ALPP CLC Exam 2026 Certified Lactation Counselor
REAL Authentic Proctored Exam Complete 3 Versions
Exam Each 100 Questions Graded A+
AAP weight loss stance in 2005 - CORRECT 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 - CORRECT 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"
adult GI hormones - CORRECT ANSWER: also impacted by suckling
when mother suckles her gastrin and cholecystokinin go up. this increases the efficacy of insulin
and increases the storage of ingested nutrients
after 1 year of lactation - CORRECT ANSWER: has significantly increased fat and energy
contents
anatomy of human breast - CORRECT ANSWER: glandular tissue made up of clusters of alveoli
and small ducts, fat amongst the glandular tissue, milk ducts, areola, nipple with several duct
openings
anatomy of milk cells - CORRECT ANSWER: myoepithelial cells, connective tissue, capillaries,
anteriole, venule, alveolar cells
babyled feeding - CORRECT ANSWER: "the breast-fed baby can regulate his fat intake quickly
and thus mothers should be encouraged to practice baby-led feeding"
,breast feeding: a public health priority - CORRECT ANSWER: has been recognized as a public
health priority in tropical climates since the 1930's, but not until the 1990's in the US
breastfeeding associated hypernatremia - CORRECT ANSWER: hypernatremia is a common
complication of inadequate milk transfer during breastfeeding
- completely preventable complication that seems to be relatively common
breastfeeding promotion - CORRECT ANSWER: focuses on advantages of breastfeeding on a
personal, community, country, or global level
breastfeeding protection - CORRECT ANSWER: focuses on government, manufacturer, and
social responsibility to assure breastfeeding's ability to compete with commercial interests;
includes addressing improper marketing practices; the AAP advices not to provide formula,
company gift bags, and industry-authored handouts; in the US, state and local breastfeeding
legislation addresses breastfeeding in public, employment issues, jury duty, family law, mothers
in prison, etc.
breastfeeding support - CORRECT ANSWER: focuses on the interaction of "helpers" with
family as well as program development and implementation
breastfeeding trends - CORRECT ANSWER: last 150 years or som rates have declined
breastmilk composition - CORRECT ANSWER: human milk changes continually, makes it
impossible to obtain a single representative sample of milk
breastmilk composition changes - CORRECT ANSWER: - over the course of lactation
- within the day
- within a feeding
- between feedings
, is also changes by the way it is taken
by two weeks at the latest: - CORRECT ANSWER: the baby should regained to its birth weight
carry, follow, or hibernate - CORRECT ANSWER: mammal species with hither water content
milk have more frequent feeds
carry = koala
follow = elephants
hibernate = bears
CLC - CORRECT ANSWER: nationally recognized designation awarded by the ALPP to those
who are exam eligible and pass the exam; have competenct verified
CLCs and IBCLCs - CORRECT ANSWER: health professionals who provide lactation support
community expertise - CORRECT ANSWER: variety of community expertise is needed to
promote, protect, and support breastfeeding
cooper findings re: weight loss findings - CORRECT ANSWER: - babies were not identified
before 10% weight loss
- a "contented" (sleepy) baby is NOT a well-fed baby (calorically deprived babies are sleepy)
costs to prevent needless deaths - CORRECT ANSWER: less than $6 billion/year worldwide
diarrhea mechanisms 1 - ph of the gut - CORRECT ANSWER: breastfed babies' gut is more
acidic while formula-fed babies' guts are more neutral/basic
gut bacterial colonies (the microbiome) of mixed fed babies are similar to exclusively formula
fed babies
REAL Authentic Proctored Exam Complete 3 Versions
Exam Each 100 Questions Graded A+
AAP weight loss stance in 2005 - CORRECT 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 - CORRECT 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"
adult GI hormones - CORRECT ANSWER: also impacted by suckling
when mother suckles her gastrin and cholecystokinin go up. this increases the efficacy of insulin
and increases the storage of ingested nutrients
after 1 year of lactation - CORRECT ANSWER: has significantly increased fat and energy
contents
anatomy of human breast - CORRECT ANSWER: glandular tissue made up of clusters of alveoli
and small ducts, fat amongst the glandular tissue, milk ducts, areola, nipple with several duct
openings
anatomy of milk cells - CORRECT ANSWER: myoepithelial cells, connective tissue, capillaries,
anteriole, venule, alveolar cells
babyled feeding - CORRECT ANSWER: "the breast-fed baby can regulate his fat intake quickly
and thus mothers should be encouraged to practice baby-led feeding"
,breast feeding: a public health priority - CORRECT ANSWER: has been recognized as a public
health priority in tropical climates since the 1930's, but not until the 1990's in the US
breastfeeding associated hypernatremia - CORRECT ANSWER: hypernatremia is a common
complication of inadequate milk transfer during breastfeeding
- completely preventable complication that seems to be relatively common
breastfeeding promotion - CORRECT ANSWER: focuses on advantages of breastfeeding on a
personal, community, country, or global level
breastfeeding protection - CORRECT ANSWER: focuses on government, manufacturer, and
social responsibility to assure breastfeeding's ability to compete with commercial interests;
includes addressing improper marketing practices; the AAP advices not to provide formula,
company gift bags, and industry-authored handouts; in the US, state and local breastfeeding
legislation addresses breastfeeding in public, employment issues, jury duty, family law, mothers
in prison, etc.
breastfeeding support - CORRECT ANSWER: focuses on the interaction of "helpers" with
family as well as program development and implementation
breastfeeding trends - CORRECT ANSWER: last 150 years or som rates have declined
breastmilk composition - CORRECT ANSWER: human milk changes continually, makes it
impossible to obtain a single representative sample of milk
breastmilk composition changes - CORRECT ANSWER: - over the course of lactation
- within the day
- within a feeding
- between feedings
, is also changes by the way it is taken
by two weeks at the latest: - CORRECT ANSWER: the baby should regained to its birth weight
carry, follow, or hibernate - CORRECT ANSWER: mammal species with hither water content
milk have more frequent feeds
carry = koala
follow = elephants
hibernate = bears
CLC - CORRECT ANSWER: nationally recognized designation awarded by the ALPP to those
who are exam eligible and pass the exam; have competenct verified
CLCs and IBCLCs - CORRECT ANSWER: health professionals who provide lactation support
community expertise - CORRECT ANSWER: variety of community expertise is needed to
promote, protect, and support breastfeeding
cooper findings re: weight loss findings - CORRECT ANSWER: - babies were not identified
before 10% weight loss
- a "contented" (sleepy) baby is NOT a well-fed baby (calorically deprived babies are sleepy)
costs to prevent needless deaths - CORRECT ANSWER: less than $6 billion/year worldwide
diarrhea mechanisms 1 - ph of the gut - CORRECT ANSWER: breastfed babies' gut is more
acidic while formula-fed babies' guts are more neutral/basic
gut bacterial colonies (the microbiome) of mixed fed babies are similar to exclusively formula
fed babies
