ALPP CLC CERTIFIED LACTATION COUNSELOR
EXAM NEWEST ACTUAL EXAM COMPLETE
210 QUESTIONS WITH DETAILED VERIFIED
ANSWERS 100% CORRECT EXAM STUDY
GUIDE UPDATED VERSION ACTUAL EXAM
ALREADY GRADED A+
"Cheryl calls the lactation hot-line complaining that her milk supply is decreasing. She also says
that 4-week-old Ronnie spits up a lot and there appeared to be streaks of blood in his stool
earlier in the day. What is your first suggestion?
a) Take Ronnie to his pediatrician for an evaluation
b) Visit the lactation clinic immediately for an evaluation and feeding assessment
c) Have the mother record everything she has eaten in the last 48 hours to determine what food
is causing the symptoms
d) Tell the mother to eliminate dairy products for 14 days. Then keep a record of Ronnie's
spitting and a description of his stools - CORRECT ANSWER=> a) Take Ronnie to his pediatrician for
an evaluation"
"One of the main reasons for the decline of breastfeeding in the 19th century was:
a) The belief that formula was scientific and was equated with progress
b) Lack of support for nursing mothers by the medical community
c) The though that breast milk composition could only be controlled through controlling women
d) Because only poor women breastfed - CORRECT ANSWER=> a) The belief that formula was
scientific and was equated with progress"
"A slow weight gaining infant will:
a) Have a decrease in frequency and amount of stool
b) Consistently gain weight, but slowly
c) Sleep for exceptionally long periods between feedings
d) Is more apathetic than an infant with a good weight gain - CORRECT ANSWER=> b) Consistently
gain weight, but slowly"
Page | 1
,"Which of the following elements in a woman's history probably will have a negative impact on
her breastfeeding success?
a) Hypothyroidism treated with thyroid supplements
b) Loss of blood during delivery requiring 2 units of blood
c) Previous low milk supply treated with use of galactogogues
d) No breast changes during pregnancy or within the first month postpartum - CORRECT
ANSWER=> d) No breast changes during pregnancy or within the first month postpartum"
"Marci comes in saying that 21-day-old Jason is very fussy, has lots of gas and at least 8 watery
yellow stools per day. He is at his birth weight of 7 lbs., 14 oz. He has a stool while you are
examining him that is yellow/green, but without any solid matter.. Which condition would be
your first hunch?
a) Hyperlactation syndrome
b) Cow's milk protein allergy
c) Neonatal colitis
d) FTT due to insufficient feeds - CORRECT ANSWER=> a) Hyperlactation syndrome"
"Facilitating is an effective counseling skill because:
a) The mother is allowed to talk
b) The mother is encouraged to listen
c) The counselor focuses on the mother's specific concern
d) The counselor focuses on the mother's feelings - CORRECT ANSWER=> c) The counselor
focuses on the mother's specific concern"
"Which of the following would be most likely to positively impact a mother using a pump
correctly?
a) Using a pump manufactured from a company that only focuses on breastfeeding
b) Reading the direction before using the pump
c) Shown how to use from another person, like a friend
d) Only use rental pumps - CORRECT ANSWER=> c) Shown how to use from another person, like a
friend"
"You are preparing a list of handouts to use in your breastfeeding class for parents. The most
important guidelines you need to consider when selecting your handouts should be:
a) Information must be current and consistent
b) Handouts should have a 4th grade reading level and lots of white space
c) Include information on references for IBCLCs in your community
Page | 2
,d) Information should include common situations which may occur after the mom is discharged
- CORRECT ANSWER=> a) Information must be current and consistent"
"Exclusive breastfeeding is more likely to occur if:
a) The infant weighed 8 lbs. or more
b) Did at least 30 minutes of skin-to-skin after birth
c) Wasn't bathed for 4 hours post birth
d) Mother who had a c-section did skin-to-skin in the recovery room - CORRECT ANSWER=> a)
The infant weighed 8 lbs. or more"
"Susan has nipples that are raw and bleeding from nursing her infant who was tongue tied, but
who had it revised yesterday. Which of the following would be a good first choice to use with
her nipple trauma?
a) Tea bags
b) Coconut oil
c) Saline soaks
d) Antibiotic ointment - CORRECT ANSWER=> c) Coconut oil"
"Milk banks who are members of the Human Milk Banking Association of North America:
a) Provide milk to both hospitals and individuals
b) Allow selected donors to be paid
c) Test donor milk for bacteria
d) Sell the milk for a substantial profit - CORRECT ANSWER=> a) Provide milk to both hospitals and
individuals"
"Infants may suddenly collapse while doing skin-to-skin. What can be done to decrease the risk
of this happening?
a) Mother lying flat with the baby between her breasts
b) The baby's head is turned to one side, and is very slightly extended
c) Head tilted back so trachea is straight and extremities extended
d) Infant's chest is in contact with the mother's body and head is midline - CORRECT ANSWER=>
b) The baby's head is turned to one side, and is very slightly extended"
"When a hospital who was working to become Baby Friendly eliminated pacifier use, what was
the outcome?
a) Supplemental formula increased from 18-28%
b) Breastfeeding challenges decreased by a factor of 10
c) Exclusive breastfeeding rates increased from 68-79%
Page | 3
, d) 15% of mothers were sneaking pacifiers into the facility - CORRECT ANSWER=> a)
Supplemental formula increased from 18-28%"
"The optimal time interval between pregnancies for a mother is:
a) 6-9 months
b) 12-15 months
c) 24-30 months
d) 36-59 months - CORRECT ANSWER=> d) 36-59 months"
"Rebecca tells you that Tanya, her 3-week-old breastfed infant, has colic. You know that the
most common reason for "colic" is:
a) Infant isn't being fed enough
b) Mother is smoking more than 1/3 pack of cigarettes per day
c) Mother has too much breast milk
d) A diet that is very high in dairy products - CORRECT ANSWER=> a) Infant isn't being fed
enough"
"Stacey visits you stating her "milk hasn't come in yet". Her baby is 10-days-old and hasn't
regained her birth weight. After taking a history, you discover that Stacey continues to have
heavy bleeding that contains blood clots. What do you suspect is the reason for the low milk
supply?
a) Retained placental fragments causing a decrease in prolactin levels
b) Retained placental fragments causing estrogen levels to remain high
c) Retained placental fragments causing progesterone levels to remain high
d) Retained placental fragments causing a drop in the prolactin inhibitory factor (PIF) - CORRECT
ANSWER=> c) Retained placental fragments causing progesterone levels to remain high"
"Krystal Starr is undecided about whether or not to breastfeed her baby because she smokes a
pack of cigarettes per day. Which of the following is the most important to discuss with her?
a) Unless she can cut down to 15 cigarettes or less per day, she should not breastfeed
b) She should never smoke around the baby, and only after the baby has been fed
c) It's not uncommon for babies whose mothers smoke to be more colicky than babies whose
mothers don't smoke
d) It's far better for the baby's health that a smoking mother breastfeed than formula-feed -
CORRECT ANSWER=> d) It's far better for the baby's health that a smoking mother breastfeed
than formula-feed"
Page | 4
EXAM NEWEST ACTUAL EXAM COMPLETE
210 QUESTIONS WITH DETAILED VERIFIED
ANSWERS 100% CORRECT EXAM STUDY
GUIDE UPDATED VERSION ACTUAL EXAM
ALREADY GRADED A+
"Cheryl calls the lactation hot-line complaining that her milk supply is decreasing. She also says
that 4-week-old Ronnie spits up a lot and there appeared to be streaks of blood in his stool
earlier in the day. What is your first suggestion?
a) Take Ronnie to his pediatrician for an evaluation
b) Visit the lactation clinic immediately for an evaluation and feeding assessment
c) Have the mother record everything she has eaten in the last 48 hours to determine what food
is causing the symptoms
d) Tell the mother to eliminate dairy products for 14 days. Then keep a record of Ronnie's
spitting and a description of his stools - CORRECT ANSWER=> a) Take Ronnie to his pediatrician for
an evaluation"
"One of the main reasons for the decline of breastfeeding in the 19th century was:
a) The belief that formula was scientific and was equated with progress
b) Lack of support for nursing mothers by the medical community
c) The though that breast milk composition could only be controlled through controlling women
d) Because only poor women breastfed - CORRECT ANSWER=> a) The belief that formula was
scientific and was equated with progress"
"A slow weight gaining infant will:
a) Have a decrease in frequency and amount of stool
b) Consistently gain weight, but slowly
c) Sleep for exceptionally long periods between feedings
d) Is more apathetic than an infant with a good weight gain - CORRECT ANSWER=> b) Consistently
gain weight, but slowly"
Page | 1
,"Which of the following elements in a woman's history probably will have a negative impact on
her breastfeeding success?
a) Hypothyroidism treated with thyroid supplements
b) Loss of blood during delivery requiring 2 units of blood
c) Previous low milk supply treated with use of galactogogues
d) No breast changes during pregnancy or within the first month postpartum - CORRECT
ANSWER=> d) No breast changes during pregnancy or within the first month postpartum"
"Marci comes in saying that 21-day-old Jason is very fussy, has lots of gas and at least 8 watery
yellow stools per day. He is at his birth weight of 7 lbs., 14 oz. He has a stool while you are
examining him that is yellow/green, but without any solid matter.. Which condition would be
your first hunch?
a) Hyperlactation syndrome
b) Cow's milk protein allergy
c) Neonatal colitis
d) FTT due to insufficient feeds - CORRECT ANSWER=> a) Hyperlactation syndrome"
"Facilitating is an effective counseling skill because:
a) The mother is allowed to talk
b) The mother is encouraged to listen
c) The counselor focuses on the mother's specific concern
d) The counselor focuses on the mother's feelings - CORRECT ANSWER=> c) The counselor
focuses on the mother's specific concern"
"Which of the following would be most likely to positively impact a mother using a pump
correctly?
a) Using a pump manufactured from a company that only focuses on breastfeeding
b) Reading the direction before using the pump
c) Shown how to use from another person, like a friend
d) Only use rental pumps - CORRECT ANSWER=> c) Shown how to use from another person, like a
friend"
"You are preparing a list of handouts to use in your breastfeeding class for parents. The most
important guidelines you need to consider when selecting your handouts should be:
a) Information must be current and consistent
b) Handouts should have a 4th grade reading level and lots of white space
c) Include information on references for IBCLCs in your community
Page | 2
,d) Information should include common situations which may occur after the mom is discharged
- CORRECT ANSWER=> a) Information must be current and consistent"
"Exclusive breastfeeding is more likely to occur if:
a) The infant weighed 8 lbs. or more
b) Did at least 30 minutes of skin-to-skin after birth
c) Wasn't bathed for 4 hours post birth
d) Mother who had a c-section did skin-to-skin in the recovery room - CORRECT ANSWER=> a)
The infant weighed 8 lbs. or more"
"Susan has nipples that are raw and bleeding from nursing her infant who was tongue tied, but
who had it revised yesterday. Which of the following would be a good first choice to use with
her nipple trauma?
a) Tea bags
b) Coconut oil
c) Saline soaks
d) Antibiotic ointment - CORRECT ANSWER=> c) Coconut oil"
"Milk banks who are members of the Human Milk Banking Association of North America:
a) Provide milk to both hospitals and individuals
b) Allow selected donors to be paid
c) Test donor milk for bacteria
d) Sell the milk for a substantial profit - CORRECT ANSWER=> a) Provide milk to both hospitals and
individuals"
"Infants may suddenly collapse while doing skin-to-skin. What can be done to decrease the risk
of this happening?
a) Mother lying flat with the baby between her breasts
b) The baby's head is turned to one side, and is very slightly extended
c) Head tilted back so trachea is straight and extremities extended
d) Infant's chest is in contact with the mother's body and head is midline - CORRECT ANSWER=>
b) The baby's head is turned to one side, and is very slightly extended"
"When a hospital who was working to become Baby Friendly eliminated pacifier use, what was
the outcome?
a) Supplemental formula increased from 18-28%
b) Breastfeeding challenges decreased by a factor of 10
c) Exclusive breastfeeding rates increased from 68-79%
Page | 3
, d) 15% of mothers were sneaking pacifiers into the facility - CORRECT ANSWER=> a)
Supplemental formula increased from 18-28%"
"The optimal time interval between pregnancies for a mother is:
a) 6-9 months
b) 12-15 months
c) 24-30 months
d) 36-59 months - CORRECT ANSWER=> d) 36-59 months"
"Rebecca tells you that Tanya, her 3-week-old breastfed infant, has colic. You know that the
most common reason for "colic" is:
a) Infant isn't being fed enough
b) Mother is smoking more than 1/3 pack of cigarettes per day
c) Mother has too much breast milk
d) A diet that is very high in dairy products - CORRECT ANSWER=> a) Infant isn't being fed
enough"
"Stacey visits you stating her "milk hasn't come in yet". Her baby is 10-days-old and hasn't
regained her birth weight. After taking a history, you discover that Stacey continues to have
heavy bleeding that contains blood clots. What do you suspect is the reason for the low milk
supply?
a) Retained placental fragments causing a decrease in prolactin levels
b) Retained placental fragments causing estrogen levels to remain high
c) Retained placental fragments causing progesterone levels to remain high
d) Retained placental fragments causing a drop in the prolactin inhibitory factor (PIF) - CORRECT
ANSWER=> c) Retained placental fragments causing progesterone levels to remain high"
"Krystal Starr is undecided about whether or not to breastfeed her baby because she smokes a
pack of cigarettes per day. Which of the following is the most important to discuss with her?
a) Unless she can cut down to 15 cigarettes or less per day, she should not breastfeed
b) She should never smoke around the baby, and only after the baby has been fed
c) It's not uncommon for babies whose mothers smoke to be more colicky than babies whose
mothers don't smoke
d) It's far better for the baby's health that a smoking mother breastfeed than formula-feed -
CORRECT ANSWER=> d) It's far better for the baby's health that a smoking mother breastfeed
than formula-feed"
Page | 4
