ALPP CLC EXAM UPDATED VERSION STUDY GUIDE ACTUAL
EXAM /ALREADY GRADED A+ WITH 350 QUESTIONS AND
VERIFIED CORRECT ANSWERS 2025.
Benefits of breastfeeding for mother - - ANS - -Prevents myocardial infarction and
aspects of metabolic syndrome
Decreases risk of HTN, diabetes, hyperlipidemia, CVD, endometrial and ovarian cancer
WHO & UNICEF: Three strategies to increase breastfeeding - - ANS - -Promotion
Protection
Support
The Original Ten Steps to Successful Breastfeeding: Step 1 - - ANS - -Have a written
breast-feeding policy that is routinely communicated to all healthcare staff
The Original Ten Steps to Successful Breastfeeding: Step 2 - - ANS - -Train all
healthcare stuff in the skills necessary to implement this policy
The Original Ten Steps to Successful Breastfeeding: Step 3 - - ANS - -Inform all
pregnant women about the benefits and management of breast-feeding
The Original Ten Steps to Successful Breastfeeding: Step 5 - - ANS - -Show mothers
how to breast-feed and how to maintain lactation, even if they should be separated
from their infants
,The Original Ten Steps to Successful Breastfeeding: Step 6 - - ANS - -Give newborn
infants, no food or drink other than breast, milk, unless medically indicated
The Original Ten Steps to Successful Breastfeeding: Step 7 - - ANS - -Practice
rooming in-allow mothers, an infants to remain together 24 hours a day
The Original Ten Steps to Successful Breastfeeding: Step 8 - - ANS - -Encourage
breast-feeding on demand
The Original Ten Steps to Successful Breastfeeding: Step 9 - - ANS - -Give no
pacifiers are artificial nipples (also called dummies or soothers) to breast-feeding
infants
The Original Ten Steps to Successful Breastfeeding: Step 10 - - ANS - -Foster the
establishment of breast-feeding, support groups and refer mothers to them on
discharge from the hospital or clinic
What type of breast augmentation incision increases the chance of lactation
insufficiency? - - ANS - -Periareolar
Raynaud's phenomenon (vasospasm) of the nipple - - ANS - -Excruciating nipples and
breast pain after nursing, or when nipple is cold or wet, always accompanied by
nipple color change (waxy white, quickly transient to cyanosis blue or grey, then to
raspberry pink, or white to pink), areola typically changes shape
What nursing issue would Nifedipine be prescribed for? - - ANS - -Raynaud's
phenomenon
,Candida albicans, yeast, or thrush - - ANS - -Burning pain during and after breast-
feeding, shiny flaky, skin is visible on the nipple in areola, white patches are seen in
babies mouth inside the cheeks, and on the tongue, babies diaper area may also have
a rash
Bleb (milk blister) - - ANS - -Firm, small, white spot (bleb or duct blocked near nipple
pore opening) of accumulated milk solids on nipple face
Engorgement - - ANS - -Swollen breasts often between days, two and four after
birth, or later, if baby was born via cesarean section, can also happen in early weeks
of babies, not feeling often or effectively enough
how to relieve engorgement - - ANS - -Increase frequency and efficiency of feedings,
allow excess milk to flow out of the breast via shower or bath, baby should be allowed
to nurse until he, or she comes off spontaneously, gentle expression may believe, mild
analgesics can be used
meconium - - ANS - -first stool of the newborn
Black, tarry
1-2 days of life
Transition stool - - ANS - -Green/brown
2-3 days of life
Yellow/orange stool - - ANS - -Mature breast milk stool
, Seedy
3-4 days of life
Exclusive breastfeeding - - ANS - -Infant is receiving solely mother's milk
Can have added vitamins, minerals, oral medications
Predominant breastfeeding - - ANS - -Mother's milk and water, water-based drinks,
ritual foods (teas)
Breastfeeding - - ANS - -Infant is receiving human milk and other foods or fluids
including infant formula
Complementary feeding - - ANS - -Between 6-23months, receiving both human milk
and solid/semisolid food
Widstrom"s 9 Stages - - ANS - -Stages a newborn goes through when placed skin-to-
skin to prepare for feeding:
1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/sliding
7. Familiarization
8. Suckling
EXAM /ALREADY GRADED A+ WITH 350 QUESTIONS AND
VERIFIED CORRECT ANSWERS 2025.
Benefits of breastfeeding for mother - - ANS - -Prevents myocardial infarction and
aspects of metabolic syndrome
Decreases risk of HTN, diabetes, hyperlipidemia, CVD, endometrial and ovarian cancer
WHO & UNICEF: Three strategies to increase breastfeeding - - ANS - -Promotion
Protection
Support
The Original Ten Steps to Successful Breastfeeding: Step 1 - - ANS - -Have a written
breast-feeding policy that is routinely communicated to all healthcare staff
The Original Ten Steps to Successful Breastfeeding: Step 2 - - ANS - -Train all
healthcare stuff in the skills necessary to implement this policy
The Original Ten Steps to Successful Breastfeeding: Step 3 - - ANS - -Inform all
pregnant women about the benefits and management of breast-feeding
The Original Ten Steps to Successful Breastfeeding: Step 5 - - ANS - -Show mothers
how to breast-feed and how to maintain lactation, even if they should be separated
from their infants
,The Original Ten Steps to Successful Breastfeeding: Step 6 - - ANS - -Give newborn
infants, no food or drink other than breast, milk, unless medically indicated
The Original Ten Steps to Successful Breastfeeding: Step 7 - - ANS - -Practice
rooming in-allow mothers, an infants to remain together 24 hours a day
The Original Ten Steps to Successful Breastfeeding: Step 8 - - ANS - -Encourage
breast-feeding on demand
The Original Ten Steps to Successful Breastfeeding: Step 9 - - ANS - -Give no
pacifiers are artificial nipples (also called dummies or soothers) to breast-feeding
infants
The Original Ten Steps to Successful Breastfeeding: Step 10 - - ANS - -Foster the
establishment of breast-feeding, support groups and refer mothers to them on
discharge from the hospital or clinic
What type of breast augmentation incision increases the chance of lactation
insufficiency? - - ANS - -Periareolar
Raynaud's phenomenon (vasospasm) of the nipple - - ANS - -Excruciating nipples and
breast pain after nursing, or when nipple is cold or wet, always accompanied by
nipple color change (waxy white, quickly transient to cyanosis blue or grey, then to
raspberry pink, or white to pink), areola typically changes shape
What nursing issue would Nifedipine be prescribed for? - - ANS - -Raynaud's
phenomenon
,Candida albicans, yeast, or thrush - - ANS - -Burning pain during and after breast-
feeding, shiny flaky, skin is visible on the nipple in areola, white patches are seen in
babies mouth inside the cheeks, and on the tongue, babies diaper area may also have
a rash
Bleb (milk blister) - - ANS - -Firm, small, white spot (bleb or duct blocked near nipple
pore opening) of accumulated milk solids on nipple face
Engorgement - - ANS - -Swollen breasts often between days, two and four after
birth, or later, if baby was born via cesarean section, can also happen in early weeks
of babies, not feeling often or effectively enough
how to relieve engorgement - - ANS - -Increase frequency and efficiency of feedings,
allow excess milk to flow out of the breast via shower or bath, baby should be allowed
to nurse until he, or she comes off spontaneously, gentle expression may believe, mild
analgesics can be used
meconium - - ANS - -first stool of the newborn
Black, tarry
1-2 days of life
Transition stool - - ANS - -Green/brown
2-3 days of life
Yellow/orange stool - - ANS - -Mature breast milk stool
, Seedy
3-4 days of life
Exclusive breastfeeding - - ANS - -Infant is receiving solely mother's milk
Can have added vitamins, minerals, oral medications
Predominant breastfeeding - - ANS - -Mother's milk and water, water-based drinks,
ritual foods (teas)
Breastfeeding - - ANS - -Infant is receiving human milk and other foods or fluids
including infant formula
Complementary feeding - - ANS - -Between 6-23months, receiving both human milk
and solid/semisolid food
Widstrom"s 9 Stages - - ANS - -Stages a newborn goes through when placed skin-to-
skin to prepare for feeding:
1. Birth cry
2. Relaxation
3. Awakening
4. Activity
5. Rest
6. Crawling/sliding
7. Familiarization
8. Suckling
