ALPP CLC EXAM GUIDE 2026: 200+ MOST-TESTED
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
"you shouldn't eat spicy foods when BF"
- answer-- many anthropologists believe that the flavors of the culture are
conveyed to the child through milk while lactating
- children are acculturated to the taste of their native foods through BM
- longer duration of BF is associated with higher food variety at 3 years
- foods that do not taste familiar are more likely to be refused
Risks of delayed BF in hours after birth - mother
- answer-- decreased prolactin receptors activated
- decreased oxytocin/uterine contractions
- decreased milk volume
- decreased opportunities to practice with colostrum
- decreased confidence
- increased risk of supplementation
Role of CLC provider regarding tots
- answer-- complete feeding assessment and suggest ways to optimize latch
- refer onward for diagnosis
- provide ongoing support
- pacifier and feeding bottles in the hospital were both associated with sore nipples
at discharge
S2s influences
- answer-state organization and motor system modulation of newborn
- can help with difficulty latching and sustaining a feed, not just for right after birth
S2s promotes
- answer-- decreased rate of primary PP hemorrhage
- faster expulsion of the placenta
- correct suckling
- less crying
- s2s babies are warmer
,S2s promotes BF
- answer-compared to mothers with no early s2s contact, EBF was higher in
mothers who experienced longer s2s contact
S2s twin studies
- answer-found that each breast increases temp separately for the closest baby
Safer use of infant formula
- answer-a majority of US babies receive infant formula in the first 6 months of life
Separation due to work/school
- answer-how to support:
- get tuned into reality for this family
- reexamine our individual POV
- focus on helping with BF in the first week after d/c
- assure support 2-3 weeks before return to work/school and continuing through
adjustment (Tips from Office on Women's Health)
- make support for parents available in the workplace/school
Sidelying vs. Laid-back foe post c-section moms
- answer-indicated no difference in BF outcomes, however, greater satisfaction
with comfort, ease of positioning, BF for longer periods in side-lying group
compared with laid-back group
Sleep wake cycles in the first hour
- answer-- all babies had a least a one-hour wake time after birth
- after the first hour, wakefulness varies
Sleeping through the night
- answer-- regulatory problems (crying, feeding, sleeping) co-evolve, particularly
in first 4 months
- from 4 months, sleep is consolidated in the nighttime, although 94% of babies
wake up up to 3x a night, are awake during the day, except for 1-4 naps
- hight quality rcts demo that "behavioral intervention programs" fail to help and
may actually Increase parental stress and infant crying
- parents of infants (3mos old) who were BF in the evening or at night slept an
average of 40-45 mins more than parents of infants given formula and reported less
sleep disturbance
- with infants 6-9 months, no difference in night waking or night feedings
compared to formula fed
,- infants who received more milk or solids during the day were less likely to feed
at night, but not less likely to wake
- daytime interventions for night-time problems!
- no associations have been found between uninterrupted sleep, mental or
psychomotor development, or maternal mood
Smell
- answer-important early developed sense for most newborns to attract the baby to
breast
- exposure to mother's odor may facilitate the infant's adaptation to the early
postnatal environment
- mother's areolae and milk odor appear to be sufficient to attract and guide
neonates to the odor source, especially after the infant has been exposed to
contractions of labor
- maternal BM odor calms newborns during painful procedures
4-6 months
- answer-distractible
- may need to move to quieter place
- regular naps?
- separation anxiety
- night feedings?
- teething
6-9 months
- answer-- mobile
- teething
- regular naps?
- night feedings?
- playful
- long periods of concentration
- biting: need to explore why
9-12 months
- answer-- stand and walk
- regular mealtimes and snack nursings
- nursing before bed and naps
, 10 steps for successful BF
- answer-1. Have written BF policy that is routinely communicated to all HC staff
2. Train all HC staff in skills necessary to implement policy
3. Inform all pregnant women about benefits and management of BF
4. Help mothers initiate BF within 1 hr of birth (key: immediate s2s, uninterrupted
and continuing until completion of first feed)
5. Show mothers how to BF and how to maintain lactation, even if they are
separated from their infants
6. Give infants no food or drink other than BF unless medically indicated
7. Practice "rooming-In" - allow mothers and infants to remain together 24 hours a
day (s2s and safe sleep suggestions to improve safety have been developed)
8. Encourage BF on demand, encourage responsive feeding
9. Give no pacifiers or artificial nipples to BF infants
10. Foster the establishment of BF support groups and refer mothers to them on d/c
from hospital or clinic
AAP weight loss stance in 2005
- answer-"weight loss in the infant of greater than 7% from birth weight indicates
possible breastfeeding problems and requires more intensive evaluation of
breastfeeding and possible intervention to correct problems and improve milk
production and transfer"
AAP weight loss stance in 2012
- answer-added "evaluate body weight gain - body weight loss no more than 7%
from birth and no further weight loss by day five: assess feeding and consider more
frequent follow-up"
AAP's policy statement on SIDS 2016
- answer-"consider pacifier use at naptime and bedtime.. For breastfed infants,
delay pacifier introduction until BF has been firmly established"
ABM protocol #20
- answer-more time spent BF in the first 48 hours is associated with less
engorgement
Abscess
- answer-- pus, not milk
- as many as 60% may be positive for MRSA
- nursing on the other breast is possible
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
"you shouldn't eat spicy foods when BF"
- answer-- many anthropologists believe that the flavors of the culture are
conveyed to the child through milk while lactating
- children are acculturated to the taste of their native foods through BM
- longer duration of BF is associated with higher food variety at 3 years
- foods that do not taste familiar are more likely to be refused
Risks of delayed BF in hours after birth - mother
- answer-- decreased prolactin receptors activated
- decreased oxytocin/uterine contractions
- decreased milk volume
- decreased opportunities to practice with colostrum
- decreased confidence
- increased risk of supplementation
Role of CLC provider regarding tots
- answer-- complete feeding assessment and suggest ways to optimize latch
- refer onward for diagnosis
- provide ongoing support
- pacifier and feeding bottles in the hospital were both associated with sore nipples
at discharge
S2s influences
- answer-state organization and motor system modulation of newborn
- can help with difficulty latching and sustaining a feed, not just for right after birth
S2s promotes
- answer-- decreased rate of primary PP hemorrhage
- faster expulsion of the placenta
- correct suckling
- less crying
- s2s babies are warmer
,S2s promotes BF
- answer-compared to mothers with no early s2s contact, EBF was higher in
mothers who experienced longer s2s contact
S2s twin studies
- answer-found that each breast increases temp separately for the closest baby
Safer use of infant formula
- answer-a majority of US babies receive infant formula in the first 6 months of life
Separation due to work/school
- answer-how to support:
- get tuned into reality for this family
- reexamine our individual POV
- focus on helping with BF in the first week after d/c
- assure support 2-3 weeks before return to work/school and continuing through
adjustment (Tips from Office on Women's Health)
- make support for parents available in the workplace/school
Sidelying vs. Laid-back foe post c-section moms
- answer-indicated no difference in BF outcomes, however, greater satisfaction
with comfort, ease of positioning, BF for longer periods in side-lying group
compared with laid-back group
Sleep wake cycles in the first hour
- answer-- all babies had a least a one-hour wake time after birth
- after the first hour, wakefulness varies
Sleeping through the night
- answer-- regulatory problems (crying, feeding, sleeping) co-evolve, particularly
in first 4 months
- from 4 months, sleep is consolidated in the nighttime, although 94% of babies
wake up up to 3x a night, are awake during the day, except for 1-4 naps
- hight quality rcts demo that "behavioral intervention programs" fail to help and
may actually Increase parental stress and infant crying
- parents of infants (3mos old) who were BF in the evening or at night slept an
average of 40-45 mins more than parents of infants given formula and reported less
sleep disturbance
- with infants 6-9 months, no difference in night waking or night feedings
compared to formula fed
,- infants who received more milk or solids during the day were less likely to feed
at night, but not less likely to wake
- daytime interventions for night-time problems!
- no associations have been found between uninterrupted sleep, mental or
psychomotor development, or maternal mood
Smell
- answer-important early developed sense for most newborns to attract the baby to
breast
- exposure to mother's odor may facilitate the infant's adaptation to the early
postnatal environment
- mother's areolae and milk odor appear to be sufficient to attract and guide
neonates to the odor source, especially after the infant has been exposed to
contractions of labor
- maternal BM odor calms newborns during painful procedures
4-6 months
- answer-distractible
- may need to move to quieter place
- regular naps?
- separation anxiety
- night feedings?
- teething
6-9 months
- answer-- mobile
- teething
- regular naps?
- night feedings?
- playful
- long periods of concentration
- biting: need to explore why
9-12 months
- answer-- stand and walk
- regular mealtimes and snack nursings
- nursing before bed and naps
, 10 steps for successful BF
- answer-1. Have written BF policy that is routinely communicated to all HC staff
2. Train all HC staff in skills necessary to implement policy
3. Inform all pregnant women about benefits and management of BF
4. Help mothers initiate BF within 1 hr of birth (key: immediate s2s, uninterrupted
and continuing until completion of first feed)
5. Show mothers how to BF and how to maintain lactation, even if they are
separated from their infants
6. Give infants no food or drink other than BF unless medically indicated
7. Practice "rooming-In" - allow mothers and infants to remain together 24 hours a
day (s2s and safe sleep suggestions to improve safety have been developed)
8. Encourage BF on demand, encourage responsive feeding
9. Give no pacifiers or artificial nipples to BF infants
10. Foster the establishment of BF support groups and refer mothers to them on d/c
from hospital or clinic
AAP weight loss stance in 2005
- answer-"weight loss in the infant of greater than 7% from birth weight indicates
possible breastfeeding problems and requires more intensive evaluation of
breastfeeding and possible intervention to correct problems and improve milk
production and transfer"
AAP weight loss stance in 2012
- answer-added "evaluate body weight gain - body weight loss no more than 7%
from birth and no further weight loss by day five: assess feeding and consider more
frequent follow-up"
AAP's policy statement on SIDS 2016
- answer-"consider pacifier use at naptime and bedtime.. For breastfed infants,
delay pacifier introduction until BF has been firmly established"
ABM protocol #20
- answer-more time spent BF in the first 48 hours is associated with less
engorgement
Abscess
- answer-- pus, not milk
- as many as 60% may be positive for MRSA
- nursing on the other breast is possible
