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CLC Exam 2025 Version 2 — Certified Lactation Counselor
Updated Practice Test, Study Guide & Real Exam Questions
Get ready for the CLC Exam 2025 Version 2 with the most recent Certified Lactation
Counselor practice test, updated study guide, and real exam-style questions. Learn essential
lactation techniques, maternal health, breastfeeding support, and nutrition to pass your
CLC certification exam successfully.
• CLC Exam 2025 Version 2
• Certified Lactation Counselor exam 2025
• CLC practice test questions 2025
• CLC Version 2 study guide
Which way of learning prefers procedures for acquiring knowledge, understands other POV, will change
providers easily, but may want technical information? - ANSWER-Category 4: Procedural Knowing
Which way of learning understands truth to be contextual, can live with conflict, embraces all titles
given to them, and has significant empathetic potential? - ANSWER-Category 5: Constructed knowing
How do thyroid imbalances affect breastfeeding? - ANSWER-Affect release of hormones and can cause
increased/decreased supply
What is the effect of pseudoephedrine and corticosteroids on milk production? - ANSWER-
Pseudoephedrine decreases milk supply by decreasing prolactin. Corticosteroids suppress lactation and
milk volume
What is the relationship between BF and postpartum depression? - ANSWER-Mothers with PPD are
more likely to wean early, but weaning early increases risk of developing PPD
,2|Page
What way of learning requires few and familiar words, not providing info to remember, the woman may
feel voiceless - ANSWER-Category 1: Silence
What way of learning believes that authority figures tell the truth, do not like ambiguity, and like to
repeat the right answer? - ANSWER-Category 2: Receivers of Knowledge
Which way of learning believes knowledge is personal and private, trusts their own intuition over
experts, and embeds themselves in definitions and roles? - ANSWER-Category 3: Subjective Knowing
what changes to milk can occur if pregnant while lactating/ - ANSWER--switches back to colostrum
-sore nipples
-hormonal shifts
How does smoking affect milk supply? - ANSWER-Decreases prolactin which decreases milk production
What can pacifier use indicate in terms of breastfeeding? Which group of infants may benefit from
pacifier use? - ANSWER-More education needed on feeding cues, hunger, crying, etc.
Premature infants can benefit from pacifier use
What diseases are at higher risk with pacifier use? - ANSWER-Diarrhea, ear infections
Possible decrease in milk supply due to a decrease in nerve and nipple stimulation is a side effect of
using what tool when breastfeeding? - ANSWER-nipple shields
Name 2 dangers of using a nipple shield - ANSWER-1. Hypernatremic dehydration
2. Fungal biofilm
Starting at the top of the WHO feeding pyramid, what is the order of type of feeding for a term baby? -
ANSWER-1. Baby at mother's breast
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2. Mother's own expressed milk
3. Donor expressed milk
4. Cow's milk formula
5. Soy formula
What does pasteurization process for donor milk do to the milk? - ANSWER-Destroys some of the
beneficial components found in human milk
What are some reasons that formula use is so high in the US? - ANSWER-inadequate maternity leave,
unequal pay, maternal morbidity, lack of counseling, healthcare access
why is the UN/WHO concerned about formula usage? - ANSWER-- Presence of microorganisms infecting
the formula
- Not sanitized water
- Improper bottle cleaning
- Lack of training on how to prepare
Are there any marketed formulas/products that have evidence to support their claims of improving
outcomes and brain development? - ANSWER-No, just breastfeeding
Why do formula fed babies end up with greater weight gain overall? - ANSWER-May be due to
hyperinsulinemia causing more nutrients to be stored
- increased secretion of IGF-1
What are 5 true contraindications to breastfeeding? - ANSWER-1. infant has galactosemia
2. Mom has HIV (in developed countries)
3. Illicit drug use
4. Mom has Ebola
5. Active herpes infection on the breast
, 4|Page
Decision to initiate BF is influenced more by knowledge _________ rather than knowledge
____________. - ANSWER--from seeing
-of benefits
How can teaching fathers about BF affect mom's likelihood of BF? - ANSWER-Fathers who are taught
about breastfeeding are more likely to be supportive, increase EBF rates, and help out more with the
baby
During childbirth, what are 3 ways of increasing the rate of EBF? - ANSWER-1. Encouraging bonding time
and discouraging long visits
2. Providing labor support via doula
3. decrease Pitocin use
Immediately after birth, what has the biggest effect on likelihood of BF success? - ANSWER-Skin to skin
What are the 9 stages of skin to skin? - ANSWER-1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. rest
6. crawling
7. familiarization
8. suckling
9. sleeping
Why should newborn baths be delayed in the hospital? - ANSWER-newborn baby smell elicits activation
of cerebral areas in mom's brain - reward centers
How do babies use their senses to reach the breast? - ANSWER-Smell milk/colostrum
Temperature of areola is hotter
CLC Exam 2025 Version 2 — Certified Lactation Counselor
Updated Practice Test, Study Guide & Real Exam Questions
Get ready for the CLC Exam 2025 Version 2 with the most recent Certified Lactation
Counselor practice test, updated study guide, and real exam-style questions. Learn essential
lactation techniques, maternal health, breastfeeding support, and nutrition to pass your
CLC certification exam successfully.
• CLC Exam 2025 Version 2
• Certified Lactation Counselor exam 2025
• CLC practice test questions 2025
• CLC Version 2 study guide
Which way of learning prefers procedures for acquiring knowledge, understands other POV, will change
providers easily, but may want technical information? - ANSWER-Category 4: Procedural Knowing
Which way of learning understands truth to be contextual, can live with conflict, embraces all titles
given to them, and has significant empathetic potential? - ANSWER-Category 5: Constructed knowing
How do thyroid imbalances affect breastfeeding? - ANSWER-Affect release of hormones and can cause
increased/decreased supply
What is the effect of pseudoephedrine and corticosteroids on milk production? - ANSWER-
Pseudoephedrine decreases milk supply by decreasing prolactin. Corticosteroids suppress lactation and
milk volume
What is the relationship between BF and postpartum depression? - ANSWER-Mothers with PPD are
more likely to wean early, but weaning early increases risk of developing PPD
,2|Page
What way of learning requires few and familiar words, not providing info to remember, the woman may
feel voiceless - ANSWER-Category 1: Silence
What way of learning believes that authority figures tell the truth, do not like ambiguity, and like to
repeat the right answer? - ANSWER-Category 2: Receivers of Knowledge
Which way of learning believes knowledge is personal and private, trusts their own intuition over
experts, and embeds themselves in definitions and roles? - ANSWER-Category 3: Subjective Knowing
what changes to milk can occur if pregnant while lactating/ - ANSWER--switches back to colostrum
-sore nipples
-hormonal shifts
How does smoking affect milk supply? - ANSWER-Decreases prolactin which decreases milk production
What can pacifier use indicate in terms of breastfeeding? Which group of infants may benefit from
pacifier use? - ANSWER-More education needed on feeding cues, hunger, crying, etc.
Premature infants can benefit from pacifier use
What diseases are at higher risk with pacifier use? - ANSWER-Diarrhea, ear infections
Possible decrease in milk supply due to a decrease in nerve and nipple stimulation is a side effect of
using what tool when breastfeeding? - ANSWER-nipple shields
Name 2 dangers of using a nipple shield - ANSWER-1. Hypernatremic dehydration
2. Fungal biofilm
Starting at the top of the WHO feeding pyramid, what is the order of type of feeding for a term baby? -
ANSWER-1. Baby at mother's breast
,3|Page
2. Mother's own expressed milk
3. Donor expressed milk
4. Cow's milk formula
5. Soy formula
What does pasteurization process for donor milk do to the milk? - ANSWER-Destroys some of the
beneficial components found in human milk
What are some reasons that formula use is so high in the US? - ANSWER-inadequate maternity leave,
unequal pay, maternal morbidity, lack of counseling, healthcare access
why is the UN/WHO concerned about formula usage? - ANSWER-- Presence of microorganisms infecting
the formula
- Not sanitized water
- Improper bottle cleaning
- Lack of training on how to prepare
Are there any marketed formulas/products that have evidence to support their claims of improving
outcomes and brain development? - ANSWER-No, just breastfeeding
Why do formula fed babies end up with greater weight gain overall? - ANSWER-May be due to
hyperinsulinemia causing more nutrients to be stored
- increased secretion of IGF-1
What are 5 true contraindications to breastfeeding? - ANSWER-1. infant has galactosemia
2. Mom has HIV (in developed countries)
3. Illicit drug use
4. Mom has Ebola
5. Active herpes infection on the breast
, 4|Page
Decision to initiate BF is influenced more by knowledge _________ rather than knowledge
____________. - ANSWER--from seeing
-of benefits
How can teaching fathers about BF affect mom's likelihood of BF? - ANSWER-Fathers who are taught
about breastfeeding are more likely to be supportive, increase EBF rates, and help out more with the
baby
During childbirth, what are 3 ways of increasing the rate of EBF? - ANSWER-1. Encouraging bonding time
and discouraging long visits
2. Providing labor support via doula
3. decrease Pitocin use
Immediately after birth, what has the biggest effect on likelihood of BF success? - ANSWER-Skin to skin
What are the 9 stages of skin to skin? - ANSWER-1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. rest
6. crawling
7. familiarization
8. suckling
9. sleeping
Why should newborn baths be delayed in the hospital? - ANSWER-newborn baby smell elicits activation
of cerebral areas in mom's brain - reward centers
How do babies use their senses to reach the breast? - ANSWER-Smell milk/colostrum
Temperature of areola is hotter
