CERTIFIED LACTATION CONSULTANT
ACTUAL EXAM 2025|CLC BRAND NEW
EXAM QUESTIONS AND CORRECT
ANSWERS ALL GRADED
A+|GUARANTEED SUCCESS|LATEST
UPDATES
The World Health Organization and UNICEF have set out three strategies needed for
increasing breastfeeding initiation and duration in every country. What are the 3
strategies? - ANSWER-✅Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Focuses on advantages of breastfeeding on a personal (personal connection),
community, country (amount spent on healthcare), or global level (waste from
formula & formula products)
Focuses on the good "advantages" of breastfeeding - ANSWER-✅Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to assure breast
feeding's ability to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison,
etc.. - ANSWER-✅Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development
and implementation - ANSWER-✅Breastfeeding Support
Women how do not breastfeed are at a greater risk for what diseases? - ANSWER-
✅Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
,Reason #1 why women do not exclusively breastfeed - ANSWER-✅Unrealistic
expectations from society about motherhood. Along with lack of preparation for
what the newborn period would be like.
Reason #2 why women do not exclusively breastfeed - ANSWER-✅Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for stopping
which is when they are home from the hospital and alone with no support. The
fastest drop-off is in the first 10 days following discharge from the hospital
The International Code of Marketing of Breast milk Substitutions - ANSWER-✅An
international health policy framework to regulate the marketing of breast milk
substitutes in order to protect breastfeeding. It was written in response to the
marketing activities of the infant feeding industry which were promoting formula
feeding over breastfeeding, which in turn was leading to a dramatic increase in
maternal and infant morbidity and mortality.
What does "The Code" do? - ANSWER-✅Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together
with feeding bottles, and teats, intended for babies and young children. Sets
standards for the labeling and quality of products and for how the law should be
implemented and monitored within countries. Aims to make sure that parental
choices on feeding are based on full, impartial information, rather than misleading,
inaccurate or biased marketing claims.
The Global Strategy for Infant & Young Child Feeding - ANSWER-✅Is intended as a
guide for action; it identifies interventions with a proven positive impact, it
emphasizes providing mothers and families the support they need to carry out their
crucial roles, and it explicitly defines the obligations and responsibilities in this
regard of governments, international organizations, and other concerned parties.
What contributes to low rates of exclusive breastfeeding globally? - ANSWER-
✅Caregiver and societal beliefs favoring mixed feedings (believing that breast milk is
not enough or that babies actions/issues are related to the breast
milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of
breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than
promoting support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of proper
breastfeeding techniques
How to support exclusive breastfeeding - ANSWER-✅Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the baby-
friendly hospital initiative in health systems
,Provide community based strategies including communication campaigns tailored to
the local context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and
subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and
support
What is the role of the pituitary glade in milk making? - ANSWER-✅Messages from
certain stimulation travels through the breast to the pituitary gland which triggers it
to produce prolactin and oxytocin which are two hormones needed to make milk.
How in prolactin produced? - ANSWER-✅Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - ANSWER-✅Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that
comes with the association of smell, touch, sounds of baby at the breast. Also occurs
on babies end with knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - ANSWER-✅Nipple stretching
that occurs with a proper latch
What is a third way oxytocin can be triggered? - ANSWER-✅Baby hand massage
What does prolactin do? - ANSWER-✅Enters receptor sites in the milk making cells
and helps produce breastmilk
What does oxytocin do? - ANSWER-✅Allows for the milk to move from the milk
making cells and through the nipple with "contractions" that squeeze the cells and
the ducts.
Preterm milk - ANSWER-✅Appears to have different composition for the first 5-7
weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not
matter if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - ANSWER-✅After one year of lactation the milk expressed has
significantly increased fat and energy contents, compared with milk expressed by
women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because
the composition of the milk changes
Breast milk composition changes... - ANSWER-✅Over the course of lactation
Within the day there are variations on the composition of milk
Within a feeding
, By the way it is taken during a feeding
and also between feedings
Fat content in breast milk - ANSWER-✅Longer times in between feedings made for
a lower fat content but faster feedings made for a higher fat content where as
feedings lasting longer than 30 mins made for a lower fat content
Breastfed babies can regulate fat intake quickly and thus mothers should be
encouraged to practice baby led feeding
Maximum fat levels were obtained 30 mins post-feed
1 breast or 2? - ANSWER-✅There is no difference in baby's net fat intake according
to the number of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2
whatever they want
Lactogenesis 1/Secretory Differentiation - ANSWER-✅Production of colostrum from
the placental hormones (progesterone)
When placenta delivers the progesterone levels drop to allow for prolactin to take its
place in the milk making cells
Lactogenesis 2/Secretory Activation - ANSWER-✅Begins when progesterone leaves
the cells and prolactin enters the receptor sites
Milk will be a mix of colostrum and mature milk
Lactogenesis 3/Galactopoesis - ANSWER-✅Long term production of mature milk
Need frequent removal of milk and frequent nipple stimulation to continuously
produce milk
How does pH of the gut effect babies - ANSWER-✅Gut pH of breastfed babies is
higher than those who are formula fed or even mixed fed. Higher pH means less
harmful bacteria is able to grow which helps have less issues with diarrhea
How does iron effect baby's gut - ANSWER-✅Low iron in the gut is good, breastmilk
has relativly low iron content
Tons of different bacteria thrives on excess iron so having to much can cause issues
How does the presence of lactobacillus bifidus affect baby's gut - ANSWER-
✅Presence of bifidus factor in breast milk promotes the growth of lactobacillus
bifidus which helps maintain the low pH and crowd out the harmful bacteria
How does the presence of SIgA antibodies effect baby's gut - ANSWER-✅Antibodies
such as SIgA bind to microbes in the baby's intestinal tract and prevent them from
being absorbed into the rest of the body. Mothers IgA has been found to protect
against the development of necrotizing enterocolitis in preterm infants
ACTUAL EXAM 2025|CLC BRAND NEW
EXAM QUESTIONS AND CORRECT
ANSWERS ALL GRADED
A+|GUARANTEED SUCCESS|LATEST
UPDATES
The World Health Organization and UNICEF have set out three strategies needed for
increasing breastfeeding initiation and duration in every country. What are the 3
strategies? - ANSWER-✅Breastfeeding Promotion
Breastfeeding Protection
Breastfeeding Support
Focuses on advantages of breastfeeding on a personal (personal connection),
community, country (amount spent on healthcare), or global level (waste from
formula & formula products)
Focuses on the good "advantages" of breastfeeding - ANSWER-✅Breastfeeding
Promotion
Focuses on government, manufacturer, and social responsibility to assure breast
feeding's ability to compete with commercial interests.
Includes addressing improper marketing practices
Addressing breastfeeding in public, at work, jury duty, family law, mothers in prison,
etc.. - ANSWER-✅Breastfeeding Protection
Focuses on the interaction of "helpers" with family as well as program development
and implementation - ANSWER-✅Breastfeeding Support
Women how do not breastfeed are at a greater risk for what diseases? - ANSWER-
✅Myocardial infarction
Metabolic syndrome
Coronary artery disease
Stroke
DMII
HTN
Hyperlipidemia
Cardiovascular disease
Breast, endometrial, and ovarian cancer
,Reason #1 why women do not exclusively breastfeed - ANSWER-✅Unrealistic
expectations from society about motherhood. Along with lack of preparation for
what the newborn period would be like.
Reason #2 why women do not exclusively breastfeed - ANSWER-✅Lack of timely
interventions. Mother's problems at 3-7 days posed the greatest risk for stopping
which is when they are home from the hospital and alone with no support. The
fastest drop-off is in the first 10 days following discharge from the hospital
The International Code of Marketing of Breast milk Substitutions - ANSWER-✅An
international health policy framework to regulate the marketing of breast milk
substitutes in order to protect breastfeeding. It was written in response to the
marketing activities of the infant feeding industry which were promoting formula
feeding over breastfeeding, which in turn was leading to a dramatic increase in
maternal and infant morbidity and mortality.
What does "The Code" do? - ANSWER-✅Regulates the marketing of breast milk
substitutes which includes infant formulas and any other food or drink, together
with feeding bottles, and teats, intended for babies and young children. Sets
standards for the labeling and quality of products and for how the law should be
implemented and monitored within countries. Aims to make sure that parental
choices on feeding are based on full, impartial information, rather than misleading,
inaccurate or biased marketing claims.
The Global Strategy for Infant & Young Child Feeding - ANSWER-✅Is intended as a
guide for action; it identifies interventions with a proven positive impact, it
emphasizes providing mothers and families the support they need to carry out their
crucial roles, and it explicitly defines the obligations and responsibilities in this
regard of governments, international organizations, and other concerned parties.
What contributes to low rates of exclusive breastfeeding globally? - ANSWER-
✅Caregiver and societal beliefs favoring mixed feedings (believing that breast milk is
not enough or that babies actions/issues are related to the breast
milk/breastfeeding)
Hospital and healthcare practices and policies that are not supportive of
breastfeeding
Lack of adequate skilled support
Aggressive promotion of infant formula and other breast milk substitutes rather than
promoting support for breastfeeding
Inadequate maternity and paternity leave legislation and other workplace policies
Lack of knowledge about the dangers of not exclusively breastfeeding and of proper
breastfeeding techniques
How to support exclusive breastfeeding - ANSWER-✅Increase hospital and health
system capacity including revitalizing, expanding, and institutionalizing the baby-
friendly hospital initiative in health systems
,Provide community based strategies including communication campaigns tailored to
the local context
Strengthen the monitoring, enforcement, and legislation related to "The Code" and
subsequent resolutions.
Enact at least 6 months paid maternity leave
Invest in training and capacity building in breastfeeding protection, promotion, and
support
What is the role of the pituitary glade in milk making? - ANSWER-✅Messages from
certain stimulation travels through the breast to the pituitary gland which triggers it
to produce prolactin and oxytocin which are two hormones needed to make milk.
How in prolactin produced? - ANSWER-✅Breast stimulation
Nipple stimulation (makes the most)
What is the first way oxytocin can be triggered? - ANSWER-✅Conditioned
response/Conditioned Milk Ejection Reflex (Let down). Automatic response that
comes with the association of smell, touch, sounds of baby at the breast. Also occurs
on babies end with knowing what to do when placed at the breast.
What is the second way oxytocin can be triggered? - ANSWER-✅Nipple stretching
that occurs with a proper latch
What is a third way oxytocin can be triggered? - ANSWER-✅Baby hand massage
What does prolactin do? - ANSWER-✅Enters receptor sites in the milk making cells
and helps produce breastmilk
What does oxytocin do? - ANSWER-✅Allows for the milk to move from the milk
making cells and through the nipple with "contractions" that squeeze the cells and
the ducts.
Preterm milk - ANSWER-✅Appears to have different composition for the first 5-7
weeks after delivery independent of gestational age
Preterm milk appears to be higher in protein, fat, and electrolytes than mature milk
This is determined by being preterm not just having a small baby therefor it does not
matter if the baby is SGA or LGA only dependent of gestational age
1+ year of lactation - ANSWER-✅After one year of lactation the milk expressed has
significantly increased fat and energy contents, compared with milk expressed by
women who have been lactation for a shorter time.
The volume of milk does not have to change as the baby gets older/bigger because
the composition of the milk changes
Breast milk composition changes... - ANSWER-✅Over the course of lactation
Within the day there are variations on the composition of milk
Within a feeding
, By the way it is taken during a feeding
and also between feedings
Fat content in breast milk - ANSWER-✅Longer times in between feedings made for
a lower fat content but faster feedings made for a higher fat content where as
feedings lasting longer than 30 mins made for a lower fat content
Breastfed babies can regulate fat intake quickly and thus mothers should be
encouraged to practice baby led feeding
Maximum fat levels were obtained 30 mins post-feed
1 breast or 2? - ANSWER-✅There is no difference in baby's net fat intake according
to the number of breasts suckled per feeding or the breastfeeding frequency
Offer the 1st breast 1st and the 2nd breast 2nd it really doesn't matter 1 breast or 2
whatever they want
Lactogenesis 1/Secretory Differentiation - ANSWER-✅Production of colostrum from
the placental hormones (progesterone)
When placenta delivers the progesterone levels drop to allow for prolactin to take its
place in the milk making cells
Lactogenesis 2/Secretory Activation - ANSWER-✅Begins when progesterone leaves
the cells and prolactin enters the receptor sites
Milk will be a mix of colostrum and mature milk
Lactogenesis 3/Galactopoesis - ANSWER-✅Long term production of mature milk
Need frequent removal of milk and frequent nipple stimulation to continuously
produce milk
How does pH of the gut effect babies - ANSWER-✅Gut pH of breastfed babies is
higher than those who are formula fed or even mixed fed. Higher pH means less
harmful bacteria is able to grow which helps have less issues with diarrhea
How does iron effect baby's gut - ANSWER-✅Low iron in the gut is good, breastmilk
has relativly low iron content
Tons of different bacteria thrives on excess iron so having to much can cause issues
How does the presence of lactobacillus bifidus affect baby's gut - ANSWER-
✅Presence of bifidus factor in breast milk promotes the growth of lactobacillus
bifidus which helps maintain the low pH and crowd out the harmful bacteria
How does the presence of SIgA antibodies effect baby's gut - ANSWER-✅Antibodies
such as SIgA bind to microbes in the baby's intestinal tract and prevent them from
being absorbed into the rest of the body. Mothers IgA has been found to protect
against the development of necrotizing enterocolitis in preterm infants
