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Certified Lactation Counselor (CLC) Exam 2026 | Questions & Verified Answers | Latest Update | Graded A+

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Ace your Certified Lactation Counselor (CLC) exam with confidence using this comprehensive 300+ question test bank, fully updated for the 2026/2027 ALPP certification cycle! This all-in-one resource is meticulously aligned with the Academy of Lactation Policy and Practice (ALPP) exam blueprint and covers the full spectrum of lactation counseling content — including breastfeeding physiology and anatomy (lactogenesis, milk ejection, prolactin and oxytocin roles), latch and positioning techniques, milk supply management and assessment, common breastfeeding challenges (engorgement, mastitis, plugged ducts, nipple pain, insufficient milk supply), maternal and infant health conditions, pharmacological considerations and galactogogues (fenugreek, domperidone, metoclopramide), relactation and induced lactation, supplemental feeding devices, counseling and communication strategies, BFHI and the Ten Steps to Successful Breastfeeding, and professional ethics and standards. The actual ALPP CLC exam is a computer-based proctored examination consisting of 200 questions with a 3-hour time limit and a **passing score of 70%

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,Certified Lactation Counselor (CLC) Exam 2026 | Questions
& Verified Answers | Latest Update | Graded A+
1. A patient in the first stage is discussing the options for feeding her infant and
asks the nurse, 'Which is the most important reason I should consider
breastfeeding my baby?' What is the MOST significant reason the nurse
presents?

Human milk contains multiple antibodies, enzymes, and immune
factors

Human milk proteins are easier to digest than protein in prepared
formula

Vitamins and minerals are transferred to human milk from the mother

The amount of cholesterol in human milk is essential for the baby

2. What is one key practice recommended immediately after birth to support
successful breastfeeding?

Bottle feeding

Skin-to-skin contact

Formula supplementation

Delayed feeding

3. What does the International Code specifically prohibit in relation to formula
distribution?

Selling formula at discounted prices.

Advertising formula in healthcare facilities.

Providing samples of formula to new mothers.

Distributing free formula and giving coupons for formula.

,4. What is the function of Montgomery glands?

To produce saliva for the oral cavity to begin the digestive process

To produce bile for the liver to detoxify and emulsify fats

To secrete oil to lubricate skin around the nipple during
breastfeeding

To cause post-birth contractions of the uterus to return to pre-birth
size

5. Pressure on the milk making cells can result from issues related to which
forces?

Vascular

Lymphatic

Third-spacing (i.e. IV Fluids)

All of the above

6. If a newborn has not returned to their birth weight by 14 days, what steps
should healthcare providers consider taking?

Assess feeding practices and provide additional support.

Increase the newborn's formula intake without assessment.

Advise the mother to stop breastfeeding.

Schedule a surgery for the newborn.

7. What triggers a conditioned response related to milk ejection in
breastfeeding?

Feeling breast fullness

Smelling baby lotion

, K Hearing a baby cry K K K




K Seeing a breast pump K K K




8. Which of the following statements is the best explanation for why early
K K K K K K K K K K K




childhood educators should supportbreast-feeding mothers?
K K K K K K




K Research shows that teachers are the primary factor in length of time
K K K K K K K K K K K




K spent breast-feeding. K




Positive support from teachers fosters confidence and success in
K K K K K K K K K




breast-feeding mothers.
K K




K K Breast-fed infants are healthier, sleep better, and are easier to care for.
K K K K K K K K K K K




K Enrolling more breast-fed infants leads to cost savings in the early
K K K K K K K K K K




K childhood setting. K




9. If a mother who has undergone breast surgery is experiencing low milk
K K K K K K K K K K K




supply, what factors related to her surgery might be contributing to this
K K K K K K K K K K K K




issue?
K




K Increased stress levels unrelated to surgery. K K K K K




K K Improper breastfeeding techniques. K K




K Infant's inability to latch properly. K K K K




K Damage to nerves and ducts from the surgery. K K K K K K K




10. If a new policy is introduced that limits advertising for infant formula, how
K K K K K K K K K K K K




might this impact breastfeeding rates?
K K K K K




K It will have no effect on breastfeeding rates.
K K K K K K K




K It may increase breastfeeding rates by reducing competition from
K K K K K K K K




K commercial interests. K




K It may decrease breastfeeding rates by confusing mothers.
K K K K K K K

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