1|Page
ALPP CLC Exam 2 Preparation — Actual Exam (Newest 2025/2026
Edition) | Complete Questions & Correct Detailed Verified Answers |
Brand-New Release
Can woman with implants/ breast reduction breast feed? - ANSWER-
Yes do not know impact until trying, just because colostrum not sure if
will get normal milk -colustrum is pregnancy hormone induced, need
nerves for rest of milk
Can a baby latch with inverted nipple? - ANSWER-Yes baby can form
teat, although thing about the need for nipple stroking (prolactin) and
nipple stretching (oxytocin)
3 classification of inverted nipples - ANSWER-grade 1- easily pulled
out by breast pump or nursing, at reast look inverted
grade 2 can be pulled out but dont maintain their projection
grade 3 difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems
due to? - ANSWER-Poor oxygen to milk making cells, or causing mom
to feel exhausted or depressed causing lack of bf
- secretory activation - lactogenesis II - SOLUTION=excessive pressure
can result from
,2|Page
- breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple - SOLUTION=normal fullness
- breast hard
- temp normal+
- mom feels discomfort
- breast hot, shiny
- nipple difficulty to grasp, baby can't latch - SOLUTION=engorgement
- occur more commonly between days 3-5 but mothers who have IV
fluids in labor and post partum have higher levels of swelling up to day
9
- women with c-sections experience peak engorgement 24-48 hours later
than those who deliver vaginally - SOLUTION=engorgement symptoms
more time spent BF in the first 48 hours is associated with less
engorgement - SOLUTION=ABM protocol #20
results in pressure building up in the breast
,3|Page
- as the pressure inside the breast increases, milk production decreases
(nature's early lactation dry-up mechanism) - SOLUTION=process of
engorgement
prolonged symptomatic engorgement may have a negative impact on
continued adequate milk supply - SOLUTION=failure to resolve
engorgement
pressure results from
- secretory activation (lactogenesis II)
- too much milk left in the breast
- missed feedings
- restrictive bras and clothing
- breast implants - SOLUTION=vascular, lymphatic, third spacing forces
Sheehan's syndrome (postpartum pituitary necrosis) - ANSWER-A
patient fails to lactate after an emergency C-section with marked blood
loss. Pituitary has been deprived of blood and functions are impaired
other symptoms included low blood pressure, anemia, fatigue, profound
hair loss, dull hair. Can have symptoms partially or fully resolved.
Maternal obesity/overweight can delay lactogenis - ANSWER-2
, 4|Page
PCOS excess insulin increases production of , higher androgens
cause acne, excessive hair growth, wt gain and problems with ovulation
and , possible treatment with - ANSWER-androgens, lactation,
metformin
Drug that cause milk delay? - ANSWER-peeudoephedrine (think
pseudofed), corticosteriods, betamethason (giving to women who will
deliver before 24 weeks) if given 3-9 days before delivery can delay
lactogensis 2
Mothers who smoke have lower levels if smoked within 12 hrs. -
ANSWER-prolactin
Are nicotine patches safe during BF - ANSWER-refer to healthcare
provider
Cadmimum is a heavy metal found in and - ANSWER-
cigarettes and formula
What types of formulas have more cadmimum? - ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - ANSWER-
ALPP CLC Exam 2 Preparation — Actual Exam (Newest 2025/2026
Edition) | Complete Questions & Correct Detailed Verified Answers |
Brand-New Release
Can woman with implants/ breast reduction breast feed? - ANSWER-
Yes do not know impact until trying, just because colostrum not sure if
will get normal milk -colustrum is pregnancy hormone induced, need
nerves for rest of milk
Can a baby latch with inverted nipple? - ANSWER-Yes baby can form
teat, although thing about the need for nipple stroking (prolactin) and
nipple stretching (oxytocin)
3 classification of inverted nipples - ANSWER-grade 1- easily pulled
out by breast pump or nursing, at reast look inverted
grade 2 can be pulled out but dont maintain their projection
grade 3 difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems
due to? - ANSWER-Poor oxygen to milk making cells, or causing mom
to feel exhausted or depressed causing lack of bf
- secretory activation - lactogenesis II - SOLUTION=excessive pressure
can result from
,2|Page
- breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple - SOLUTION=normal fullness
- breast hard
- temp normal+
- mom feels discomfort
- breast hot, shiny
- nipple difficulty to grasp, baby can't latch - SOLUTION=engorgement
- occur more commonly between days 3-5 but mothers who have IV
fluids in labor and post partum have higher levels of swelling up to day
9
- women with c-sections experience peak engorgement 24-48 hours later
than those who deliver vaginally - SOLUTION=engorgement symptoms
more time spent BF in the first 48 hours is associated with less
engorgement - SOLUTION=ABM protocol #20
results in pressure building up in the breast
,3|Page
- as the pressure inside the breast increases, milk production decreases
(nature's early lactation dry-up mechanism) - SOLUTION=process of
engorgement
prolonged symptomatic engorgement may have a negative impact on
continued adequate milk supply - SOLUTION=failure to resolve
engorgement
pressure results from
- secretory activation (lactogenesis II)
- too much milk left in the breast
- missed feedings
- restrictive bras and clothing
- breast implants - SOLUTION=vascular, lymphatic, third spacing forces
Sheehan's syndrome (postpartum pituitary necrosis) - ANSWER-A
patient fails to lactate after an emergency C-section with marked blood
loss. Pituitary has been deprived of blood and functions are impaired
other symptoms included low blood pressure, anemia, fatigue, profound
hair loss, dull hair. Can have symptoms partially or fully resolved.
Maternal obesity/overweight can delay lactogenis - ANSWER-2
, 4|Page
PCOS excess insulin increases production of , higher androgens
cause acne, excessive hair growth, wt gain and problems with ovulation
and , possible treatment with - ANSWER-androgens, lactation,
metformin
Drug that cause milk delay? - ANSWER-peeudoephedrine (think
pseudofed), corticosteriods, betamethason (giving to women who will
deliver before 24 weeks) if given 3-9 days before delivery can delay
lactogensis 2
Mothers who smoke have lower levels if smoked within 12 hrs. -
ANSWER-prolactin
Are nicotine patches safe during BF - ANSWER-refer to healthcare
provider
Cadmimum is a heavy metal found in and - ANSWER-
cigarettes and formula
What types of formulas have more cadmimum? - ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - ANSWER-
