CLC EXAM BANK | ALPP CLC EXAM QUESTIONS ACCURATE CURRENTLY TESTING AND FREQUENTLY TESTED WITH RATIONALES AND VERIFIED ANSWERS | LATEST UPDATE | STUDY GUIDE AND NOTES ALSO INCLUDED

CLC EXAM BANK | ALPP CLC EXAM QUESTIONS
ACCURATE CURRENTLY TESTING AND FREQUENTLY
TESTED WITH RATIONALES AND VERIFIED ANSWERS |
LATEST UPDATE | STUDY GUIDE AND NOTES ALSO
INCLUDED


When nursing, the baby's mouth should be open ______ degrees.
A. 90–110
B. 110–130
C. 140–160
D. 170–190

• CORRECT ANSWER C. 140–160
Rationale: A wide gape (~140–160°) allows the nipple to reach deep in the mouth,
maximizing areolar intake and comfort.

True or False: The baby's tongue takes up half the mouth.
A. True
B. False

• CORRECT ANSWER A. True
Rationale: An infant’s large tongue occupies ~½ the oral cavity and cups the breast for
milk transfer.

Ideally, the cheek line (profile) should be ____________.
A. Hollowed
B. Flat
C. Rounded
D. Dimpled

• CORRECT ANSWER C. Rounded
Rationale: Rounded cheeks indicate effective suction and transfer; dimpling/hollowing
suggests poor latch.


1

,In this section, we discuss how the ___ recommended the use of WHO growth charts in 2010.
A. AAP
B. CDC
C. NIH
D. ACNM

• CORRECT ANSWER B. CDC
Rationale: In 2010 the CDC endorsed WHO growth standards for U.S. infants 0–24
months.

Which of the following statements is true? Relative to babies who are solely formula fed,
breastfed babies:
A. Gain less at first, then accelerate after 6 months
B. Gain more at first and then slow around 4–6 months
C. Gain steadily more across the first year
D. Grow identically across the first year

• CORRECT ANSWER B. Gain more at first and then slow around 4–6 months
Rationale: BF infants have faster early weight gain and slower velocity after ~4–6
months.

True or False: Research reported in this section showed a relationship exclusive breastmilk and
decreased/delayed risk of NIDD.
A. True
B. False

• CORRECT ANSWER A. True
Rationale: Exclusive breastfeeding is associated with lower risk/delay of non–insulin-
dependent diabetes.

True or false: Obesity rates of children who have been formula fed are greater than those who
were breastfed.
A. True
B. False



2

, • CORRECT ANSWER A. True
Rationale: Epidemiologic data link formula feeding with higher childhood obesity risk.

Along with _______, breastfeeding is one of the strategies for obesity prevention.
A. Decreased sleep
B. Increased physical activity
C. High-protein infant diets
D. Early solids

• CORRECT ANSWER B. Increased physical activity
Rationale: BF plus regular physical activity supports healthy weight trajectories.

True or False: Galactosemia is not a serious condition.
A. True
B. False

• CORRECT ANSWER B. False
Rationale: Classic galactosemia is life-threatening without strict galactose restriction.

This section reported that 1 in _______ babies have galactocemia.
A. 6,000
B. 20,000
C. 60,000
D. 100,000

• CORRECT ANSWER C. 60,000
Rationale: Approximate U.S. incidence is ~1:60,000.

True or False: When latched, the baby should be on the breast like a bullseye with even amounts
of areola showing equally at the top of and lower lip.
A. True
B. False

• CORRECT ANSWER B. False
Rationale: More areola typically visible above the top lip; the lower jaw takes a deeper
bite of areola.

3

, True or False: Rocker motion describes the baby’s motion when the latch is effective.
A. True
B. False

• CORRECT ANSWER A. True
Rationale: “Rocker” jaw motion signals deep, efficient milk transfer; “piston” is
shallow/inefficient.

One concern about the piston motion of the jaw is that it's often associated with numerous sucks
with fewer swallows.
A. True
B. False

• CORRECT ANSWER A. True
Rationale: Piston motion = shallow latch → many sucks, poor transfer, maternal pain.

Ideally, the feeding should end:
A. By clock time (10–15 min/side)
B. When the baby ends the feeding
C. When breasts feel empty
D. After both sides are offered twice

• CORRECT ANSWER B. When the baby ends the feeding
Rationale: Responsive feeding supports intake of hindmilk and satiety cues.

Susie Suckle is two days old and not feeding well. What is one possible reason?
A. Pacifier use in first hour
B. A two-hour delay in initiating breastfeeding
C. Excess cluster feeding
D. Rooming-in with mother

• CORRECT ANSWER B. A two hour delay in initiating breastfeeding
Rationale: Early initiation (<1–2 h) improves latch and milk transfer; delays can impair
early feeding.




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