CERTIFIED LACTATION COUNSELOR
Practice Exam Questions and Correct
Answers Guaranteed Pass Latest Version
2025
Predominant Breastfeeding
Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding
Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding
Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of
infants, therefore other foods or liquids are introduced.
Typically child is between 6-23 months
3 strategies for increasing BF initiation and duration
Promotion, Protection, Support
Promotion
Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection
Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with
commercial interests.
Includes state, local, an national laws regarding BF.
,International Code of Marketing of Breast-milk
Subsitutes
Addresses improper marketing practices by formula
companies. It is not currently a law in the US.
What does the International Code Prohibit?
Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the
International Code?
No distributing formula, discharge bags, industry written
handouts.
Support
Focuses on interaction of helpers with family, as well as
program development and implementation.
10 steps to successful BF
1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and
management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with
lactating mothers include what?
,1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing
supplementation other than breast milk?
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs
Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up
weight) = daily ounces. PCP decides what the multiplier
is!!!
What should be assessed 3-5 days after birth by PCP?
Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC?
Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope
of practice.
How many stools per day should a breast fed newborn
have?
4, some yellow by day 4.
When should a baby be back to birth weight?
12-14 days post birth
How much weight should a baby gain daily?
Approximately 1 ounce
, Why do women supplement with formula when there
is no medical need?
1. Lack of preparation for what the newborn period would
be like.
2. Lack of timely interventions
Alveoli
Small glands in the breast that produce milk
At-Breast Supplementer
a device that allows a supplement to be given while a
baby is actively nursing at the breast,
ex: Supplement Nursing System
Atopy
hypersensitive or allergic state involving an inherited
predisposition
What is the BFHI Baby Friendly Hospital Initiative
Initiative by UNICEF and WHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10
Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin
an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
CCK (cholecystokinin)
Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum
Practice Exam Questions and Correct
Answers Guaranteed Pass Latest Version
2025
Predominant Breastfeeding
Babies who receive breastmilk and other liquids (e.g.
water, minerals, vitamins, oral meds).
Breastfeeding
Baby receives human milk, as well as other foods or fluids,
including formula.
Complementary Feeding
Process starts when BM alone or infant formula alone is
no longer sufficient to meet nutritional requirements of
infants, therefore other foods or liquids are introduced.
Typically child is between 6-23 months
3 strategies for increasing BF initiation and duration
Promotion, Protection, Support
Promotion
Focuses on advantages of BF on a personal, community,
country, or global level. BF to the community.
Protection
Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with
commercial interests.
Includes state, local, an national laws regarding BF.
,International Code of Marketing of Breast-milk
Subsitutes
Addresses improper marketing practices by formula
companies. It is not currently a law in the US.
What does the International Code Prohibit?
Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the
International Code?
No distributing formula, discharge bags, industry written
handouts.
Support
Focuses on interaction of helpers with family, as well as
program development and implementation.
10 steps to successful BF
1. Written BF policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and
management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with
lactating mothers include what?
,1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing
supplementation other than breast milk?
1. Medical condition
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs
Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up
weight) = daily ounces. PCP decides what the multiplier
is!!!
What should be assessed 3-5 days after birth by PCP?
Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC?
Nationally recognized designation awarded by the ALPP.
Practice parameters are designated by professional scope
of practice.
How many stools per day should a breast fed newborn
have?
4, some yellow by day 4.
When should a baby be back to birth weight?
12-14 days post birth
How much weight should a baby gain daily?
Approximately 1 ounce
, Why do women supplement with formula when there
is no medical need?
1. Lack of preparation for what the newborn period would
be like.
2. Lack of timely interventions
Alveoli
Small glands in the breast that produce milk
At-Breast Supplementer
a device that allows a supplement to be given while a
baby is actively nursing at the breast,
ex: Supplement Nursing System
Atopy
hypersensitive or allergic state involving an inherited
predisposition
What is the BFHI Baby Friendly Hospital Initiative
Initiative by UNICEF and WHO (1991) to support
breastfeeding in hospitals and maternity centers. "The 10
Steps".
Unicef. Baby-Friendly Hospital Initiative. Available online:
http://www.unicef.org/programme/breastfeeding/baby.htm.
Bilirubin
an orange-yellow pigment formed in the liver by the
breakdown of hemoglobin and excreted in bile.
CCK (cholecystokinin)
Hormone that regulates the emptying of the gallbladder
and secretion of enzymes by the pancreas.
Colostrum
