ALPP CERTIFIED LACTATION COUNSELOR (CLC) EXAM
2026/2027 | REAL/AUTHENTIC PROCTORED EXAM |
COMPLETE 100 QUESTIONS WITH VERIFIED ANSWERS | A+
GRADED| INSTANT DOWNLOAD PDF
Question 1
Which nutrient is most critical for a newborn’s brain development found in breast
milk?
A) Vitamin D
B) Docosahexaenoic acid (DHA)
C) Iron
D) Calcium
Answer: B) Docosahexaenoic acid (DHA)
Rationale: DHA, an omega-3 fatty acid, is essential for neurodevelopment and
visual acuity in infants. While iron, calcium, and vitamin D are important, DHA
directly supports brain and retinal growth.
Question 2
What is the most common cause of sore nipples in breastfeeding mothers?
A) Thrush
B) Improper latch
C) Engorgement
D) Mastitis
Answer: B) Improper latch
Rationale: A poor latch can cause nipple trauma, cracks, and pain. Thrush or
mastitis may also cause discomfort but are less common initial causes compared
to latch issues.
Question 3
,Which of the following is true about foremilk and hindmilk?
A) Foremilk is higher in fat than hindmilk
B) Hindmilk is higher in fat than foremilk
C) Both have the same fat content
D) Only hindmilk contains lactose
Answer: B) Hindmilk is higher in fat than foremilk
Rationale: Foremilk, at the start of feeding, is thinner and higher in lactose, while
hindmilk, at the end of the feed, is richer in fat, providing more calories for the
infant.
Question 4
A mother reports that her breasts feel very full and hard before feeds. What is the
best advice?
A) Apply ice packs before feeding
B) Pump or hand express some milk before feeding
C) Avoid feeding until breasts soften naturally
D) Take pain medication only
Answer: B) Pump or hand express some milk before feeding
Rationale: Expressing a small amount of milk before latch can soften the breast,
making it easier for the baby to latch and reducing discomfort. Ice and pain
medication may relieve symptoms but don’t solve latch difficulty caused by
engorgement.
Question 5
Which sign indicates that a newborn is receiving adequate milk?
A) At least 1–2 wet diapers per day
B) Frequent crying after feeds
C) Steady weight gain after the first week
D) Only one stool per day
Answer: C) Steady weight gain after the first week
Rationale: Adequate milk intake is reflected in weight gain, generally about 20–30
,g/day after the initial postpartum weight loss. Wet diapers, crying patterns, and
stool frequency are helpful indicators but weight gain is the most objective
measure.
Question 6
Which of the following is a common early sign of effective breastfeeding in a
newborn?
A) Sleeping through the first 24 hours
B) Audible swallowing during feeds
C) Spitting up after each feed
D) Frequent hiccups
Answer: B) Audible swallowing during feeds
Rationale: Hearing the baby swallow indicates that milk is being transferred
effectively. Sleeping for long periods or spitting up frequently does not reliably
indicate adequate intake.
Question 7
Mothers who are exclusively breastfeeding should be advised to take which
supplement routinely?
A) Vitamin C
B) Iron
C) Vitamin D
D) Calcium
Answer: C) Vitamin D
Rationale: Breast milk alone often does not provide sufficient vitamin D for
infants, so supplementation is recommended. Iron and calcium are typically
adequate if the mother has a balanced diet.
Question 8
Which of the following best describes cluster feeding?
A) Feeding only once every 4–5 hours
, B) Multiple feeds in a short period, usually in the evening
C) Feeding only on one breast at a time
D) Skipping feeds during the day
Answer: B) Multiple feeds in a short period, usually in the evening
Rationale: Cluster feeding occurs when infants feed more frequently in a short
window, often to increase milk supply and comfort themselves. It is normal
behavior, especially in the first weeks.
Question 9
Which factor most commonly contributes to low milk supply in breastfeeding
mothers?
A) Frequent emptying of the breasts
B) Maternal dehydration
C) Infrequent breastfeeding or poor latch
D) Adequate caloric intake
Answer: C) Infrequent breastfeeding or poor latch
Rationale: Milk production is primarily supply-and-demand. If the breasts are not
emptied regularly or the baby’s latch is ineffective, the body produces less milk.
Hydration and diet are secondary factors.
Question 10
Which maternal condition may temporarily reduce milk production?
A) Hyperthyroidism
B) Breast engorgement
C) Mastitis
D) Hypothyroidism
Answer: D) Hypothyroidism
Rationale: Hypothyroidism can slow metabolism and reduce prolactin response,
temporarily decreasing milk supply. Hyperthyroidism may increase metabolism
but typically does not reduce supply. Mastitis affects milk transfer, not production
itself.
2026/2027 | REAL/AUTHENTIC PROCTORED EXAM |
COMPLETE 100 QUESTIONS WITH VERIFIED ANSWERS | A+
GRADED| INSTANT DOWNLOAD PDF
Question 1
Which nutrient is most critical for a newborn’s brain development found in breast
milk?
A) Vitamin D
B) Docosahexaenoic acid (DHA)
C) Iron
D) Calcium
Answer: B) Docosahexaenoic acid (DHA)
Rationale: DHA, an omega-3 fatty acid, is essential for neurodevelopment and
visual acuity in infants. While iron, calcium, and vitamin D are important, DHA
directly supports brain and retinal growth.
Question 2
What is the most common cause of sore nipples in breastfeeding mothers?
A) Thrush
B) Improper latch
C) Engorgement
D) Mastitis
Answer: B) Improper latch
Rationale: A poor latch can cause nipple trauma, cracks, and pain. Thrush or
mastitis may also cause discomfort but are less common initial causes compared
to latch issues.
Question 3
,Which of the following is true about foremilk and hindmilk?
A) Foremilk is higher in fat than hindmilk
B) Hindmilk is higher in fat than foremilk
C) Both have the same fat content
D) Only hindmilk contains lactose
Answer: B) Hindmilk is higher in fat than foremilk
Rationale: Foremilk, at the start of feeding, is thinner and higher in lactose, while
hindmilk, at the end of the feed, is richer in fat, providing more calories for the
infant.
Question 4
A mother reports that her breasts feel very full and hard before feeds. What is the
best advice?
A) Apply ice packs before feeding
B) Pump or hand express some milk before feeding
C) Avoid feeding until breasts soften naturally
D) Take pain medication only
Answer: B) Pump or hand express some milk before feeding
Rationale: Expressing a small amount of milk before latch can soften the breast,
making it easier for the baby to latch and reducing discomfort. Ice and pain
medication may relieve symptoms but don’t solve latch difficulty caused by
engorgement.
Question 5
Which sign indicates that a newborn is receiving adequate milk?
A) At least 1–2 wet diapers per day
B) Frequent crying after feeds
C) Steady weight gain after the first week
D) Only one stool per day
Answer: C) Steady weight gain after the first week
Rationale: Adequate milk intake is reflected in weight gain, generally about 20–30
,g/day after the initial postpartum weight loss. Wet diapers, crying patterns, and
stool frequency are helpful indicators but weight gain is the most objective
measure.
Question 6
Which of the following is a common early sign of effective breastfeeding in a
newborn?
A) Sleeping through the first 24 hours
B) Audible swallowing during feeds
C) Spitting up after each feed
D) Frequent hiccups
Answer: B) Audible swallowing during feeds
Rationale: Hearing the baby swallow indicates that milk is being transferred
effectively. Sleeping for long periods or spitting up frequently does not reliably
indicate adequate intake.
Question 7
Mothers who are exclusively breastfeeding should be advised to take which
supplement routinely?
A) Vitamin C
B) Iron
C) Vitamin D
D) Calcium
Answer: C) Vitamin D
Rationale: Breast milk alone often does not provide sufficient vitamin D for
infants, so supplementation is recommended. Iron and calcium are typically
adequate if the mother has a balanced diet.
Question 8
Which of the following best describes cluster feeding?
A) Feeding only once every 4–5 hours
, B) Multiple feeds in a short period, usually in the evening
C) Feeding only on one breast at a time
D) Skipping feeds during the day
Answer: B) Multiple feeds in a short period, usually in the evening
Rationale: Cluster feeding occurs when infants feed more frequently in a short
window, often to increase milk supply and comfort themselves. It is normal
behavior, especially in the first weeks.
Question 9
Which factor most commonly contributes to low milk supply in breastfeeding
mothers?
A) Frequent emptying of the breasts
B) Maternal dehydration
C) Infrequent breastfeeding or poor latch
D) Adequate caloric intake
Answer: C) Infrequent breastfeeding or poor latch
Rationale: Milk production is primarily supply-and-demand. If the breasts are not
emptied regularly or the baby’s latch is ineffective, the body produces less milk.
Hydration and diet are secondary factors.
Question 10
Which maternal condition may temporarily reduce milk production?
A) Hyperthyroidism
B) Breast engorgement
C) Mastitis
D) Hypothyroidism
Answer: D) Hypothyroidism
Rationale: Hypothyroidism can slow metabolism and reduce prolactin response,
temporarily decreasing milk supply. Hyperthyroidism may increase metabolism
but typically does not reduce supply. Mastitis affects milk transfer, not production
itself.
