CERTIFIED LACTATION COUNSELOR EXAM 2025
UPDATE. COMPLETE ACTUAL EXAM QUESTIONS
AND ANSWERS ALL GRADED A+.
Predominant Breastfeeding - CORRECT -Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding - CORRECT -Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding - CORRECT -Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of infants, therefore other foods or
liquids are introduced. Typically child is between 6-23 months
3 strategies for increasing BF initiation and duration - CORRECT -Promotion, Protection,
Support
Promotion - CORRECT -Focuses on advantages of BF on a personal, community, country, or
global level. BF to the community.
Protection - CORRECT -Focuses on government, manufacturer, and social responsibility to
assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - CORRECT -Addresses improper
marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? - CORRECT -Distributing free formula Giving
coupons for formula
What did the AAP resolution state in regards to the International Code? - CORRECT -No
distributing formula, discharge bags, industry written handouts.
,Support - CORRECT -Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - CORRECT -1. Written BF policy. Skin to Skin immediately after birth.
Train healthcare staff
Inform pregnant women about benefits and management of BF
Help all mothers initiate BF within 1 hour after birth
Show mother's how to BF and maintain lactation
Exclusive breast milk only
Practice rooming in 24 hours a day
Encourage BF on demand
No artificial teats or pacifiers
Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include what? - CORRECT -1.
Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - CORRECT -1.
Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - CORRECT -Baby's weight x 2.5 (2.7 or 3.0 if Baby
needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - CORRECT -Hydration (elimination
patterns)
,Body weight (no more than 7% loss) Observe Feeding
Maternal or infant issues
What is a CLC? - CORRECT -Nationally recognized designation awarded by the ALPP. Practice
parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - CORRECT -4, some yellow by
day 4.
When should a baby be back to birth weight? - CORRECT -12-14 days post birth
How much weight should a baby gain daily? - CORRECT -Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - CORRECT -1. Lack
of preparation for what the newborn period would be like.
2. Lack of timely interventions
Alveoli - CORRECT -Small glands in the breast that produce milk
At-Breast Supplementer - CORRECT -a device that allows a supplement to be given while a
baby is actively nursing at the breast,
ex: Supplement Nursing System
Atopy - CORRECT -hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - CORRECT -Initiative by UNICEF and WHO
(1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
, Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - CORRECT -an orange-yellow pigment formed in the liver by the breakdown of
hemoglobin and excreted in bile.
CCK (cholecystokinin) - CORRECT -Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum - CORRECT -Thick, milky fluid secreted by the breast during pregnancy and during
the first days after birth before lactation begins. Causes a laxative effect which helps the baby
pass meconium.
Coryllos type - CORRECT -Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position - CORRECT -Technique used to support Baby's chin and mother's breast.
Use Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells - CORRECT -found in the walls of the alveoli, simple squamous epithelial cells,
main sites of gas exchange
myoepithelial cells - CORRECT -contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
Montgomery glands - CORRECT -Bumps on breasts (Look like goosebumps) Produce a unique
blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - CORRECT --Fat is mixed
throughout the breast
-Uneven spacing of the ducts
UPDATE. COMPLETE ACTUAL EXAM QUESTIONS
AND ANSWERS ALL GRADED A+.
Predominant Breastfeeding - CORRECT -Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding - CORRECT -Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding - CORRECT -Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of infants, therefore other foods or
liquids are introduced. Typically child is between 6-23 months
3 strategies for increasing BF initiation and duration - CORRECT -Promotion, Protection,
Support
Promotion - CORRECT -Focuses on advantages of BF on a personal, community, country, or
global level. BF to the community.
Protection - CORRECT -Focuses on government, manufacturer, and social responsibility to
assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes - CORRECT -Addresses improper
marketing practices by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? - CORRECT -Distributing free formula Giving
coupons for formula
What did the AAP resolution state in regards to the International Code? - CORRECT -No
distributing formula, discharge bags, industry written handouts.
,Support - CORRECT -Focuses on interaction of helpers with family, as well as program
development and implementation.
10 steps to successful BF - CORRECT -1. Written BF policy. Skin to Skin immediately after birth.
Train healthcare staff
Inform pregnant women about benefits and management of BF
Help all mothers initiate BF within 1 hour after birth
Show mother's how to BF and maintain lactation
Exclusive breast milk only
Practice rooming in 24 hours a day
Encourage BF on demand
No artificial teats or pacifiers
Establishment of BF support groups
Healthcare staff responsibility for working with lactating mothers include what? - CORRECT -1.
Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other than breast milk? - CORRECT -1.
Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - CORRECT -Baby's weight x 2.5 (2.7 or 3.0 if Baby
needs to catch up weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? - CORRECT -Hydration (elimination
patterns)
,Body weight (no more than 7% loss) Observe Feeding
Maternal or infant issues
What is a CLC? - CORRECT -Nationally recognized designation awarded by the ALPP. Practice
parameters are designated by professional scope of practice.
How many stools per day should a breast fed newborn have? - CORRECT -4, some yellow by
day 4.
When should a baby be back to birth weight? - CORRECT -12-14 days post birth
How much weight should a baby gain daily? - CORRECT -Approximately 1 ounce
Why do women supplement with formula when there is no medical need? - CORRECT -1. Lack
of preparation for what the newborn period would be like.
2. Lack of timely interventions
Alveoli - CORRECT -Small glands in the breast that produce milk
At-Breast Supplementer - CORRECT -a device that allows a supplement to be given while a
baby is actively nursing at the breast,
ex: Supplement Nursing System
Atopy - CORRECT -hypersensitive or allergic state involving an inherited predisposition
What is the BFHI Baby Friendly Hospital Initiative - CORRECT -Initiative by UNICEF and WHO
(1991) to support breastfeeding in hospitals and maternity centers. "The 10 Steps".
, Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin - CORRECT -an orange-yellow pigment formed in the liver by the breakdown of
hemoglobin and excreted in bile.
CCK (cholecystokinin) - CORRECT -Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum - CORRECT -Thick, milky fluid secreted by the breast during pregnancy and during
the first days after birth before lactation begins. Causes a laxative effect which helps the baby
pass meconium.
Coryllos type - CORRECT -Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position - CORRECT -Technique used to support Baby's chin and mother's breast.
Use Thumb and index finger under chin, remaining 3 fingers to support breast.
Alveolar Cells - CORRECT -found in the walls of the alveoli, simple squamous epithelial cells,
main sites of gas exchange
myoepithelial cells - CORRECT -contract in response to stimulation by sympathetic nervous
system and squeeze milk up the duct
Montgomery glands - CORRECT -Bumps on breasts (Look like goosebumps) Produce a unique
blend of milk and sebum (skin oil)
Modern study of the structure of the breast reveals what? - CORRECT --Fat is mixed
throughout the breast
-Uneven spacing of the ducts
