CERTIFIED LACTATION COUNSELOR
COMPREHENSIVE EXAMINATION GUIDE
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ reasons for baby prefering one side.
Answer: clavicle fracture, cephallhematoma on one side, subtle
positioning
◉ most common cause of inadequate supply.
Answer: inadequate or infrequent milk removal
- persistent milk stasis suppresses lactation
◉ diet of breastfeeding woman.
Answer: - do not need change, keep normal intake
- woman living under variety of circumstances can breast feed, most
components are not related to mother's intake
- should eat enough calories, gain weight within same parameters as
if you were not pregnant/breastfeeding
◉ lump in breast not related to lactation.
, Answer: if changes size before/after feeds (do not change related to
milk flow)
◉ prolonged elevated bilirubin.
Answer: - not pathological
- encourage 10-12 effective feeds per day
◉ most contributing factor of breast abscess.
Answer: prolonged milk stasis
◉ immature sucking patterns.
Answer: short bursts with pauses
◉ mature sucking patterns.
Answer: rapid sucking followed by steady suck swallow
coordinated breathing
moves smoothly from rooting to latched on
◉ 34 weeker struggling to latch.
Answer: due to sleepiness of prematurity and delayed lactogensis
from premature delivery
COMPREHENSIVE EXAMINATION GUIDE
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ reasons for baby prefering one side.
Answer: clavicle fracture, cephallhematoma on one side, subtle
positioning
◉ most common cause of inadequate supply.
Answer: inadequate or infrequent milk removal
- persistent milk stasis suppresses lactation
◉ diet of breastfeeding woman.
Answer: - do not need change, keep normal intake
- woman living under variety of circumstances can breast feed, most
components are not related to mother's intake
- should eat enough calories, gain weight within same parameters as
if you were not pregnant/breastfeeding
◉ lump in breast not related to lactation.
, Answer: if changes size before/after feeds (do not change related to
milk flow)
◉ prolonged elevated bilirubin.
Answer: - not pathological
- encourage 10-12 effective feeds per day
◉ most contributing factor of breast abscess.
Answer: prolonged milk stasis
◉ immature sucking patterns.
Answer: short bursts with pauses
◉ mature sucking patterns.
Answer: rapid sucking followed by steady suck swallow
coordinated breathing
moves smoothly from rooting to latched on
◉ 34 weeker struggling to latch.
Answer: due to sleepiness of prematurity and delayed lactogensis
from premature delivery
