CLC CERTIFIED LACTATION COUNSELOR EXAM |
VERIFIED QUESTIONS AND ANSWERS | GRADED A+
|LATEST UPDATE 2026
1. The hormone primarily responsible for milk ejection (“let-down”) is:
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C. Oxytocin
It stimulates the myoepithelial cells around alveoli to contract and release milk into the ducts.
2. The main hormone responsible for milk production is:
A. Estrogen
B. Progesterone
C. Prolactin
D. Cortisol
Answer: C. Prolactin
Prolactin promotes synthesis and secretion of milk after birth when progesterone drops.
3. Colostrum is best described as:
A. Mature milk
B. Transitional milk
C. First milk rich in immune factors
D. Formula supplement
Answer: C. First milk rich in immune factors
Colostrum contains high levels of antibodies and proteins to protect the newborn.
4. Transitional milk appears approximately:
A. Immediately at birth
B. 2–5 days postpartum
,C. 1 month postpartum
D. 6 weeks postpartum
Answer: B. 2–5 days postpartum
This phase bridges colostrum and mature milk.
5. The best definition of “latch” is:
A. Bottle nipple size
B. baby’s positioning and mouth attachment to breast
C. Type of breast pump
D. Breast engorgement
Answer: B. baby’s positioning and mouth attachment to breast
Good latch ensures efficient milk transfer and minimizes discomfort.
6. A healthy infant should make how many wet diapers per day by day 5?
A. 1–2
B. 3–4
C. 6–8
D. 10–12
Answer: C. 6–8
This indicates adequate intake and hydration.
7. Engorgement is best relieved by:
A. Warm compresses only
B. Frequent feeding and milk removal
C. Avoiding breastfeeding
D. Tight clothing
Answer: B. Frequent feeding and milk removal
Emptying the breasts helps reduce swelling and discomfort.
8. A breastfeeding mother complaining of nipple pain after a feed likely has:
A. Good latch
B. Poor latch
, C. Oversupply
D. Mastitis
Answer: B. Poor latch
Incorrect latch often causes pain and damage to nipples.
9. The correct position for breastfeeding should include:
A. Baby facing away from mother
B. Baby’s head and body in alignment
C. Mother’s head tilted back
D. Baby’s feet first
Answer: B. Baby’s head and body in alignment
Alignment supports an effective latch and comfortable feeding.
10. Mastitis typically presents with:
A. High fever, breast pain and redness
B. Only breast engorgement
C. Rash on baby’s face
D. No symptoms
Answer: A. High fever, breast pain and redness
This indicates inflammation/infection requiring support and often medical care.
11. A mother’s milk supply is best increased by:
A. Skipping feedings
B. Frequent milk removal
C. Drinking lots of water only
D. Resting only
Answer: B. Frequent milk removal
Milk production is based on supply and demand.
12. Jaundice in a newborn can be worsened by:
A. Frequent breastfeeding
B. Poor milk intake
VERIFIED QUESTIONS AND ANSWERS | GRADED A+
|LATEST UPDATE 2026
1. The hormone primarily responsible for milk ejection (“let-down”) is:
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Answer: C. Oxytocin
It stimulates the myoepithelial cells around alveoli to contract and release milk into the ducts.
2. The main hormone responsible for milk production is:
A. Estrogen
B. Progesterone
C. Prolactin
D. Cortisol
Answer: C. Prolactin
Prolactin promotes synthesis and secretion of milk after birth when progesterone drops.
3. Colostrum is best described as:
A. Mature milk
B. Transitional milk
C. First milk rich in immune factors
D. Formula supplement
Answer: C. First milk rich in immune factors
Colostrum contains high levels of antibodies and proteins to protect the newborn.
4. Transitional milk appears approximately:
A. Immediately at birth
B. 2–5 days postpartum
,C. 1 month postpartum
D. 6 weeks postpartum
Answer: B. 2–5 days postpartum
This phase bridges colostrum and mature milk.
5. The best definition of “latch” is:
A. Bottle nipple size
B. baby’s positioning and mouth attachment to breast
C. Type of breast pump
D. Breast engorgement
Answer: B. baby’s positioning and mouth attachment to breast
Good latch ensures efficient milk transfer and minimizes discomfort.
6. A healthy infant should make how many wet diapers per day by day 5?
A. 1–2
B. 3–4
C. 6–8
D. 10–12
Answer: C. 6–8
This indicates adequate intake and hydration.
7. Engorgement is best relieved by:
A. Warm compresses only
B. Frequent feeding and milk removal
C. Avoiding breastfeeding
D. Tight clothing
Answer: B. Frequent feeding and milk removal
Emptying the breasts helps reduce swelling and discomfort.
8. A breastfeeding mother complaining of nipple pain after a feed likely has:
A. Good latch
B. Poor latch
, C. Oversupply
D. Mastitis
Answer: B. Poor latch
Incorrect latch often causes pain and damage to nipples.
9. The correct position for breastfeeding should include:
A. Baby facing away from mother
B. Baby’s head and body in alignment
C. Mother’s head tilted back
D. Baby’s feet first
Answer: B. Baby’s head and body in alignment
Alignment supports an effective latch and comfortable feeding.
10. Mastitis typically presents with:
A. High fever, breast pain and redness
B. Only breast engorgement
C. Rash on baby’s face
D. No symptoms
Answer: A. High fever, breast pain and redness
This indicates inflammation/infection requiring support and often medical care.
11. A mother’s milk supply is best increased by:
A. Skipping feedings
B. Frequent milk removal
C. Drinking lots of water only
D. Resting only
Answer: B. Frequent milk removal
Milk production is based on supply and demand.
12. Jaundice in a newborn can be worsened by:
A. Frequent breastfeeding
B. Poor milk intake
