CERTIFIED LACTATION COUNSELOR
ACTUAL EXAM SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ What are the 3 stages of early breast development?.
Answer: 1. In utero
2. First 2 months of life
3. Puberty
◉ Breast development during menstruation.
Answer: - Estrogen: Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
◉ What is Lactogenesis?.
Answer: The initiation of milk production
◉ How many stages of Lactogensis are there?.
Answer: 4
◉ What stages of Lactogenesis occur during pregnancy?.
Answer: 1 and 2
,◉ Lactogenesis 1.
Answer: Ductal and Lobular-Alveolar systems grow at an accelerated
rate (influenced by hormones)
- breasts enlarge
- high progesterone levels cause an increase in alveoli
- colostrum begins to produce in the alveoli
◉ When does Lactogenesis 1 occur?.
Answer: around 16 weeks
◉ Lactogenesis 2.
Answer: The placenta is released from the uterus and progesterone
levels drop
- this causes the alveolar cells to begin to release milk and allows
them to continue to produce more milk
◉ How long does Lactogenesis 2 last?.
Answer: 2-4 days
◉ What are the 5 main areas of the breast?.
Answer: - Upper Inner
, - Lower Inner
- Upper Outer
- Lower Outer
- Tail of Spence
◉ What are the 2 types of breast tissue and what are they composed
of?.
Answer: - Parenchyma: ductal and lobular-alveolar structures
- Strom: connective tissue (fat, vascular, nerve, lymphatic)
◉ What is an Alveolus.
Answer: Small cavity where milk is produced and stored
- made of epithelial cells
◉ What are Alveoli?.
Answer: multiple alveolus
◉ What is the Intra-lobular duct?.
Answer: Connects a lobule to the lactiferous ducts
◉ What is a Mammary Lobule?.
Answer: 10-100 alveoli combined together
ACTUAL EXAM SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ What are the 3 stages of early breast development?.
Answer: 1. In utero
2. First 2 months of life
3. Puberty
◉ Breast development during menstruation.
Answer: - Estrogen: Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
◉ What is Lactogenesis?.
Answer: The initiation of milk production
◉ How many stages of Lactogensis are there?.
Answer: 4
◉ What stages of Lactogenesis occur during pregnancy?.
Answer: 1 and 2
,◉ Lactogenesis 1.
Answer: Ductal and Lobular-Alveolar systems grow at an accelerated
rate (influenced by hormones)
- breasts enlarge
- high progesterone levels cause an increase in alveoli
- colostrum begins to produce in the alveoli
◉ When does Lactogenesis 1 occur?.
Answer: around 16 weeks
◉ Lactogenesis 2.
Answer: The placenta is released from the uterus and progesterone
levels drop
- this causes the alveolar cells to begin to release milk and allows
them to continue to produce more milk
◉ How long does Lactogenesis 2 last?.
Answer: 2-4 days
◉ What are the 5 main areas of the breast?.
Answer: - Upper Inner
, - Lower Inner
- Upper Outer
- Lower Outer
- Tail of Spence
◉ What are the 2 types of breast tissue and what are they composed
of?.
Answer: - Parenchyma: ductal and lobular-alveolar structures
- Strom: connective tissue (fat, vascular, nerve, lymphatic)
◉ What is an Alveolus.
Answer: Small cavity where milk is produced and stored
- made of epithelial cells
◉ What are Alveoli?.
Answer: multiple alveolus
◉ What is the Intra-lobular duct?.
Answer: Connects a lobule to the lactiferous ducts
◉ What is a Mammary Lobule?.
Answer: 10-100 alveoli combined together
