ACADEMY OF LACTATION POLICY AND PRACTICE · ALPP
CLC CERTIFICATION
ALPP CLC EXAM 1
PREPARATION GUIDE
Certified Lactation Counselor — Complete Questions & Verified Answers
Actual Exam · Newest Version · 2025/2026 · Brand New Edition
DOCUMENT DESCRIPTION
This comprehensive preparation guide covers the ALPP Certified Lactation
Counselor (CLC) Exam 1. Topics include breastfeeding physiology, milk
composition & lactogenesis stages, infant weight gain & feeding assessment,
breastfeeding support & contraindications, WHO/UNICEF global strategies,
maternal anatomy, hormones of lactation (prolactin & oxytocin), common
breastfeeding myths, and clinical intervention techniques.
All answers are verified and aligned with current ALPP CLC standards.
Total: 27 pages · Academic Year 2025/2026 · Verified Edition
✓ Lactation Physiology ✓ Infant Assessment ✓ Global BF Policy
Hormones, anatomy & milk Weight gain & feeding cues WHO, UNICEF & the Code
27 100% 2025/2026
PAGES VERIFIED ANSWERS ACADEMIC YEAR
ALPP CERTIFIED LACTATION COUNSELOR PREPARATION RESOURCE
Breastfeeding Science · Clinical Assessment · Infant Nutrition · Maternal Health
Prepared by: Dennis Muriuki · ALPP CLC Exam 1 Preparation · Newest 2025/2026 Edition
For Academic & Certification Use Only · All Content Verified
,1|Page
ALPP CLC Exam 1 Preparation Actual Exam Newest
2025/2026 Complete Questions And Correct Detailed
Answers (Verified Answers) |Brand New Version!!
Which of the following is true about weight gain from birth through the
first two months in exclusively breastfed infants? a) most babies will
lose around 10% of their birth weight within the first three days of life,
b) infants should regain their birth weight by 10-14 days of age, c)
between 2 and 6 weeks, the average daily weight gain is 24-26 grams, or
d) an infant who is gaining 10 grams per day in considered FTT -
ANSWER-b) infants should regain their birth weight by 10-14 days of
age
What temperature should water that is to be mixed with powdered
formula be to kill the Cronobacter sakazkii bacteria? a) boiled water
cooled to body temperature, b) room temerature, c) at least 158 deg F, or
d) boiling - ANSWER-c) at least 158 deg F
Which of the following would most likely be the best treatment for a
yeast infection of the nipples? a) oral antifungal prescription medication,
b) antifungal ointment, c) coconut oil, or d) eliminate yeast foods from
her diet - ANSWER-b) antifungal ointment
Allison tells you that 2-month-old baby Jeffrey has been fussy most of
the time since he was about a week old. his birth weight was 8-4, his
, 2|Page
current weight is 9-1. Allison says she has been breastfeeding him a lot.
The most likely cause of Jeffrey's fussiness is: a) he isn't getting enough
to eat, b) he is sensitive to the dairy protein in Allison's diet, c) he is
most likely experiencing symptoms of lactose intolerance, or d) he may
have GER - ANSWER-a) he isn't getting enough to eat
Which of the following elements is increased in the milk of mothers who
deliver preterm infants? a) LCPUFAs, b) lactose, c) calories, or d)
calcium - ANSWER-a) LCPUFAs
Polly tells you that April has really been fussy at feeds, and though she is
gaining well, Polly is just sure there is something wrong. Of the
following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding weights, c)
infant hydration status, or d) observation of behavior during the feed -
ANSWER-d) observation of behavior during the feed
Lindsey, 7 months pregnant, has just been diagnosed as an insulin-
dependent diabetic. She is concerned that she will not be able to
breastfeed. What information will be most helpful to her? a) after the
delivery she may have to decrease her caloric intake, b) after delivery
she may find her insulin needs are decreased, c) it's going to be in her
best interest to not breastfeed, or d) when she weans her baby, her
insulin levels will vary - ANSWER-b) after delivery she may find her
insulin needs are decreased
CLC CERTIFICATION
ALPP CLC EXAM 1
PREPARATION GUIDE
Certified Lactation Counselor — Complete Questions & Verified Answers
Actual Exam · Newest Version · 2025/2026 · Brand New Edition
DOCUMENT DESCRIPTION
This comprehensive preparation guide covers the ALPP Certified Lactation
Counselor (CLC) Exam 1. Topics include breastfeeding physiology, milk
composition & lactogenesis stages, infant weight gain & feeding assessment,
breastfeeding support & contraindications, WHO/UNICEF global strategies,
maternal anatomy, hormones of lactation (prolactin & oxytocin), common
breastfeeding myths, and clinical intervention techniques.
All answers are verified and aligned with current ALPP CLC standards.
Total: 27 pages · Academic Year 2025/2026 · Verified Edition
✓ Lactation Physiology ✓ Infant Assessment ✓ Global BF Policy
Hormones, anatomy & milk Weight gain & feeding cues WHO, UNICEF & the Code
27 100% 2025/2026
PAGES VERIFIED ANSWERS ACADEMIC YEAR
ALPP CERTIFIED LACTATION COUNSELOR PREPARATION RESOURCE
Breastfeeding Science · Clinical Assessment · Infant Nutrition · Maternal Health
Prepared by: Dennis Muriuki · ALPP CLC Exam 1 Preparation · Newest 2025/2026 Edition
For Academic & Certification Use Only · All Content Verified
,1|Page
ALPP CLC Exam 1 Preparation Actual Exam Newest
2025/2026 Complete Questions And Correct Detailed
Answers (Verified Answers) |Brand New Version!!
Which of the following is true about weight gain from birth through the
first two months in exclusively breastfed infants? a) most babies will
lose around 10% of their birth weight within the first three days of life,
b) infants should regain their birth weight by 10-14 days of age, c)
between 2 and 6 weeks, the average daily weight gain is 24-26 grams, or
d) an infant who is gaining 10 grams per day in considered FTT -
ANSWER-b) infants should regain their birth weight by 10-14 days of
age
What temperature should water that is to be mixed with powdered
formula be to kill the Cronobacter sakazkii bacteria? a) boiled water
cooled to body temperature, b) room temerature, c) at least 158 deg F, or
d) boiling - ANSWER-c) at least 158 deg F
Which of the following would most likely be the best treatment for a
yeast infection of the nipples? a) oral antifungal prescription medication,
b) antifungal ointment, c) coconut oil, or d) eliminate yeast foods from
her diet - ANSWER-b) antifungal ointment
Allison tells you that 2-month-old baby Jeffrey has been fussy most of
the time since he was about a week old. his birth weight was 8-4, his
, 2|Page
current weight is 9-1. Allison says she has been breastfeeding him a lot.
The most likely cause of Jeffrey's fussiness is: a) he isn't getting enough
to eat, b) he is sensitive to the dairy protein in Allison's diet, c) he is
most likely experiencing symptoms of lactose intolerance, or d) he may
have GER - ANSWER-a) he isn't getting enough to eat
Which of the following elements is increased in the milk of mothers who
deliver preterm infants? a) LCPUFAs, b) lactose, c) calories, or d)
calcium - ANSWER-a) LCPUFAs
Polly tells you that April has really been fussy at feeds, and though she is
gaining well, Polly is just sure there is something wrong. Of the
following, which is the most important for you to do during the
assessment? a) oral digital exam, b) before and after feeding weights, c)
infant hydration status, or d) observation of behavior during the feed -
ANSWER-d) observation of behavior during the feed
Lindsey, 7 months pregnant, has just been diagnosed as an insulin-
dependent diabetic. She is concerned that she will not be able to
breastfeed. What information will be most helpful to her? a) after the
delivery she may have to decrease her caloric intake, b) after delivery
she may find her insulin needs are decreased, c) it's going to be in her
best interest to not breastfeed, or d) when she weans her baby, her
insulin levels will vary - ANSWER-b) after delivery she may find her
insulin needs are decreased
