Page | 1
-
ALPP CLC EXAM CERTIFIED LACTATION COUNSELOR
REAL ACTUAL EXAM QUESTIONSA WITH CORRECT
ANSWERS UPDATED 2026/2027 | GUARANTEED PASS |
GRADED.
BFHI - correct answer-promotes, protects, and supports BF through 10 steps to
successful BF for hospitals
10 steps for successful BF - correct answer-1. Have written BF policy that is
routinely communicated to all HC staff 2. Train all HC staff in skills necessary
to implement policy
3. Inform all pregnant women about benefits and management of BF
4. Help mothers initiate BF within 1 hr of birth (key: immediate s2s, uninterrupted
and continuing until completion of first feed)
5. Show mothers how to BF and how to maintain lactation, even if they are
separated from their infants
6. Give infants no food or drink other than BF unless medically indicated
7. Practice "rooming-In" - allow mothers and infants to remain together 24 hours a
day (s2s and safe sleep suggestions to improve safety have been developed)
8. Encourage BF on demand, encourage responsive feeding
9. Give no pacifiers or artificial nipples to BF infants
10. Foster the establishment of BF support groups and refer mothers to them on
d/c from hospital or clinic
, Page | 2
-
All info on artificial feeding - correct answer-including labels, should explain the
benefits of BF and the costs and hazards of artificial feeding
Effect of BFHI on infant abandonment - correct answer-- researched the rate of
infant abandonment 6 years before and 6 years after encouraging early contact,
suckling and rooming as part of implementing the BFHI
- rate of abandonment was almost halved, similar hospital had
32% increase over same time period
Infants born at the intervention sites - correct answer-significantly:
- more likely to be BF to any degree at 12 months
- more likely to be EBF at 3 months, 6 months
- less likely to have GI infections
- less likely to atopic eczema
PROBIT at age 6.5 - correct answer-- experimental group had higher means on
Wechsler Intelligence levels, teacher academic ratings were significantly higher for
reading and writing
At 11.5 years - correct answer-- found reduction in problematic eating attitudes in
the areas where EBF was promoted via the BFHI PROBIT intervention
, Page | 3
-
At age 16 - correct answer-found relationship between problematic eating and
obesity
PROBIT conclusion - correct answer-implementation of BFHI may be the "fast-
track" option to a foundation of enhanced public health
PROBIT trial - correct answer-- prospective, cluster-randomized trial in
hospitals and polyclinics in Republic of Belarus - 16 site implement 10 steps, 15
sites continue usual practices
Leverage points for BFHI - correct answer-- recognition of excellence
- enhances the facility's status
- supports joint commissions perinatal core measure set
- supports a facility's community benefit strategy
- cost neutral
- recognizes prevention as key strategy to improve the health of our nation
Breast feeding: a public health priority - correct answer-has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's
in the US
, Page | 4
-
Costs to prevent needless deaths - correct answer-less than $6 billion/year
worldwide
Suboptimal breastfeeding - correct answer-accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal Nursing a baby for a year or more -
correct answer-decreases by
10-15% the risk of developing hypertension, diabetes, hyperlipidemia, and
cardiovascular disease
WHO and UNICEF three strategies - correct answer-for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
Breastfeeding promotion - correct answer-focuses on advantages of breastfeeding
on a personal, community, country, or global level
Breastfeeding protection - correct answer-focuses on government, manufacturer,
and social responsibility to assure breastfeeding's ability to compete with
commercial interests; includes addressing improper marketing practices; the AAP
advices not to provide formula, company gift bags, and industryauthored handouts;
in the US, state and local breastfeeding legislation addresses breastfeeding in
public, employment issues, jury duty, family law, mothers in prison, etc.
-
ALPP CLC EXAM CERTIFIED LACTATION COUNSELOR
REAL ACTUAL EXAM QUESTIONSA WITH CORRECT
ANSWERS UPDATED 2026/2027 | GUARANTEED PASS |
GRADED.
BFHI - correct answer-promotes, protects, and supports BF through 10 steps to
successful BF for hospitals
10 steps for successful BF - correct answer-1. Have written BF policy that is
routinely communicated to all HC staff 2. Train all HC staff in skills necessary
to implement policy
3. Inform all pregnant women about benefits and management of BF
4. Help mothers initiate BF within 1 hr of birth (key: immediate s2s, uninterrupted
and continuing until completion of first feed)
5. Show mothers how to BF and how to maintain lactation, even if they are
separated from their infants
6. Give infants no food or drink other than BF unless medically indicated
7. Practice "rooming-In" - allow mothers and infants to remain together 24 hours a
day (s2s and safe sleep suggestions to improve safety have been developed)
8. Encourage BF on demand, encourage responsive feeding
9. Give no pacifiers or artificial nipples to BF infants
10. Foster the establishment of BF support groups and refer mothers to them on
d/c from hospital or clinic
, Page | 2
-
All info on artificial feeding - correct answer-including labels, should explain the
benefits of BF and the costs and hazards of artificial feeding
Effect of BFHI on infant abandonment - correct answer-- researched the rate of
infant abandonment 6 years before and 6 years after encouraging early contact,
suckling and rooming as part of implementing the BFHI
- rate of abandonment was almost halved, similar hospital had
32% increase over same time period
Infants born at the intervention sites - correct answer-significantly:
- more likely to be BF to any degree at 12 months
- more likely to be EBF at 3 months, 6 months
- less likely to have GI infections
- less likely to atopic eczema
PROBIT at age 6.5 - correct answer-- experimental group had higher means on
Wechsler Intelligence levels, teacher academic ratings were significantly higher for
reading and writing
At 11.5 years - correct answer-- found reduction in problematic eating attitudes in
the areas where EBF was promoted via the BFHI PROBIT intervention
, Page | 3
-
At age 16 - correct answer-found relationship between problematic eating and
obesity
PROBIT conclusion - correct answer-implementation of BFHI may be the "fast-
track" option to a foundation of enhanced public health
PROBIT trial - correct answer-- prospective, cluster-randomized trial in
hospitals and polyclinics in Republic of Belarus - 16 site implement 10 steps, 15
sites continue usual practices
Leverage points for BFHI - correct answer-- recognition of excellence
- enhances the facility's status
- supports joint commissions perinatal core measure set
- supports a facility's community benefit strategy
- cost neutral
- recognizes prevention as key strategy to improve the health of our nation
Breast feeding: a public health priority - correct answer-has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's
in the US
, Page | 4
-
Costs to prevent needless deaths - correct answer-less than $6 billion/year
worldwide
Suboptimal breastfeeding - correct answer-accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal Nursing a baby for a year or more -
correct answer-decreases by
10-15% the risk of developing hypertension, diabetes, hyperlipidemia, and
cardiovascular disease
WHO and UNICEF three strategies - correct answer-for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
Breastfeeding promotion - correct answer-focuses on advantages of breastfeeding
on a personal, community, country, or global level
Breastfeeding protection - correct answer-focuses on government, manufacturer,
and social responsibility to assure breastfeeding's ability to compete with
commercial interests; includes addressing improper marketing practices; the AAP
advices not to provide formula, company gift bags, and industryauthored handouts;
in the US, state and local breastfeeding legislation addresses breastfeeding in
public, employment issues, jury duty, family law, mothers in prison, etc.
