CLC Practice Exam questions and answers
2025\2026 A+ Grade
According to the 2015 U.S. Department of Health and Human Service guidelines, how long can breast
milk be stored in the refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days
- correct answer c) 5 days
Crying is more frequent in infants who are:
a) Not held for at least 90 minutes immediately after birth
b) Picked up immediately when they start crying
c) Between birth and 6 weeks of age
d) Between 6 weeks and 3 months of age
- correct answer c) Between birth and 6 weeks of age
Which of the following would be perceived as a conflict of interest for an IBCLC)
a) Working as a lactation consultant for a non-Baby Friendly Hospital
b) Suggesting the use of formula to supplement a low weight gaining baby
c) Including her name on a list of private practice IBCLCs given out at the hospital
d) Speaking at a conference where her honoria is paid by a formula company
- correct answer d) Speaking at a conference where her honoria is paid by a formula company
The most important reason to provide breast milk to infants during a disaster is:
a) Unavailability of ready-to-feed formula
b) Prevention of GI diseases such as diarrhea
, c) Breast milk will be at the correct temperature
d) Water for reconstitution of formula may not be available or safe
- correct answer b) Prevention of GI diseases such as diarrhea
Slade is able to stick his tongue out over his lower gum because of which nerve?
a) Trigeminal
b) Hypoglossal
c) Facial
d) Glossopharyngeal
- correct answer b) Hypoglossal
A pregnant woman who attended your breastfeeding class calls to tell you that she has found out that
she is HIV positive and she has been told she can't breastfeed. What is the first thing you would say to
her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without any problems
c) If you determine that you will exclusively breastfeed without giving any supplements, you can go
ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much you were looking forward to
breastfeeding your baby
- correct answer d) I'm so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby
Christie comes in for a breastfeeding assessment, and it's evident that her baby is getting too much milk
at a feeding. Which of the following would be the best advice to give her?
a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before
switching sides
b) Pump off some of the breast milk before you put the baby to the breast to lessen the let-down
c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally
d) Drink two cups of sage tea per day to decrease your milk supply
- correct answer a) Feed on just one side per feeding and let the infant nurse for several feedings on that
side before switching sides
2025\2026 A+ Grade
According to the 2015 U.S. Department of Health and Human Service guidelines, how long can breast
milk be stored in the refrigerator?
a) 24 hours
b) 72 hours
c) 5 days
d) 8 days
- correct answer c) 5 days
Crying is more frequent in infants who are:
a) Not held for at least 90 minutes immediately after birth
b) Picked up immediately when they start crying
c) Between birth and 6 weeks of age
d) Between 6 weeks and 3 months of age
- correct answer c) Between birth and 6 weeks of age
Which of the following would be perceived as a conflict of interest for an IBCLC)
a) Working as a lactation consultant for a non-Baby Friendly Hospital
b) Suggesting the use of formula to supplement a low weight gaining baby
c) Including her name on a list of private practice IBCLCs given out at the hospital
d) Speaking at a conference where her honoria is paid by a formula company
- correct answer d) Speaking at a conference where her honoria is paid by a formula company
The most important reason to provide breast milk to infants during a disaster is:
a) Unavailability of ready-to-feed formula
b) Prevention of GI diseases such as diarrhea
, c) Breast milk will be at the correct temperature
d) Water for reconstitution of formula may not be available or safe
- correct answer b) Prevention of GI diseases such as diarrhea
Slade is able to stick his tongue out over his lower gum because of which nerve?
a) Trigeminal
b) Hypoglossal
c) Facial
d) Glossopharyngeal
- correct answer b) Hypoglossal
A pregnant woman who attended your breastfeeding class calls to tell you that she has found out that
she is HIV positive and she has been told she can't breastfeed. What is the first thing you would say to
her?
a) As long as you take the AZT, you can go ahead and breastfeed
b) It's a good thing you live in the U.S. where you can bottle-feed without any problems
c) If you determine that you will exclusively breastfeed without giving any supplements, you can go
ahead and breastfeed
d) I'm so sorry to hear that. You must be devastated. I know how much you were looking forward to
breastfeeding your baby
- correct answer d) I'm so sorry to hear that. You must be devastated. I know how much you were
looking forward to breastfeeding your baby
Christie comes in for a breastfeeding assessment, and it's evident that her baby is getting too much milk
at a feeding. Which of the following would be the best advice to give her?
a) Feed on just one side per feeding and let the infant nurse for several feedings on that side before
switching sides
b) Pump off some of the breast milk before you put the baby to the breast to lessen the let-down
c) Stop breastfeeding for a couple of days to let some of your supply decrease naturally
d) Drink two cups of sage tea per day to decrease your milk supply
- correct answer a) Feed on just one side per feeding and let the infant nurse for several feedings on that
side before switching sides
