ALPP Certified Lactation Counselor (CLC)
Exam | 2025/2026 Edition – REAL
Proctored Exam, 3 Versions Included (300
Verified Questions & Correct Answers |
Graded A+)
Section 1: Anatomy & Physiology of Lactation
Q1: Which hormone is primarily responsible for stimulating milk production in the alveoli?
a) Oxytocin
b) Prolactin
c) Estrogen
d) Progesterone
Answer: b) Prolactin
Explanation: Prolactin, produced by the anterior pituitary, stimulates the alveolar epithelial cells
to synthesize milk. Oxytocin triggers milk ejection, not production.
Q2: Milk ejection (let-down) is triggered by:
a) Prolactin
b) Oxytocin
c) Insulin
d) Cortisol
Answer: b) Oxytocin
Explanation: Oxytocin causes myoepithelial cells around alveoli to contract, forcing milk into
the ducts.
Q3: The functional unit of the mammary gland responsible for milk synthesis is:
a) Lactiferous duct
b) Alveolus
c) Areola
d) Nipple
,Answer: b) Alveolus
Explanation: Alveoli are clusters of secretory cells that produce and store milk.
Q4: Myoepithelial cells function to:
a) Produce milk
b) Store milk
c) Contract to eject milk
d) Produce hormones
Answer: c) Contract to eject milk
Explanation: Myoepithelial cells surround alveoli and contract in response to oxytocin.
Q5: Colostrum is rich in:
a) Fat
b) Immunoglobulins
c) Lactose
d) Water only
Answer: b) Immunoglobulins
Explanation: Colostrum contains high levels of IgA antibodies to provide passive immunity to
the newborn.
Section 2: Lactation Management
Q6: Which position is recommended for mothers with sore nipples?
a) Cradle hold
b) Football (clutch) hold
c) Side-lying hold
d) Any of the above, based on comfort
Answer: d) Any of the above, based on comfort
Explanation: Positioning should reduce nipple trauma and improve latch; mothers can try
different positions for comfort.
Q7: Engorgement is best managed by:
a) Ice packs only
b) Frequent breastfeeding and gentle expression
c) Tight binding of breasts
d) Formula supplementation
Answer: b) Frequent breastfeeding and gentle expression
Explanation: Frequent removal of milk and gentle expression relieves engorgement and
prevents blocked ducts.
, Q8: A newborn who frequently falls asleep at the breast may benefit from:
a) Supplementing with formula
b) Breast compression and stimulating the baby
c) Waiting longer between feeds
d) Feeding only once per day
Answer: b) Breast compression and stimulating the baby
Explanation: Stimulating the baby and compressing the breast increases milk flow and
encourages active suckling.
Q9: A latch is considered effective when:
a) Only the nipple is in the baby’s mouth
b) The baby’s mouth covers both the nipple and part of the areola
c) The baby feeds quietly without swallowing
d) The mother experiences pain
Answer: b) The baby’s mouth covers both the nipple and part of the areola
Explanation: Correct latch involves deep mouth placement to stimulate milk transfer and
prevent nipple trauma.
Q10: Which is a common cause of low milk supply?
a) Frequent breastfeeding
b) Ineffective latch
c) Adequate hydration
d) Nighttime feeds
Answer: b) Ineffective latch
Explanation: Poor latch reduces milk removal, signaling the body to produce less milk.
Section 3: Maternal & Infant Nutrition
Q11: Which nutrient is most critical for milk production?
a) Protein
b) Vitamin C
c) Iron
d) Calcium
Answer: a) Protein
Explanation: Protein is essential for synthesizing milk components. Overall caloric intake also
affects milk supply.
Q12: A breastfeeding mother should drink:
a) Only water when thirsty
b) At least 8–10 glasses of fluids per day
Exam | 2025/2026 Edition – REAL
Proctored Exam, 3 Versions Included (300
Verified Questions & Correct Answers |
Graded A+)
Section 1: Anatomy & Physiology of Lactation
Q1: Which hormone is primarily responsible for stimulating milk production in the alveoli?
a) Oxytocin
b) Prolactin
c) Estrogen
d) Progesterone
Answer: b) Prolactin
Explanation: Prolactin, produced by the anterior pituitary, stimulates the alveolar epithelial cells
to synthesize milk. Oxytocin triggers milk ejection, not production.
Q2: Milk ejection (let-down) is triggered by:
a) Prolactin
b) Oxytocin
c) Insulin
d) Cortisol
Answer: b) Oxytocin
Explanation: Oxytocin causes myoepithelial cells around alveoli to contract, forcing milk into
the ducts.
Q3: The functional unit of the mammary gland responsible for milk synthesis is:
a) Lactiferous duct
b) Alveolus
c) Areola
d) Nipple
,Answer: b) Alveolus
Explanation: Alveoli are clusters of secretory cells that produce and store milk.
Q4: Myoepithelial cells function to:
a) Produce milk
b) Store milk
c) Contract to eject milk
d) Produce hormones
Answer: c) Contract to eject milk
Explanation: Myoepithelial cells surround alveoli and contract in response to oxytocin.
Q5: Colostrum is rich in:
a) Fat
b) Immunoglobulins
c) Lactose
d) Water only
Answer: b) Immunoglobulins
Explanation: Colostrum contains high levels of IgA antibodies to provide passive immunity to
the newborn.
Section 2: Lactation Management
Q6: Which position is recommended for mothers with sore nipples?
a) Cradle hold
b) Football (clutch) hold
c) Side-lying hold
d) Any of the above, based on comfort
Answer: d) Any of the above, based on comfort
Explanation: Positioning should reduce nipple trauma and improve latch; mothers can try
different positions for comfort.
Q7: Engorgement is best managed by:
a) Ice packs only
b) Frequent breastfeeding and gentle expression
c) Tight binding of breasts
d) Formula supplementation
Answer: b) Frequent breastfeeding and gentle expression
Explanation: Frequent removal of milk and gentle expression relieves engorgement and
prevents blocked ducts.
, Q8: A newborn who frequently falls asleep at the breast may benefit from:
a) Supplementing with formula
b) Breast compression and stimulating the baby
c) Waiting longer between feeds
d) Feeding only once per day
Answer: b) Breast compression and stimulating the baby
Explanation: Stimulating the baby and compressing the breast increases milk flow and
encourages active suckling.
Q9: A latch is considered effective when:
a) Only the nipple is in the baby’s mouth
b) The baby’s mouth covers both the nipple and part of the areola
c) The baby feeds quietly without swallowing
d) The mother experiences pain
Answer: b) The baby’s mouth covers both the nipple and part of the areola
Explanation: Correct latch involves deep mouth placement to stimulate milk transfer and
prevent nipple trauma.
Q10: Which is a common cause of low milk supply?
a) Frequent breastfeeding
b) Ineffective latch
c) Adequate hydration
d) Nighttime feeds
Answer: b) Ineffective latch
Explanation: Poor latch reduces milk removal, signaling the body to produce less milk.
Section 3: Maternal & Infant Nutrition
Q11: Which nutrient is most critical for milk production?
a) Protein
b) Vitamin C
c) Iron
d) Calcium
Answer: a) Protein
Explanation: Protein is essential for synthesizing milk components. Overall caloric intake also
affects milk supply.
Q12: A breastfeeding mother should drink:
a) Only water when thirsty
b) At least 8–10 glasses of fluids per day
