CLC EXAM 2025 /CERTIFIED LACTATION
COUNSELOR EXAM VERSION 2 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|GUARANTEED PASS|LATEST UPDATE
A mom presents with fever, redness of the breast, pain, but is still producing some milk. What
do you think it could be? What do you recommend?
It could be common mastitis, either infective or non-infective. Typically, NSAIDs are
recommended while continuing to breastfeed. If it spreads to both breasts or mom begins to
feel worse, immediately refer to a healthcare provider.
Can you breastfeed with an abscess?
Only on the unaffected side if confirmed not to be MRSA or herpes
Why is jaundice common in babies?
It is caused by unconjugated bilirubin that is released from fetal type RBC apoptosis. Newborn
livers need to mature to keep up with excretion.
What are three groups of infants that may have difficulty breastfeeding?
1. Preemies - typically give milk via OGT
2. Babies with Down syndrome - low muscle tone, try dancer technique
3. Cleft palate/lip
How can moms build a milk supply if their baby may not be breastfeeding well?
1. Frequent milk removal from pump or hand expression
2. Guided imagery when pumping
3. Power pumping
What are some common galactagogues?
1|Page
,Fenugreek, Reglan, Domperidone
what should you do instead of recommending galactagogues?
Evaluate latch and feeding schedule
A mom is concerned about her baby's weight gain, but reports that her baby is happy and
content, and sleeping through the night at 2 months old. What is the issue with this?
Babies shouldn't sleep through the night until at least 4 months. Babies who are
undernourished are sleepier and cannot sustain a feed, leading to fewer calories and is a cycle.
What is the recommended inter-pregnancy interval?
24 months
Is breastfeeding always a sound contraceptive method?
No; after menses return, complementary feeding is started, or the baby is 6 months old, it is not
100% effective anymore
T/F: shouldn't eat spicy foods when breastfeeding
False, infants actually fed longer on garlic-flavored breastmilk and are more likely to accept
higher variety of foods
T/F: moms can drink caffeine when breastfeeding a term infant
True, it doesn't relate to caffeine content of milk
T/F: no alcohol should be consumed while breastfeeding
False; baby may take less milk after alcohol, can be bypassed by waiting a couple of hours after
having a drink to feed
How does initiation rate of black women and hispanic women compare?
Higher in Hispanic women, lower in black women
What is parent-led weaning?
Parents choose least favorite nursing, substitute it with something else, then repeat
What is baby-led weaning (conventional)?
Baby is older than 12 months, then stop offering to nurse and just nurse PRN
What is society-led weaning?
2|Page
,everyone in the culture weans at the same time, usually between 2-7 years of age, with a ritual
and celebration
What is a nursing strike? How do you end it?
A sudden refusal to nurse though milk still exists. Usually something wrong in baby's life (sick,
ear infection, family stress)
End by snuggling, contact, avoiding bottle, offering breast to sleeping baby
When are prolactin levels in milk the highest?
After 2am (more milk and more prolactin)
What is the purpose of the Baby Friendly Hospital Initiative?
To protect, promote, and support breastfeeding starting at birth
T/F: the breast should be shaped with the hand for better feeding
False, the breast should be allowed to sit as it normally does
this feeding cue is characterized by head turning, searching movements of the mouth and body
Rooting
Name 3 feeding cues from infants
1. Rooting
2. REM
3. Flexing of legs and arms
4. Bringing hand to mouth
What is the best way at home to tell if a baby is getting enough breastmilk?
6 wet diapers, 4 bowel movements a day
What does the baby friendly hospital initiative encourage hospitals to do?
Develop policies and practices that support parents in learning how to breastfeed their baby
Name some of the key clinical practices of the BFHI
1. Discuss importance of BF with pregnant women
2. Immediate and uninterrupted skin to skin
3. manage common BF difficulties
4. Breastmilk only unless medically indicated
3|Page
, 5. Rooming-in 24 hours a day
6. Help to teach feeding cues
7. Counsel on risks of bottles and pacifiers
8. Coordinate discharge
If there is nipple pain at the beginning of a feed, what can you suggest?
Change the position of the infant
A mom presents with burning pain during and after breastfeeding with shiny, flaky skin on her
nipple. Her baby has white patches in the cheeks and the tongue. What do you think it is? What
do you suggest?
It is likely Candida albicans, or thrush. I would suggest a thorough sanitization of all vectors and
the baby/mom. I may make a referral to a PCP to get a prescription.
What are some reasons a mom may have inadequate milk supply?
- Inadequate breast stimulation
- Infrequent feeding
- Too slow of feeds
- Hormonal imbalance
- Smoking
- Nipple shield usage
- Injury to breast or spine
- Drugs
What is the recommended storage of expressed breastmilk:
- Using within 4 hours
- using within 4 days
- using after 4 days
- Using within 4 hours: room temp, or on ice/in refrigerator
- using within 4 days: refrigerate
- using after 4 days: freeze for up to 12 months
This method of breast compression is used during feeding to increase the flow of milk to the
baby
Alternate massage; the breast is compressed by hand when the baby pauses in suckling
What is an at-breast supplementer?
4|Page
COUNSELOR EXAM VERSION 2 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!|GUARANTEED PASS|LATEST UPDATE
A mom presents with fever, redness of the breast, pain, but is still producing some milk. What
do you think it could be? What do you recommend?
It could be common mastitis, either infective or non-infective. Typically, NSAIDs are
recommended while continuing to breastfeed. If it spreads to both breasts or mom begins to
feel worse, immediately refer to a healthcare provider.
Can you breastfeed with an abscess?
Only on the unaffected side if confirmed not to be MRSA or herpes
Why is jaundice common in babies?
It is caused by unconjugated bilirubin that is released from fetal type RBC apoptosis. Newborn
livers need to mature to keep up with excretion.
What are three groups of infants that may have difficulty breastfeeding?
1. Preemies - typically give milk via OGT
2. Babies with Down syndrome - low muscle tone, try dancer technique
3. Cleft palate/lip
How can moms build a milk supply if their baby may not be breastfeeding well?
1. Frequent milk removal from pump or hand expression
2. Guided imagery when pumping
3. Power pumping
What are some common galactagogues?
1|Page
,Fenugreek, Reglan, Domperidone
what should you do instead of recommending galactagogues?
Evaluate latch and feeding schedule
A mom is concerned about her baby's weight gain, but reports that her baby is happy and
content, and sleeping through the night at 2 months old. What is the issue with this?
Babies shouldn't sleep through the night until at least 4 months. Babies who are
undernourished are sleepier and cannot sustain a feed, leading to fewer calories and is a cycle.
What is the recommended inter-pregnancy interval?
24 months
Is breastfeeding always a sound contraceptive method?
No; after menses return, complementary feeding is started, or the baby is 6 months old, it is not
100% effective anymore
T/F: shouldn't eat spicy foods when breastfeeding
False, infants actually fed longer on garlic-flavored breastmilk and are more likely to accept
higher variety of foods
T/F: moms can drink caffeine when breastfeeding a term infant
True, it doesn't relate to caffeine content of milk
T/F: no alcohol should be consumed while breastfeeding
False; baby may take less milk after alcohol, can be bypassed by waiting a couple of hours after
having a drink to feed
How does initiation rate of black women and hispanic women compare?
Higher in Hispanic women, lower in black women
What is parent-led weaning?
Parents choose least favorite nursing, substitute it with something else, then repeat
What is baby-led weaning (conventional)?
Baby is older than 12 months, then stop offering to nurse and just nurse PRN
What is society-led weaning?
2|Page
,everyone in the culture weans at the same time, usually between 2-7 years of age, with a ritual
and celebration
What is a nursing strike? How do you end it?
A sudden refusal to nurse though milk still exists. Usually something wrong in baby's life (sick,
ear infection, family stress)
End by snuggling, contact, avoiding bottle, offering breast to sleeping baby
When are prolactin levels in milk the highest?
After 2am (more milk and more prolactin)
What is the purpose of the Baby Friendly Hospital Initiative?
To protect, promote, and support breastfeeding starting at birth
T/F: the breast should be shaped with the hand for better feeding
False, the breast should be allowed to sit as it normally does
this feeding cue is characterized by head turning, searching movements of the mouth and body
Rooting
Name 3 feeding cues from infants
1. Rooting
2. REM
3. Flexing of legs and arms
4. Bringing hand to mouth
What is the best way at home to tell if a baby is getting enough breastmilk?
6 wet diapers, 4 bowel movements a day
What does the baby friendly hospital initiative encourage hospitals to do?
Develop policies and practices that support parents in learning how to breastfeed their baby
Name some of the key clinical practices of the BFHI
1. Discuss importance of BF with pregnant women
2. Immediate and uninterrupted skin to skin
3. manage common BF difficulties
4. Breastmilk only unless medically indicated
3|Page
, 5. Rooming-in 24 hours a day
6. Help to teach feeding cues
7. Counsel on risks of bottles and pacifiers
8. Coordinate discharge
If there is nipple pain at the beginning of a feed, what can you suggest?
Change the position of the infant
A mom presents with burning pain during and after breastfeeding with shiny, flaky skin on her
nipple. Her baby has white patches in the cheeks and the tongue. What do you think it is? What
do you suggest?
It is likely Candida albicans, or thrush. I would suggest a thorough sanitization of all vectors and
the baby/mom. I may make a referral to a PCP to get a prescription.
What are some reasons a mom may have inadequate milk supply?
- Inadequate breast stimulation
- Infrequent feeding
- Too slow of feeds
- Hormonal imbalance
- Smoking
- Nipple shield usage
- Injury to breast or spine
- Drugs
What is the recommended storage of expressed breastmilk:
- Using within 4 hours
- using within 4 days
- using after 4 days
- Using within 4 hours: room temp, or on ice/in refrigerator
- using within 4 days: refrigerate
- using after 4 days: freeze for up to 12 months
This method of breast compression is used during feeding to increase the flow of milk to the
baby
Alternate massage; the breast is compressed by hand when the baby pauses in suckling
What is an at-breast supplementer?
4|Page
