CLC CERTIFICATION PRACTICE EXAM 1 FINAL
PAPER 2026 QUESTIONS WITH FULL SOLUTION
◉ Which of the following elements is increased in the milk of
mothers who deliver preterm infants? a) LCPUFAs, b) lactose, c)
calories, or d) calcium. Answer: a) LCPUFAs
◉ Polly tells you that April has really been fussy at feeds, and though
she is gaining well, Polly is just sure there is something wrong. Of the
following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding
weights, c) infant hydration status, or d) observation of behavior
during the feed. Answer: d) observation of behavior during the feed
◉ Lindsey, 7 months pregnant, has just been diagnosed as an
insulin-dependent diabetic. She is concerned that she will not be
able to breastfeed. What information will be most helpful to her? a)
after the delivery she may have to decrease her caloric intake, b)
after delivery she may find her insulin needs are decreased, c) it's
going to be in her best interest to not breastfeed, or d) when she
weans her baby, her insulin levels will vary. Answer: b) after delivery
she may find her insulin needs are decreased
◉ The WHO Code is: a) part of a global initiative to promote
breastfeeding, b) important to decreasing formula feeding in third
, world counties, c) a law in the U.S., or d) concerned with the
marketing of breast milk substitutes. Answer: d) concerned with the
marketing of breast milk substitutes
◉ Lactoferrin does all of the following EXCEPT: a) promotes growth
of the intestinal epithelium, b) withholds iron from iron-requiring
pathogens, c) alters the properties of the bacterial cell wall, or d)
destroys overgrowth of mutated cells. Answer: a) promotes growth
of the intestinal epithelium
◉ The onset of copious milk supply in Lactogenesis 2 seems to be
triggered primarily by: a) an increase in lactose, b) a drop in
estrogen, c) withdrawal or progesterone, or d) an increase in plasma
prolactin. Answer: c) withdrawal of pregesterone
◉ Which of the following is true about the transmission of HIV? a)
formula-feeding prevents the transmission of HIV, b) exclusive
breastfeeding limits the transmission of HIV, c) engorgement can be
a risk factor for the transmission of HIV, or d) mixed feeds
(breastfeeding and formula) slow the transmission of HIV. Answer:
b) exclusive breastfeeding limits the transmission of HIV
◉ Physiologic jaundice of the newborn is caused by which of the
following? a) rapid breakdown of immature fetal RBCs, b) ineffective
breastfeeding, not getting enough protein, c) a substance in
colostrum that inhibits conjugation of bilirubin, or d) not enough
PAPER 2026 QUESTIONS WITH FULL SOLUTION
◉ Which of the following elements is increased in the milk of
mothers who deliver preterm infants? a) LCPUFAs, b) lactose, c)
calories, or d) calcium. Answer: a) LCPUFAs
◉ Polly tells you that April has really been fussy at feeds, and though
she is gaining well, Polly is just sure there is something wrong. Of the
following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding
weights, c) infant hydration status, or d) observation of behavior
during the feed. Answer: d) observation of behavior during the feed
◉ Lindsey, 7 months pregnant, has just been diagnosed as an
insulin-dependent diabetic. She is concerned that she will not be
able to breastfeed. What information will be most helpful to her? a)
after the delivery she may have to decrease her caloric intake, b)
after delivery she may find her insulin needs are decreased, c) it's
going to be in her best interest to not breastfeed, or d) when she
weans her baby, her insulin levels will vary. Answer: b) after delivery
she may find her insulin needs are decreased
◉ The WHO Code is: a) part of a global initiative to promote
breastfeeding, b) important to decreasing formula feeding in third
, world counties, c) a law in the U.S., or d) concerned with the
marketing of breast milk substitutes. Answer: d) concerned with the
marketing of breast milk substitutes
◉ Lactoferrin does all of the following EXCEPT: a) promotes growth
of the intestinal epithelium, b) withholds iron from iron-requiring
pathogens, c) alters the properties of the bacterial cell wall, or d)
destroys overgrowth of mutated cells. Answer: a) promotes growth
of the intestinal epithelium
◉ The onset of copious milk supply in Lactogenesis 2 seems to be
triggered primarily by: a) an increase in lactose, b) a drop in
estrogen, c) withdrawal or progesterone, or d) an increase in plasma
prolactin. Answer: c) withdrawal of pregesterone
◉ Which of the following is true about the transmission of HIV? a)
formula-feeding prevents the transmission of HIV, b) exclusive
breastfeeding limits the transmission of HIV, c) engorgement can be
a risk factor for the transmission of HIV, or d) mixed feeds
(breastfeeding and formula) slow the transmission of HIV. Answer:
b) exclusive breastfeeding limits the transmission of HIV
◉ Physiologic jaundice of the newborn is caused by which of the
following? a) rapid breakdown of immature fetal RBCs, b) ineffective
breastfeeding, not getting enough protein, c) a substance in
colostrum that inhibits conjugation of bilirubin, or d) not enough
