ALPP CLC Exam 1 | 2025/2026 Latest Edition | 100 Questions
and Verified Answers | 100% Accuracy
This 2025/2026 resource features 100 verified multiple-choice questions and correct
answers from ALPP's Certified Lactation Counselor (CLC) Exam 1. Aligned with the latest
ALPP standards, it covers key topics such as lactation physiology, breastfeeding
techniques, counseling strategies, infant nutrition, maternal care, and professional ethics.
Ideal for individuals preparing for CLC certification, this study tool ensures accurate and
comprehensive exam readiness.
Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz. Helen-Clare says
Reuben nurses all the time and never seems satisfied. When you do ac/pc weights, he transfers a total
of 37 mL. When Helen-Clare pumps for residual milk, she gets an additional 3 mL. Which suggestion will
you make first?
a) You need to make sure the feedings are finished within 45 minutes so both of you can get rest
b) Reuben needs a supplement, which will provide him with additional calories
c) You need to use a nursing supplementer to give Reuben the extra calories he needs and provide some
breast stimulation at the same time
d) To increase your milk supply, you are going to need to pump with a quality breast pump and take
some galactogogues - correct answer -b) Reuben needs a supplement, which will provide him with
additional calories
Infants who have a higher than average number of bowel movements during the first 3 DOL will
probably exhibit which of the following:
a) Dehydration as evidenced by poor skin turgor
b) Later transition to yellow stools
c) Higher bilirubin levels on day 5
d) Weight loss greater than 10% on day 4 - correct answer -d) Weight loss greater than 10% on day 4
For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU to the
baby, she needs to:
a) Use a sun screen of less than SPF 30 when out in the sun
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
c) Take 400 IU of vitamin D each day of her pregnancy
,d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D 2x/week -
correct answer -b) Have a 25-(OH)-D serum level of at least 58 ng/mL
A "nursing strike" may occur because of:
a) Introduction of solid foods
b) Infant no longer has an interest in the breast
c) Start of mother's menses
d) Mother starts a food reduction program - correct answer -c) Start of mother's menses
Florence birthed Josh at 32 weeks of gestation. Which of the following would be the first thing to include
as a part of her pumping plan?
a) Begin expressing within the first hour post-birth
b) Determine her nipple size to provide her with the appropriate flange
c) Use a hospital grade breast pump
d) Pump using a double pumping system - correct answer -a) Begin expressing within the first hour
post-birth
Increased rates of autism spectrum disorders (ASD) are seen in children who:
a) Received less than 1 hour of skin-to-skin after birth
b) Received formula supplements in the first week of life
c) Were formula-fed from the beginning of life
d) Were exclusively breastfed for less than 3 months - correct answer -c) Were formula-fed from the
beginning of life
Which of the following statements about lactose in human milk is true?
a) Lactose provides 60% of the calories in human milk
b) Lactose is essential for CNS development
c) Lactose is decreased in human milk when the mother eliminates dairy
d) Lactose concentration decreases from 2-16 weeks - correct answer -b) Lactose is essential for CNS
development
, Daisy, who is 21 days postpartum, is seen in the outpatient clinic with burning, painful, red nipples for
the last 4 days. Which of the following is most likely to be a cause of her sore nipples?
a) Baby has a shallow latch
b) Allergic reaction to lanolin
c) Her infant is tongue tied
d) She has a yeast infection - correct answer -d) She has a yeast infection
Hope is 3 weeks postpartum and doesn't have enough breast milk. Her history and exam haven't yielded
any reason for the low supply. Which test would you want to have done first to possibly provide a
reason for low milk supply?
a) Thyroid levels
b) Iron levels
c) Testosterone levels
d) Serum prolactin levels - correct answer -a) Thyroid levels
Josey just delivered 29 week infant, Henry, by c-section because of high blood pressure and increasing
amounts of protein in her urine. Which of the following is most likely to contribute to Josey have a low
milk supply.
a) Josey delivered by c-section
b) Josey didn't start pumping until 6 hours after the birth
c) Josey's average pumping frequency was 7-8 times per day
d) Josey had pre-eclampsia at the time she delivered - correct answer -a) Josey delivered by c-section
A potential milk donor may be excluded by the Human Milk Banking Association if the mother:
a) Has a 6 oz. glass of wine on a daily basis
b) Has been a practicing vegetarian for the last 3 years
c) Received a blood transfusion in the past 4 months
d) Has had influenza in the previous year - correct answer -c) Received a blood transfusion in the past 4
months
and Verified Answers | 100% Accuracy
This 2025/2026 resource features 100 verified multiple-choice questions and correct
answers from ALPP's Certified Lactation Counselor (CLC) Exam 1. Aligned with the latest
ALPP standards, it covers key topics such as lactation physiology, breastfeeding
techniques, counseling strategies, infant nutrition, maternal care, and professional ethics.
Ideal for individuals preparing for CLC certification, this study tool ensures accurate and
comprehensive exam readiness.
Month-old Reuben weighed 7 lbs., 2 oz. at birth. When you weigh him, he is 7 lbs., 4 oz. Helen-Clare says
Reuben nurses all the time and never seems satisfied. When you do ac/pc weights, he transfers a total
of 37 mL. When Helen-Clare pumps for residual milk, she gets an additional 3 mL. Which suggestion will
you make first?
a) You need to make sure the feedings are finished within 45 minutes so both of you can get rest
b) Reuben needs a supplement, which will provide him with additional calories
c) You need to use a nursing supplementer to give Reuben the extra calories he needs and provide some
breast stimulation at the same time
d) To increase your milk supply, you are going to need to pump with a quality breast pump and take
some galactogogues - correct answer -b) Reuben needs a supplement, which will provide him with
additional calories
Infants who have a higher than average number of bowel movements during the first 3 DOL will
probably exhibit which of the following:
a) Dehydration as evidenced by poor skin turgor
b) Later transition to yellow stools
c) Higher bilirubin levels on day 5
d) Weight loss greater than 10% on day 4 - correct answer -d) Weight loss greater than 10% on day 4
For a mother to have adequate levels of vitamin D in her milk in order to pass at least 400 IU to the
baby, she needs to:
a) Use a sun screen of less than SPF 30 when out in the sun
b) Have a 25-(OH)-D serum level of at least 58 ng/mL
c) Take 400 IU of vitamin D each day of her pregnancy
,d) Drink 3, 8 oz. glasses of vitamin D fortified milk a day and have fish high in vitamin D 2x/week -
correct answer -b) Have a 25-(OH)-D serum level of at least 58 ng/mL
A "nursing strike" may occur because of:
a) Introduction of solid foods
b) Infant no longer has an interest in the breast
c) Start of mother's menses
d) Mother starts a food reduction program - correct answer -c) Start of mother's menses
Florence birthed Josh at 32 weeks of gestation. Which of the following would be the first thing to include
as a part of her pumping plan?
a) Begin expressing within the first hour post-birth
b) Determine her nipple size to provide her with the appropriate flange
c) Use a hospital grade breast pump
d) Pump using a double pumping system - correct answer -a) Begin expressing within the first hour
post-birth
Increased rates of autism spectrum disorders (ASD) are seen in children who:
a) Received less than 1 hour of skin-to-skin after birth
b) Received formula supplements in the first week of life
c) Were formula-fed from the beginning of life
d) Were exclusively breastfed for less than 3 months - correct answer -c) Were formula-fed from the
beginning of life
Which of the following statements about lactose in human milk is true?
a) Lactose provides 60% of the calories in human milk
b) Lactose is essential for CNS development
c) Lactose is decreased in human milk when the mother eliminates dairy
d) Lactose concentration decreases from 2-16 weeks - correct answer -b) Lactose is essential for CNS
development
, Daisy, who is 21 days postpartum, is seen in the outpatient clinic with burning, painful, red nipples for
the last 4 days. Which of the following is most likely to be a cause of her sore nipples?
a) Baby has a shallow latch
b) Allergic reaction to lanolin
c) Her infant is tongue tied
d) She has a yeast infection - correct answer -d) She has a yeast infection
Hope is 3 weeks postpartum and doesn't have enough breast milk. Her history and exam haven't yielded
any reason for the low supply. Which test would you want to have done first to possibly provide a
reason for low milk supply?
a) Thyroid levels
b) Iron levels
c) Testosterone levels
d) Serum prolactin levels - correct answer -a) Thyroid levels
Josey just delivered 29 week infant, Henry, by c-section because of high blood pressure and increasing
amounts of protein in her urine. Which of the following is most likely to contribute to Josey have a low
milk supply.
a) Josey delivered by c-section
b) Josey didn't start pumping until 6 hours after the birth
c) Josey's average pumping frequency was 7-8 times per day
d) Josey had pre-eclampsia at the time she delivered - correct answer -a) Josey delivered by c-section
A potential milk donor may be excluded by the Human Milk Banking Association if the mother:
a) Has a 6 oz. glass of wine on a daily basis
b) Has been a practicing vegetarian for the last 3 years
c) Received a blood transfusion in the past 4 months
d) Has had influenza in the previous year - correct answer -c) Received a blood transfusion in the past 4
months
