Certified Lactation Counselor Practice
Exams (CLC ) Practice Exams # 1,2,3,4,5,6,7
& 9. Test Bank Updated Questions with
Completely Verified Answers Graded A+,
Download to Get Perfect Scores
CLC Practice Exam #1
A congenital deficiency of zinc in an infant can cause: a) FTT and skin lesions, b) GI sensitivity to artificial
feeds, c) congenital cataracts, or d) Forbes-Albright Syndrome - Correct Answers-a) FTT and skin
lesions
A galactogogue is given to a mother in order to: a) increase milk supply, b) decrease milk supply, c)
increase calories in milk, or d) improve the flavor of the milk - Correct Answers-a) increase milk
supply
A neutral attitude towards breastfeeding may result in: a) not allowing a mother to make an informed
and unbiased decision, b) providing a balanced choice environment without undue pressure, c)
increasing the likelihood of early cessation of breastfeeding, or d) increasing the opportunity for a
supportive environment for breastfeeding - Correct Answers-c) increasing the likelihood of early
cessation of breastfeeding
Allison tells you that 2-month-old baby Jeffrey has been fussy most of the time since he was about a
week old. his birth weight was 8-4, his current weight is 9-1. Allison says she has been breastfeeding him
a lot. The most likely cause of Jeffrey's fussiness is: a) he isn't getting enough to eat, b) he is sensitive to
the dairy protein in Allison's diet, c) he is most likely experiencing symptoms of lactose intolerance, or d)
he may have GER - Correct Answers-a) he isn't getting enough to eat
As you walk into the hospital room to see Erin, you find her breastfeeding her baby, chatting with a
couple of friends, with her gown down around her waist and her breasts exposed. Your response is to: a)
tell her to cover herself up, as there is no need to just "whip it out", b) do and say nothing about the
exposed breasts, c) cover her and the infant with a baby blanket, or d) ask the visitors to please leave
until Erin is finished nursing - Correct Answers-b) do and say nothing about the exposed breasts
Bertha, who is pregnant, asks you when her breasts will stop getting bigger so she can get some new
bras. You tell her that usually most pregnancy breast growth is completed by week: a) 18, b) 24, c) 29, or
d) 34 - Correct Answers-c) 29
,Foods ingested by the mother can affect which of the following? a) the pH of the milk, b) the gaseous
content of the milk, c) the protein content of the milk, or d) the flavor of the milk - Correct Answers-
d) the flavor of the milk
In a meta-analysis on postpartum engorgement what conclusion was drawn? a) not enough evidence on
any intervention to justify widespread implementation, b) use of cabbage on the breasts between feeds,
c) use of ice packs to the breasts between feeds, or d) use of hot packs to the breasts for 2 minutes prior
to a feed - Correct Answers-a) not enough evidence on any interventions to justify widespread
implementation
In teaching mothers about safe sleep, it is important to emphasize: a) the baby must be in her own crib
in her own room, b) the room should be kept warm enough so no covers are needed, c) the baby must
be on her back on a flat, firm surface, or d) the baby's pillow must be no more than 1" deep - Correct
Answers-c) the baby must be on her back on a flat, firm surface
Jake, Sarah's husband, says that he has heard that drinking beer will increase Sarah's milk supply. What
do you tell him? a) Oh, that's an old wives' tale that has been around for years. There isn't any truth to
it, b) Beer really won't do anything for milk supply unless mom has a low production. Then yes, it will
help, c) Beer can increase prolactin levels and thus milk supply, but is offset by the decrease in the
oxytocin levels so babies take less milk after alcohol consumption, or d) What they have found is that
beer- or wine- helps the mother to relax so that she lets her milk down more quickly and effectively,
thus it appears that it actually increases her supply - Correct Answers-c) Beer can increase prolactin
levels and thus milk supply, but is offset by the decrease in the oxytocin levels so babies take less milk
after alcohol consumption
Lactoferrin does all of the following EXCEPT: a) promotes growth of the intestinal epithelium, b)
withholds iron from iron-requiring pathogens, c) alters the properties of the bacterial cell wall, or d)
destroys overgrowth of mutated cells - Correct Answers-a) promotes growth of the intestinal
epithelium
Leukocytes in human milk are: a) are more concentrated in the first 6 months, b) pathogen killing cells,
c) organic oligosaccharides, or d) anti-inflammatory factor - Correct Answers-b) pathogen killing cells
Lindsey, 7 months pregnant, has just been diagnosed as an insulin-dependent diabetic. She is concerned
that she will not be able to breastfeed. What information will be most helpful to her? a) after the
delivery she may have to decrease her caloric intake, b) after delivery she may find her insulin needs are
decreased, c) it's going to be in her best interest to not breastfeed, or d) when she weans her baby, her
insulin levels will vary - Correct Answers-b) after delivery she may find her insulin needs are
decreased
Mavis contacts you concerned that 4-month-old Henry, who is 5 lbs. over his birth weight and who has
been sleeping 8-9 hours at night, has suddenly started waking to nurse 2-3 times. Your first response to
her is: a) you might want to have him checked by the pediatrician. Something may be physically wrong
with him, b) it's not uncommon for this to happen. If you just go in and pat him, he'll be fine. He
obviously doesn't need to be fed, c) you really enjoyed that nighttime sleep, didn't you? It's frustrating
that Henry is waking up again just when you thought things were getting better, or d) I'm so sorry. You
should probaby just let him cry it out for a couple of night and he'll start going back to sleep on his own.
,- Correct Answers-c) you really enjoyed that nighttime sleep, didn't you? It's frustrating that Henry is
waking up again just when you thought things were getting better
Milk banks that are member of the Human Milk Banking Association of North America (HMBANA): a)
provide milk only for preterm babies, b) don't accept milk from women with any body piercings, c) use
the flash heating method to pasteurize the breast milk, or d) dispense milk for babies inside as well as
outside hospital settings - Correct Answers-d) dispense milk for babies inside as well as outside
hospital settings
One of the main reasons the Lactation Amenorrhea Method (LAM) prevents conception is that: a)
frequent suckling results in higher prolactin levels which prevents ovulation, b) levels gonadotropin are
decreased in all postpartum women, c) levels of the follicle stimulating hormone (FSH) are increased, or
d) levels of the luteinizing hormone (LH) are increased - Correct Answers-a) frequent suckling results
in higher prolactin levels which prevents ovulation
One of the most effective treatments for a plugged duct is: a) a course of antibiotic therapy, b) icy cold
compresses over the site of the plug for 20 minutes, c) breastfeeding regularly every 3 hours, or d) apply
heat and gentle massage over affected area - Correct Answers-d) apply heat and gentle massage
over affected area
Physiologic jaundice of the newborn is caused by which of the following? a) rapid breakdown of
immature fetal RBCs, b) ineffective breastfeeding, not getting enough protein, c) a substance in
colostrum that inhibits conjugation of bilirubin, or d) not enough albumin in the plasma for the bilirubin
to bind to - Correct Answers-a) rapid breakdown of immature RBCs
Polly tells you that April has really been fussy at feeds, and though she is gaining well, Polly is just sure
there is something wrong. Of the following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding weights, c) infant hydration status, or d)
observation of behavior during the feed - Correct Answers-d) observation of behavior during the
feed
Shelby, who is a healthy full-term infant, is breastfeeding exclusively. By the time of discharge from the
hospital on day two she has lost 6% of her birth weight. This is most likely related to: a) lactogenesis 2
has not yet occurred, b) physiological diuresis of extracellular fluid, c) Shelby is not transferring milk
effectively, or d) overload of maternal fluids during labor - Correct Answers-b) physiological diuresis
of extracellular fluid
Sixteen-year-old Trudy delivered her son at 29 weeks gestation. The NICU staff reports that she plans on
formula-feeding. You decide to talk to her about breastfeeding. The most important reason you decide
to do this is because: a) When women hear about the benefits of breast milk for their preterm infants,
many will decide to at least pump while the baby is in the NICU, b) Trudy probably chose to formula-
feed because it was unlikely she had any role models that had breastfed, c) the staff probably assumed
she was going to formula-feed because Trudy is an adolescent, or d) the infant is still NPO and you have
time to convince Trudy to changer her mind - Correct Answers-a) when women hear about the
benefits of breast milk for their preterm infants, many will decide to at least pump while the baby i in
the NICU
, Susie is considering pregnancy for the first time. One supplement she should be certain to include is: a)
vitamin A, b) vitamin C, c) vitamin D, or d) vitamin E - Correct Answers-c) vitamin D
Symptomatic hypoglycemia in the newborn is manifested by which of the following: a) high pitched cry,
b) exaggerated moro reflex, c) hypothermia, or d) tremors, jitters - Correct Answers-d) tremors,
jitters
The clinical practice of the IBCLC focuses primarily on which of the following: a) assessment, planning,
interventions and evaluations of care, b) prescribing medications which will have minimal effect on
infant and/or milk supply, c) complete, accurate, and timely documentation of care, d) communication
and collaboration with other health care professionals - Correct Answers-a) assessment, planning,
interventions, and evaluation of care
The following are all signs of dehydration in a newborn EXCEPT: a) a sunken anterior fontanel when the
baby is lying supine, b) poor skin turgor, c) dry, mucous membranes, or d) dry, flaky or peeling skin -
Correct Answers-d) dry, flaky or peeling skin
The IBCLC decides to use a nipple shield with baby Noah and his mom. At what point do you expect
Noah will be able to be weaned off it? a) when the baby is approximately his full-term corrected age, b)
as soon as the baby can latch comfortably and transfer milk using the shield, c) the chances of the infant
being weaned from the shield is unlikely, or d) since milk supply will be decreased dramatically, shields
should never be used with preterm infants - Correct Answers-a) when the baby is approximately his
full-term corrected age
The MOST common food sensitivity in infancy is: a) egg, b) cow's milk, c) wheat, or d) soy - Correct
Answers-b) cow's milk
The most important information to include in your breastfeeding class is: a) advantages of breastmilk, b)
a video showing how to latch a baby on the breast, c) how dads can help with breastfeeding, or d)
strategies for making breastfeeding eaier - Correct Answers-d) strategies for making breastfeeding
easier
The most important societal change necessary to increase breastfeeding is: a) reduce marketing of non-
human milks, b) acceptance of the breast as other than an object of pleasure, c) reduce society's
dependence on the use of pacifiers for infants, d) include breastfeeding education in the training of
health care professionals - Correct Answers-b) acceptance of the breast as other than an object of
pleasure
The neonatologist has determined that week old, 3 lbs. 15 oz. baby Noah in the NICU needs to take in 35
mL/feeding- feeding q3h. What is the best way to ensure that this breastfed baby is getting an adequate
caloric intake? a) preterm infants need to receive 109-140 kcal/kg body weight per day depending on
gestational age, weight, and medical/physical problems, b) have the mother pump her milk and feed 35
mL mixed with human milk fortifier at each feed, c) do a before and after weight (ac/pc) and supplement
to reach 35 mL at each feed after breastfeeding if needed, or d) since ac/pc weights are inaccurate at
this point, follow each breastfeed with the required amount of supplement - Correct Answers-c) do a
before and after weight (ac/pc) and supplement to reach 35 mL at each feed after breastfeeding if
needed
Exams (CLC ) Practice Exams # 1,2,3,4,5,6,7
& 9. Test Bank Updated Questions with
Completely Verified Answers Graded A+,
Download to Get Perfect Scores
CLC Practice Exam #1
A congenital deficiency of zinc in an infant can cause: a) FTT and skin lesions, b) GI sensitivity to artificial
feeds, c) congenital cataracts, or d) Forbes-Albright Syndrome - Correct Answers-a) FTT and skin
lesions
A galactogogue is given to a mother in order to: a) increase milk supply, b) decrease milk supply, c)
increase calories in milk, or d) improve the flavor of the milk - Correct Answers-a) increase milk
supply
A neutral attitude towards breastfeeding may result in: a) not allowing a mother to make an informed
and unbiased decision, b) providing a balanced choice environment without undue pressure, c)
increasing the likelihood of early cessation of breastfeeding, or d) increasing the opportunity for a
supportive environment for breastfeeding - Correct Answers-c) increasing the likelihood of early
cessation of breastfeeding
Allison tells you that 2-month-old baby Jeffrey has been fussy most of the time since he was about a
week old. his birth weight was 8-4, his current weight is 9-1. Allison says she has been breastfeeding him
a lot. The most likely cause of Jeffrey's fussiness is: a) he isn't getting enough to eat, b) he is sensitive to
the dairy protein in Allison's diet, c) he is most likely experiencing symptoms of lactose intolerance, or d)
he may have GER - Correct Answers-a) he isn't getting enough to eat
As you walk into the hospital room to see Erin, you find her breastfeeding her baby, chatting with a
couple of friends, with her gown down around her waist and her breasts exposed. Your response is to: a)
tell her to cover herself up, as there is no need to just "whip it out", b) do and say nothing about the
exposed breasts, c) cover her and the infant with a baby blanket, or d) ask the visitors to please leave
until Erin is finished nursing - Correct Answers-b) do and say nothing about the exposed breasts
Bertha, who is pregnant, asks you when her breasts will stop getting bigger so she can get some new
bras. You tell her that usually most pregnancy breast growth is completed by week: a) 18, b) 24, c) 29, or
d) 34 - Correct Answers-c) 29
,Foods ingested by the mother can affect which of the following? a) the pH of the milk, b) the gaseous
content of the milk, c) the protein content of the milk, or d) the flavor of the milk - Correct Answers-
d) the flavor of the milk
In a meta-analysis on postpartum engorgement what conclusion was drawn? a) not enough evidence on
any intervention to justify widespread implementation, b) use of cabbage on the breasts between feeds,
c) use of ice packs to the breasts between feeds, or d) use of hot packs to the breasts for 2 minutes prior
to a feed - Correct Answers-a) not enough evidence on any interventions to justify widespread
implementation
In teaching mothers about safe sleep, it is important to emphasize: a) the baby must be in her own crib
in her own room, b) the room should be kept warm enough so no covers are needed, c) the baby must
be on her back on a flat, firm surface, or d) the baby's pillow must be no more than 1" deep - Correct
Answers-c) the baby must be on her back on a flat, firm surface
Jake, Sarah's husband, says that he has heard that drinking beer will increase Sarah's milk supply. What
do you tell him? a) Oh, that's an old wives' tale that has been around for years. There isn't any truth to
it, b) Beer really won't do anything for milk supply unless mom has a low production. Then yes, it will
help, c) Beer can increase prolactin levels and thus milk supply, but is offset by the decrease in the
oxytocin levels so babies take less milk after alcohol consumption, or d) What they have found is that
beer- or wine- helps the mother to relax so that she lets her milk down more quickly and effectively,
thus it appears that it actually increases her supply - Correct Answers-c) Beer can increase prolactin
levels and thus milk supply, but is offset by the decrease in the oxytocin levels so babies take less milk
after alcohol consumption
Lactoferrin does all of the following EXCEPT: a) promotes growth of the intestinal epithelium, b)
withholds iron from iron-requiring pathogens, c) alters the properties of the bacterial cell wall, or d)
destroys overgrowth of mutated cells - Correct Answers-a) promotes growth of the intestinal
epithelium
Leukocytes in human milk are: a) are more concentrated in the first 6 months, b) pathogen killing cells,
c) organic oligosaccharides, or d) anti-inflammatory factor - Correct Answers-b) pathogen killing cells
Lindsey, 7 months pregnant, has just been diagnosed as an insulin-dependent diabetic. She is concerned
that she will not be able to breastfeed. What information will be most helpful to her? a) after the
delivery she may have to decrease her caloric intake, b) after delivery she may find her insulin needs are
decreased, c) it's going to be in her best interest to not breastfeed, or d) when she weans her baby, her
insulin levels will vary - Correct Answers-b) after delivery she may find her insulin needs are
decreased
Mavis contacts you concerned that 4-month-old Henry, who is 5 lbs. over his birth weight and who has
been sleeping 8-9 hours at night, has suddenly started waking to nurse 2-3 times. Your first response to
her is: a) you might want to have him checked by the pediatrician. Something may be physically wrong
with him, b) it's not uncommon for this to happen. If you just go in and pat him, he'll be fine. He
obviously doesn't need to be fed, c) you really enjoyed that nighttime sleep, didn't you? It's frustrating
that Henry is waking up again just when you thought things were getting better, or d) I'm so sorry. You
should probaby just let him cry it out for a couple of night and he'll start going back to sleep on his own.
,- Correct Answers-c) you really enjoyed that nighttime sleep, didn't you? It's frustrating that Henry is
waking up again just when you thought things were getting better
Milk banks that are member of the Human Milk Banking Association of North America (HMBANA): a)
provide milk only for preterm babies, b) don't accept milk from women with any body piercings, c) use
the flash heating method to pasteurize the breast milk, or d) dispense milk for babies inside as well as
outside hospital settings - Correct Answers-d) dispense milk for babies inside as well as outside
hospital settings
One of the main reasons the Lactation Amenorrhea Method (LAM) prevents conception is that: a)
frequent suckling results in higher prolactin levels which prevents ovulation, b) levels gonadotropin are
decreased in all postpartum women, c) levels of the follicle stimulating hormone (FSH) are increased, or
d) levels of the luteinizing hormone (LH) are increased - Correct Answers-a) frequent suckling results
in higher prolactin levels which prevents ovulation
One of the most effective treatments for a plugged duct is: a) a course of antibiotic therapy, b) icy cold
compresses over the site of the plug for 20 minutes, c) breastfeeding regularly every 3 hours, or d) apply
heat and gentle massage over affected area - Correct Answers-d) apply heat and gentle massage
over affected area
Physiologic jaundice of the newborn is caused by which of the following? a) rapid breakdown of
immature fetal RBCs, b) ineffective breastfeeding, not getting enough protein, c) a substance in
colostrum that inhibits conjugation of bilirubin, or d) not enough albumin in the plasma for the bilirubin
to bind to - Correct Answers-a) rapid breakdown of immature RBCs
Polly tells you that April has really been fussy at feeds, and though she is gaining well, Polly is just sure
there is something wrong. Of the following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding weights, c) infant hydration status, or d)
observation of behavior during the feed - Correct Answers-d) observation of behavior during the
feed
Shelby, who is a healthy full-term infant, is breastfeeding exclusively. By the time of discharge from the
hospital on day two she has lost 6% of her birth weight. This is most likely related to: a) lactogenesis 2
has not yet occurred, b) physiological diuresis of extracellular fluid, c) Shelby is not transferring milk
effectively, or d) overload of maternal fluids during labor - Correct Answers-b) physiological diuresis
of extracellular fluid
Sixteen-year-old Trudy delivered her son at 29 weeks gestation. The NICU staff reports that she plans on
formula-feeding. You decide to talk to her about breastfeeding. The most important reason you decide
to do this is because: a) When women hear about the benefits of breast milk for their preterm infants,
many will decide to at least pump while the baby is in the NICU, b) Trudy probably chose to formula-
feed because it was unlikely she had any role models that had breastfed, c) the staff probably assumed
she was going to formula-feed because Trudy is an adolescent, or d) the infant is still NPO and you have
time to convince Trudy to changer her mind - Correct Answers-a) when women hear about the
benefits of breast milk for their preterm infants, many will decide to at least pump while the baby i in
the NICU
, Susie is considering pregnancy for the first time. One supplement she should be certain to include is: a)
vitamin A, b) vitamin C, c) vitamin D, or d) vitamin E - Correct Answers-c) vitamin D
Symptomatic hypoglycemia in the newborn is manifested by which of the following: a) high pitched cry,
b) exaggerated moro reflex, c) hypothermia, or d) tremors, jitters - Correct Answers-d) tremors,
jitters
The clinical practice of the IBCLC focuses primarily on which of the following: a) assessment, planning,
interventions and evaluations of care, b) prescribing medications which will have minimal effect on
infant and/or milk supply, c) complete, accurate, and timely documentation of care, d) communication
and collaboration with other health care professionals - Correct Answers-a) assessment, planning,
interventions, and evaluation of care
The following are all signs of dehydration in a newborn EXCEPT: a) a sunken anterior fontanel when the
baby is lying supine, b) poor skin turgor, c) dry, mucous membranes, or d) dry, flaky or peeling skin -
Correct Answers-d) dry, flaky or peeling skin
The IBCLC decides to use a nipple shield with baby Noah and his mom. At what point do you expect
Noah will be able to be weaned off it? a) when the baby is approximately his full-term corrected age, b)
as soon as the baby can latch comfortably and transfer milk using the shield, c) the chances of the infant
being weaned from the shield is unlikely, or d) since milk supply will be decreased dramatically, shields
should never be used with preterm infants - Correct Answers-a) when the baby is approximately his
full-term corrected age
The MOST common food sensitivity in infancy is: a) egg, b) cow's milk, c) wheat, or d) soy - Correct
Answers-b) cow's milk
The most important information to include in your breastfeeding class is: a) advantages of breastmilk, b)
a video showing how to latch a baby on the breast, c) how dads can help with breastfeeding, or d)
strategies for making breastfeeding eaier - Correct Answers-d) strategies for making breastfeeding
easier
The most important societal change necessary to increase breastfeeding is: a) reduce marketing of non-
human milks, b) acceptance of the breast as other than an object of pleasure, c) reduce society's
dependence on the use of pacifiers for infants, d) include breastfeeding education in the training of
health care professionals - Correct Answers-b) acceptance of the breast as other than an object of
pleasure
The neonatologist has determined that week old, 3 lbs. 15 oz. baby Noah in the NICU needs to take in 35
mL/feeding- feeding q3h. What is the best way to ensure that this breastfed baby is getting an adequate
caloric intake? a) preterm infants need to receive 109-140 kcal/kg body weight per day depending on
gestational age, weight, and medical/physical problems, b) have the mother pump her milk and feed 35
mL mixed with human milk fortifier at each feed, c) do a before and after weight (ac/pc) and supplement
to reach 35 mL at each feed after breastfeeding if needed, or d) since ac/pc weights are inaccurate at
this point, follow each breastfeed with the required amount of supplement - Correct Answers-c) do a
before and after weight (ac/pc) and supplement to reach 35 mL at each feed after breastfeeding if
needed
