1|Page
CLC CERTIFIED LACTATION COUNSELOR
EXAM 2025 | ACTUAL REAL EXAM CURRENTLY
TESTING AND FREQUENTLY TESTED EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES WITH A STUDY GUIDE |
GUARANTEED PASS | LATEST UPDATE
What contracts to push milk into the ducts (smooth muscle cells)? -
..........ANSWER.......myoepithelial cells
What cells make milk? - ..........ANSWER.......alveolar cells
How many nipple pores (per breast) per lactation? -
..........ANSWER.......3-5
What are the two separate hormone pathways, in which the
pituitary gland is important to both? - ..........ANSWER.......prolactin
and oxytocin
Prolactin levels go down in between nursings and rise during -
..........ANSWER.......nursing
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Which glands develop early in pregnancy on the areola as a result
from pregnancy hormones? - ..........ANSWER.......Montgomery glands
What is associated with ongoing milk production and positively
associated with ___ - ..........ANSWER.......suckling within the first 2
hours after birth
In premies, what is associated with ongoing milk production? -
..........ANSWER.......initiation of milk production before 1 hour
Mechanisms to trigger oxytocin - ..........ANSWER.......Conditioned
response conditioned milk ejection or let down reflex, nipple
stretching, and baby hand massage
The hormones of lactation have an emotional/behavioral function as
well as making and moving milk: - ..........ANSWER.......Aggression,
protection, bonding/trust
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Frequency of mammal species feeds that are high fat/protein and
low water content - ..........ANSWER.......infrequent
Mammal species milk with higher water content feed more -
..........ANSWER.......frequently
Prolactin triggers what in mammary cells -
..........ANSWER.......production of lactose
Stage two of making milk (lactogenesis II) happens to everyone who
- ..........ANSWER.......delivers a placenta
What triggers stage III of Lactogenesis? - ..........ANSWER.......Prolactin
from frequent nipple stimulation and frequent removal of milk
Prolactin draws what - ..........ANSWER.......water
Preterm milk appears to be higher in what as compared to mature
milk? - ..........ANSWER.......protein, fat, electrolytes
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After one year of lactation, human milk expressed has significantly
increased ___ contents, compared with milk expressed by women
lactation for a shorter time - ..........ANSWER.......fat/energy
What does faster milk removal increase? - ..........ANSWER.......fat
content
What influences amount of fat transferred? -
..........ANSWER.......degree of breast emptying, amount of available
milk, breast storage capacity
Longer the time between feedings, what is decreased? -
..........ANSWER.......fat content
Three scenarios when breastmilk composition changes: -
..........ANSWER.......over the course of lactation, within the day, within
a feeding
CLC CERTIFIED LACTATION COUNSELOR
EXAM 2025 | ACTUAL REAL EXAM CURRENTLY
TESTING AND FREQUENTLY TESTED EXAM
QUESTIONS WITH VERIFIED ANSWERS AND
RATIONALES WITH A STUDY GUIDE |
GUARANTEED PASS | LATEST UPDATE
What contracts to push milk into the ducts (smooth muscle cells)? -
..........ANSWER.......myoepithelial cells
What cells make milk? - ..........ANSWER.......alveolar cells
How many nipple pores (per breast) per lactation? -
..........ANSWER.......3-5
What are the two separate hormone pathways, in which the
pituitary gland is important to both? - ..........ANSWER.......prolactin
and oxytocin
Prolactin levels go down in between nursings and rise during -
..........ANSWER.......nursing
,2|Page
Which glands develop early in pregnancy on the areola as a result
from pregnancy hormones? - ..........ANSWER.......Montgomery glands
What is associated with ongoing milk production and positively
associated with ___ - ..........ANSWER.......suckling within the first 2
hours after birth
In premies, what is associated with ongoing milk production? -
..........ANSWER.......initiation of milk production before 1 hour
Mechanisms to trigger oxytocin - ..........ANSWER.......Conditioned
response conditioned milk ejection or let down reflex, nipple
stretching, and baby hand massage
The hormones of lactation have an emotional/behavioral function as
well as making and moving milk: - ..........ANSWER.......Aggression,
protection, bonding/trust
,3|Page
Frequency of mammal species feeds that are high fat/protein and
low water content - ..........ANSWER.......infrequent
Mammal species milk with higher water content feed more -
..........ANSWER.......frequently
Prolactin triggers what in mammary cells -
..........ANSWER.......production of lactose
Stage two of making milk (lactogenesis II) happens to everyone who
- ..........ANSWER.......delivers a placenta
What triggers stage III of Lactogenesis? - ..........ANSWER.......Prolactin
from frequent nipple stimulation and frequent removal of milk
Prolactin draws what - ..........ANSWER.......water
Preterm milk appears to be higher in what as compared to mature
milk? - ..........ANSWER.......protein, fat, electrolytes
, 4|Page
After one year of lactation, human milk expressed has significantly
increased ___ contents, compared with milk expressed by women
lactation for a shorter time - ..........ANSWER.......fat/energy
What does faster milk removal increase? - ..........ANSWER.......fat
content
What influences amount of fat transferred? -
..........ANSWER.......degree of breast emptying, amount of available
milk, breast storage capacity
Longer the time between feedings, what is decreased? -
..........ANSWER.......fat content
Three scenarios when breastmilk composition changes: -
..........ANSWER.......over the course of lactation, within the day, within
a feeding
