CERTIFIED LACTATION COUNSELOR
CERTIFICATION EVALUATION 2026 SOLVED
QUESTION SET GRADED A+
◉ What are some hallmarks of a satisfied feeding?.
Answer: -Baby released nipple
-Soft, relaxed body tone, relaxed hands
-Nipple similar to pre-feeding shape
◉ What does a suck-suck-suck-suck-suck-suck-swallow pattern that
occurs throughout an entire feed indicate?.
Answer: Baby is not getting enough milk. Needing to suck a lot to get
enough milk to create a bolus.
◉ Where do we see motion when Baby is sucking in a rocker
motion?.
Answer: Closer to the cheek/ear
◉ How can you tell when a Baby might want to continue to feed?.
Answer: If you notice tenseness in the Baby's body. (E.g. 1 arm is in a
fist, other relaxed. OR both in a fist)
,◉ What can happen if the latch is not good?.
Answer: Pain in the nipple
◉ Do CLC's assess tongue tie?.
Answer: No. Assess and give suggestions to optimize latch. Then
refer onward for diagnosis.
◉ What can interfere with the babies inter-oral function by
restricting movement of the cranio-crevice spine?.
Answer: 1. Hand on the back of the head
2. Shaping of the breast (mother compressing breast while BF)
◉ What questions should you ask if a mother complains of sore
nipples?.
Answer: -Clarify misconceptions: nipple prepping, creams, tea bags,
etc.
-What has she already tried?
-What pain meds are you taking? (They mask pain)
◉ What causes nipple soreness?.
Answer: 1. Poor latch
2. Oversupply
3. Thrush
,4. Raynaud's syndrome (Vasospasm)
5. Clogs
6. Blebs
7. Mastitis
8. Abscess
◉ What is the problem with using creams on nipples?.
Answer: Baby could ingest it. Research study found an increase by
40% of vitamin E after just one week of BF.
◉ What is All Purpose Nipple Ointment (ANPO) made of?.
Answer: Antibiotic cream, antifungal cream, and corticosteroid .
◉ Issues with oversupply.
Answer: -Pain from trying to hold back flow
-Plugged ducts, mastitis, and painful feedings
-Volominous stools
-Rapid weight gain
-Unsettled after feeds
◉ What is wrong with green shiny stools?.
Answer: -May result from overwhelming the enzyme lactase.
, -Too much fat in the milk due to an oversupply
◉ What are some strategies for oversupply.
Answer: -Decrease additional stimulation
-Trigger let down before starting
-Gentle compression
-Block feeding (feed one side only)
-Try Australian pose
-Donation to milk bank
◉ Candida/Thrush (Yeast overgrowth).
Answer: -May cause pain for mother and baby
-May be visible or not
-Itchy, flaky, and dashing nipple/breast skin
◉ Treatment for Thrush.
Answer: -Nystatin
-Fluconazole (Diflucan) oral capsules
-Cleaning all toys, pacifiers, pump parts
-Antihistamines
◉ How to help mother's with Raynaud's Syndrome.
CERTIFICATION EVALUATION 2026 SOLVED
QUESTION SET GRADED A+
◉ What are some hallmarks of a satisfied feeding?.
Answer: -Baby released nipple
-Soft, relaxed body tone, relaxed hands
-Nipple similar to pre-feeding shape
◉ What does a suck-suck-suck-suck-suck-suck-swallow pattern that
occurs throughout an entire feed indicate?.
Answer: Baby is not getting enough milk. Needing to suck a lot to get
enough milk to create a bolus.
◉ Where do we see motion when Baby is sucking in a rocker
motion?.
Answer: Closer to the cheek/ear
◉ How can you tell when a Baby might want to continue to feed?.
Answer: If you notice tenseness in the Baby's body. (E.g. 1 arm is in a
fist, other relaxed. OR both in a fist)
,◉ What can happen if the latch is not good?.
Answer: Pain in the nipple
◉ Do CLC's assess tongue tie?.
Answer: No. Assess and give suggestions to optimize latch. Then
refer onward for diagnosis.
◉ What can interfere with the babies inter-oral function by
restricting movement of the cranio-crevice spine?.
Answer: 1. Hand on the back of the head
2. Shaping of the breast (mother compressing breast while BF)
◉ What questions should you ask if a mother complains of sore
nipples?.
Answer: -Clarify misconceptions: nipple prepping, creams, tea bags,
etc.
-What has she already tried?
-What pain meds are you taking? (They mask pain)
◉ What causes nipple soreness?.
Answer: 1. Poor latch
2. Oversupply
3. Thrush
,4. Raynaud's syndrome (Vasospasm)
5. Clogs
6. Blebs
7. Mastitis
8. Abscess
◉ What is the problem with using creams on nipples?.
Answer: Baby could ingest it. Research study found an increase by
40% of vitamin E after just one week of BF.
◉ What is All Purpose Nipple Ointment (ANPO) made of?.
Answer: Antibiotic cream, antifungal cream, and corticosteroid .
◉ Issues with oversupply.
Answer: -Pain from trying to hold back flow
-Plugged ducts, mastitis, and painful feedings
-Volominous stools
-Rapid weight gain
-Unsettled after feeds
◉ What is wrong with green shiny stools?.
Answer: -May result from overwhelming the enzyme lactase.
, -Too much fat in the milk due to an oversupply
◉ What are some strategies for oversupply.
Answer: -Decrease additional stimulation
-Trigger let down before starting
-Gentle compression
-Block feeding (feed one side only)
-Try Australian pose
-Donation to milk bank
◉ Candida/Thrush (Yeast overgrowth).
Answer: -May cause pain for mother and baby
-May be visible or not
-Itchy, flaky, and dashing nipple/breast skin
◉ Treatment for Thrush.
Answer: -Nystatin
-Fluconazole (Diflucan) oral capsules
-Cleaning all toys, pacifiers, pump parts
-Antihistamines
◉ How to help mother's with Raynaud's Syndrome.
