CERTIFIED LACTATION COUNSELOR ALPP EXAM |
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS 2025-2026
Predominant Breastfeeding - CORRECT ANSWER -The infant is receiving the mother's milk as
well as water, water-based drinks, ritual foods (such as teas), and oral medications. Infant is not
receiving any foods or drink, including infant formula and other animal milks.
Breastfeeding - CORRECT ANSWER -Infant is receiving human m ilk as well as any other foods or
fluids, including infant formula.
Complementary Feeding - CORRECT ANSWER -Child between 6 and 23 months of age and is
receiving both human milk and solid or semisolid foods.
Widstrom (9 Stages of Newborn Skin-to-Skin) - CORRECT ANSWER -1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/ Sliding
7. Familiarization
8. Suckling
9. Sleeping
Baby breasting cues - CORRECT ANSWER -1. Rooting
2. increasing alertness, especially REM under closed eyelids
3. Flexing of the legs and arms and mouthing with little sucking motions
, 4. Sucking on a fist or finger
5. Mothing motions of the lips and tongues
Rooting - CORRECT ANSWER -Turning the head, especially with searching-
turning the head, especially with searching movements of the mouth and subtle body mov
ements
Ten Steps to Successful Breastfeeding - CORRECT ANSWER -
1. Have a written breastfeeding policy that is routinely communicated to all healthcare staff.
2. Ensure that staff have sufficient knowledge, competence, and skills to support breastfeed
ing.
3. Discuss the importance and management of breastfeeding with pregnant women and the
ir families.
4. Facilitate immediate and uninterrupted skin-to-
skin contact and support mothers to initiate breastfeeding as soon as possible after birth.
5. Support mothers to initiate and maintain breastfeeding and manage common difficulties.
6. Do not provide breastfed newborns any food or fluids other than breastmilk, unless med
ically indicated.
7. Enable mothers and their infants to remain together and to practice rooming-
in 24 hours a day.
8. Support mothers to recognize and respond to their infants' cue for feeding
9. Counsel mothers on the use and risks of feeding bottles, teats, and pacifiers.
10. Coordinate discharge so that parents and their infants have timely access to ongoing su
pport and care.
Concern: History of Breast Surgery/ Injury
Descriptor: Breast Augmentation
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS 2025-2026
Predominant Breastfeeding - CORRECT ANSWER -The infant is receiving the mother's milk as
well as water, water-based drinks, ritual foods (such as teas), and oral medications. Infant is not
receiving any foods or drink, including infant formula and other animal milks.
Breastfeeding - CORRECT ANSWER -Infant is receiving human m ilk as well as any other foods or
fluids, including infant formula.
Complementary Feeding - CORRECT ANSWER -Child between 6 and 23 months of age and is
receiving both human milk and solid or semisolid foods.
Widstrom (9 Stages of Newborn Skin-to-Skin) - CORRECT ANSWER -1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/ Sliding
7. Familiarization
8. Suckling
9. Sleeping
Baby breasting cues - CORRECT ANSWER -1. Rooting
2. increasing alertness, especially REM under closed eyelids
3. Flexing of the legs and arms and mouthing with little sucking motions
, 4. Sucking on a fist or finger
5. Mothing motions of the lips and tongues
Rooting - CORRECT ANSWER -Turning the head, especially with searching-
turning the head, especially with searching movements of the mouth and subtle body mov
ements
Ten Steps to Successful Breastfeeding - CORRECT ANSWER -
1. Have a written breastfeeding policy that is routinely communicated to all healthcare staff.
2. Ensure that staff have sufficient knowledge, competence, and skills to support breastfeed
ing.
3. Discuss the importance and management of breastfeeding with pregnant women and the
ir families.
4. Facilitate immediate and uninterrupted skin-to-
skin contact and support mothers to initiate breastfeeding as soon as possible after birth.
5. Support mothers to initiate and maintain breastfeeding and manage common difficulties.
6. Do not provide breastfed newborns any food or fluids other than breastmilk, unless med
ically indicated.
7. Enable mothers and their infants to remain together and to practice rooming-
in 24 hours a day.
8. Support mothers to recognize and respond to their infants' cue for feeding
9. Counsel mothers on the use and risks of feeding bottles, teats, and pacifiers.
10. Coordinate discharge so that parents and their infants have timely access to ongoing su
pport and care.
Concern: History of Breast Surgery/ Injury
Descriptor: Breast Augmentation
