Answer: C
Rationale: Colostrum is rich in immunoglobulins and provides immune protection to the
newborn.
4. Colostrum production typically lasts:
A. 1–2 weeks
B. 3–5 days postpartum
C. 1 month
D. Until weaning
Correct Answer: B
Rationale: Colostrum is produced during the first several days before transitional milk
appears.
5. Transitional milk usually appears:
A. Immediately after birth
B. Days 3–5 postpartum
C. After 6 months
D. Only with pumping
Correct Answer: B
Rationale: Transitional milk bridges colostrum and mature milk as volume increases.
ANATOMY & PHYSIOLOGY
6. Milk is produced in the:
A. Milk ducts
B. Montgomery glands
C. Alveoli
D. Areola
Correct Answer: C
Rationale: Alveoli are the milk-producing structures of the breast.
,7. Myoepithelial cells function to:
A. Produce hormones
B. Store milk
C. Contract to eject milk
D. Prevent infection
Correct Answer: C
Rationale: These cells contract in response to oxytocin, causing milk flow.
8. Which structure carries milk from alveoli to the nipple?
A. Lobes
B. Blood vessels
C. Milk ducts
D. Lymph nodes
Correct Answer: C
Rationale: Milk ducts transport milk to the nipple openings.
9. The areola primarily functions to:
A. Store milk
B. Lubricate the nipple and aid latch
C. Control milk flow
D. Produce prolactin
Correct Answer: B
Rationale: Montgomery glands secrete oils that protect and lubricate the nipple.
INFANT FEEDING BEHAVIOR
10. Early feeding cues include:
A. Crying
B. Rooting and hand-to-mouth movements
C. Sleeping
D. Hiccups
, Correct Answer: B
Rationale: Crying is a late feeding cue; early cues indicate readiness to feed.
11. The best time to initiate breastfeeding is:
A. Within the first hour after birth
B. After hospital discharge
C. When milk “comes in”
D. At 24 hours
Correct Answer: A
Rationale: Early initiation supports bonding, milk supply, and infant stability.
12. A deep latch is characterized by:
A. Lips tucked inward
B. Painful feeding
C. Wide-open mouth with flanged lips
D. Shallow nipple grasp
Correct Answer: C
Rationale: A deep latch improves milk transfer and reduces nipple trauma.
13. Audible swallowing during feeding indicates:
A. Infant choking
B. Milk transfer
C. Air intake
D. Overfeeding
Correct Answer: B
Rationale: Swallowing sounds reflect effective milk intake.
POSITIONING & LATCH
14. Proper positioning aligns:
