ALPP CLC: CERTIFIED LACTATION COUNSELOR EXAM 2025 | AUTHENTIC 230 Q&A | LATEST
UPDATE | SCORED A+
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
Thick, milky fluid secreted by the breast during pregnancy and during the first days after birth
before lactation begins. Causes a laxative effect which helps the baby pass meconium.
Coryllos type
Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position
Technique used to support Baby's chin and mother's breast. Use Thumb and index finger under
chin, remaining 3 fingers to support breast.
Alveolar Cells
found in the walls of the alveoli, simple squamous epithelial cells, main sites of gas exchange
myoepithelial cells
contract in response to stimulation by sympathetic nervous system and squeeze milk up the
duct.
Montgomery glands
Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
UPDATE | SCORED A+
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
Thick, milky fluid secreted by the breast during pregnancy and during the first days after birth
before lactation begins. Causes a laxative effect which helps the baby pass meconium.
Coryllos type
Classification system for anklyloglossia (tongue-tie)
Dancer Hand Position
Technique used to support Baby's chin and mother's breast. Use Thumb and index finger under
chin, remaining 3 fingers to support breast.
Alveolar Cells
found in the walls of the alveoli, simple squamous epithelial cells, main sites of gas exchange
myoepithelial cells
contract in response to stimulation by sympathetic nervous system and squeeze milk up the
duct.
Montgomery glands
Bumps on breasts (Look like goosebumps)
Produce a unique blend of milk and sebum (skin oil)
