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CERTIFIED LACTATION COURSE EXAM 2025
QUESTIONS AND ANSWERS.
1. Weaning -correct answer-the addition of adding other foods to a diet, but
not completely stopping or ceasing breastfeeding
2. When did breastfeeding rates start to initially decline (i.e. In Britain),
particularly among the wealthy population? -correct answer-16th-17th
century and through the 18th century
3. Which month did women historically think was the most important to
breastfeed during? -correct answer-the summer (due to food spoilage)
4. What three ingredients made up the first commercial formula? (early
1800's/19th century) -correct answer--wheat flour
-cows milk
-sugar
5. What was, and still is today, one of the biggest reasons why mothers
quit breastfeeding? -correct answer-mothers report not producing
enough milk
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6. When did bottle feeding become the "new norm", thus, causing
breastfeeding rates to continue to decline? -correct answer-20th century
(particularly, mid 1900's) (1950's-1970's)
7. What is the WHO code? -correct answer-an attempt to prevent
excessive marketing of ABM (artificial baby milk) and to bring awareness
of benefits of breastfeeding (although this code is not law in many
countries as it interferes with marketing & freedom)
*breastfeeding education to pubic is critical!*
8. What are some other breastfeeding barriers mothers have? -correct
answer--sexual vs functional aspects of breasts
-women in the workplace
-"im not producing enough milk"
-lack of support from medical profession
9. Where are the breasts specifically located on the body? -correct answer-
-between 2nd & 6th rib
-from sternum to mid axillary line
-only gland in not fully functioning at birth
*may contain hair, sweat, and oil glands
10. Hypoplastic breasts -correct answer--insufficient glandular tissues
-usually only extend from 3rd to 5th rib
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-typically have more spacing between breasts (1.5 inches or more)
11. Montgomery glands/tubercles -correct answer-"small bumps" located
around areola that become more prominent (hypertrophy) during
pregnancy & are thought to secrete substance during
pregnancy/lactation & contain scent glands to help guide infant to nipple,
while also helping kill pathogens that try to enter the body
12. Areola -correct answer-vary in shape & color; usually circular;
become darker during pregnancy and do not return to pre-pregnancy
color
13. Nipple -correct answer-contain smooth muscle fibers for erectness
and graspability; normally found at 4th intercostal space that typically
contain between 4-18 openings (9 on average) for milk to be expressed
through during lactation
14. Nipple/areola complex -correct answer-thought of as one entity; both
elongate up to 2-3 times resting length during breastfeeding;
Areola = most sensitive part of breast
Nipples = least sensitive
CERTIFIED LACTATION COURSE EXAM 2025
QUESTIONS AND ANSWERS.
1. Weaning -correct answer-the addition of adding other foods to a diet, but
not completely stopping or ceasing breastfeeding
2. When did breastfeeding rates start to initially decline (i.e. In Britain),
particularly among the wealthy population? -correct answer-16th-17th
century and through the 18th century
3. Which month did women historically think was the most important to
breastfeed during? -correct answer-the summer (due to food spoilage)
4. What three ingredients made up the first commercial formula? (early
1800's/19th century) -correct answer--wheat flour
-cows milk
-sugar
5. What was, and still is today, one of the biggest reasons why mothers
quit breastfeeding? -correct answer-mothers report not producing
enough milk
, Page | 2
6. When did bottle feeding become the "new norm", thus, causing
breastfeeding rates to continue to decline? -correct answer-20th century
(particularly, mid 1900's) (1950's-1970's)
7. What is the WHO code? -correct answer-an attempt to prevent
excessive marketing of ABM (artificial baby milk) and to bring awareness
of benefits of breastfeeding (although this code is not law in many
countries as it interferes with marketing & freedom)
*breastfeeding education to pubic is critical!*
8. What are some other breastfeeding barriers mothers have? -correct
answer--sexual vs functional aspects of breasts
-women in the workplace
-"im not producing enough milk"
-lack of support from medical profession
9. Where are the breasts specifically located on the body? -correct answer-
-between 2nd & 6th rib
-from sternum to mid axillary line
-only gland in not fully functioning at birth
*may contain hair, sweat, and oil glands
10. Hypoplastic breasts -correct answer--insufficient glandular tissues
-usually only extend from 3rd to 5th rib
, Page | 3
-typically have more spacing between breasts (1.5 inches or more)
11. Montgomery glands/tubercles -correct answer-"small bumps" located
around areola that become more prominent (hypertrophy) during
pregnancy & are thought to secrete substance during
pregnancy/lactation & contain scent glands to help guide infant to nipple,
while also helping kill pathogens that try to enter the body
12. Areola -correct answer-vary in shape & color; usually circular;
become darker during pregnancy and do not return to pre-pregnancy
color
13. Nipple -correct answer-contain smooth muscle fibers for erectness
and graspability; normally found at 4th intercostal space that typically
contain between 4-18 openings (9 on average) for milk to be expressed
through during lactation
14. Nipple/areola complex -correct answer-thought of as one entity; both
elongate up to 2-3 times resting length during breastfeeding;
Areola = most sensitive part of breast
Nipples = least sensitive
