and Correct Answers | Certified Lactation
Counselor Exam) | Academy of Lactation Policy
and Practice (ALPP) | Latest Version
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 ANSWER-----------------
a) he isn't getting enough to eat
Which of the following elements is increased in the milk of mothers who deliver
preterm infants? a) LCPUFAs, b) lactose, c) calories, or d) calcium ---------CORRECT
ANSWER-----------------a) LCPUFAs
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 ANSWER-----------------d) observation of
behavior during the feed
, 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 ANSWER-----------------
b) after delivery she may find her insulin needs are decreased
The WHO Code is: a) part of a global initiative to promote breastfeeding, b)
important to decreasing formula feeding in third world counties, c) a law in the
U.S., or d) concerned with the marketing of breast milk substitutes ---------
CORRECT ANSWER-----------------d) concerned with the marketing of breast milk
substitutes
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 ANSWER-----------------a) promotes growth of the intestinal
epithelium
The onset of copious milk supply in Lactogenesis 2 seems to be triggered primarily
by: a) an increase in lactose, b) a drop in estrogen, c) withdrawal or progesterone,
or d) an increase in plasma prolactin ---------CORRECT ANSWER-----------------c)
withdrawal of pregesterone