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ALPP CLC EXAM 2025 CERTIFIED LACTATION COUNSELOR
REAL/AUTHENTIC PROCTORED EXAM COMPLETE 3 VERSIONS
EXAM EACH 100 QUESTIONS GRADED A+ (300 QUESTIONS)
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
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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
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
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
Infants born at the intervention sites - correct answer-significantly:
- more likely to be BF to any degree at 12 months
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- 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
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
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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
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
ALPP CLC EXAM 2025 CERTIFIED LACTATION COUNSELOR
REAL/AUTHENTIC PROCTORED EXAM COMPLETE 3 VERSIONS
EXAM EACH 100 QUESTIONS GRADED A+ (300 QUESTIONS)
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
, Page | 2
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
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
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
Infants born at the intervention sites - correct answer-significantly:
- more likely to be BF to any degree at 12 months
, Page | 3
- 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
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
, Page | 4
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
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
