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ALPP Certified Lactation Counselor (CLC) Exam – Latest 2026/2027 Edition | Complete Study Material

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This document provides comprehensive study material for the ALPP Certified Lactation Counselor (CLC) Exam, updated for 2026/2027. It covers essential topics including breastfeeding physiology, counseling techniques, lactation management, infant nutrition, and maternal health. The material is structured as a complete exam preparation resource to support knowledge mastery, clinical understanding, and successful certification.

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ALPP Certified Lactation Counselor
(CLC) Exam | Latest 2026/2027
Edition
REAL Proctored Exam (Verified Questions & Correct Answers |
Graded A)




SECTION 1: EXAM QUESTIONS AND ANSWERS (100% CORRECT)

Answer Format: All the correct answers are highlighted (yellow)



Contraindications for breastfeeding
-HIV positive mother

-Mother is infected with human T-cell lymphotropic virus type 1 or type 2 (HTLV-1/2)

-Mother has untreated ebola virus

-Drug abuse by mother

-Infant galactosemia




BF became recognized as a public health priority in the US in what year?
1990




Nursing a baby for a year or more decreases the risk of hypertension, diabetes, hyperlipidemia,
and cardiovascular disease when postmenopausal by ____%.

10-15%

, ALPP Certified Lactation Counselor
(CLC) Exam | Latest 2026/2027
Edition
REAL Proctored Exam (Verified Questions & Correct Answers |
Graded A)




Women who do NOT BF are at greater risk for these 3 cancers

breast, ovarian, endometrial




UNICEF stands for

United Nations International Children's Emergency Fund




The WHO and UNICEF have set out 3 strategies needed for increasing BF initiation and duration
in every country

breastfeeding protection, breastfeeding promotion, breastfeeding support




Breastfeeding protection focuses on
government, manufacturer and social responsibility to assure breastfeeding's ability to compete
with commercial interests




Breastfeeding promotion focuses on
advantages of breastfeeding on a personal, community, country or global level

, ALPP Certified Lactation Counselor
(CLC) Exam | Latest 2026/2027
Edition
REAL Proctored Exam (Verified Questions & Correct Answers |
Graded A)




Breastfeeding protection also includes

addressing improper marketing practices as described in "The international code"




In the US, state and local BF legislation addresses BF in public, employment issues, jury duty,
family law, mothers in prison etc. is an example of
breastfeeding protection




Breastfeeding support

focuses on interaction of helpers with family, as well as program development and
implementation.




This forms the basis of the Baby-Friendly Hospital Initiative

The Ten Steps to Successful Breastfeeding




The Ten Steps to Successful Breastfeeding (critical management procedures)

, ALPP Certified Lactation Counselor
(CLC) Exam | Latest 2026/2027
Edition
REAL Proctored Exam (Verified Questions & Correct Answers |
Graded A)




1a. comply with the International code of marketing of breast-milk substitutes & relevant world
health assembly resolutions



1b. have a written infant feeding policy that is routinely communicated to staff & parents



1c. est. ongoing monitoring & data-management systems



2. ensure that staff have sufficient knowledge, competence, and skills to support BF




The Ten Steps to Successful Breastfeeding (key clinical practices )

3. discuss the importance & mgmt of BF w/ pregnant women and families



4. facilitate immediate STS contact & support mother's to initiate BF as soon as possible after
birth



5. support mothers to initiate & maintain BF and manage common difficulties


6. do NOT provide breastfed newborns any food or fluids other than breastmilk unless medically
indicated

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