Certified Lactation Counselor (CLC)
Study. Latest Edition 2026-2027.
Questions & Correct Answers. Graded
A
0.5 grams of alcohol per kg of body weight. This corresponds to
approximately* 2-2.5oz of liquor, 8oz of table wine, or 2 cans of beer. -
ANSAccording to the Institute of medicine, alcohol may be consumed in
moderation by nursing mothers. Advising the lactating women to limit her
intake to no more than:
0.5oz to 1 oz or more a day - ANSExclusively breastfed infants are
expected to gain how many ounces per day in the early months?
1 in 60,000 - ANSGalactosemia
1. Breast
2. Milk Expression
3. Milk from Human Milk Banking Association of North America or State
Licensed Milk Bank
4. Cow Formula
5. Soy Formula - ANSHierarchy of infant feeding:
1. Have a written breastfeeding policy that is routinely communicated to all
health care staff.
1
,2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even if
they are separated from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless
medically indicated.
7. Practice "rooming in"-- allow mothers and infants to remain together 24
hours a day.
8. Encourage breastfeeding on demand.
9. Give no pacifiers or artificial nipples to breastfeeding infants
10. Foster the establishment of breastfeeding support groups and refer
mothers to them on discharge from the hospital or clinic. - ANSTen Steps
to Successful Breastfeeding
10-12 feedings per 24 hour time, several bowel movements every day from
day 2 through the first 6weeks (quarter sized bowels) & (4 on 4), expect
stool color to transition to yellow and seedy by day 5, 1 + heavy wet diaper
for each day of life until day 6. (6+ on day 6+). - ANSNewborn
expectations:
10pm-9am - ANSBabies born between these hours of the day or more at
risk to receive supplementation:
12-14 days - ANSWe expect the baby to be back at birthweight by how
many days post birth?
2
,2 grams - ANSWhen doing a weighted feed, they digital scale should be
accurate to how many grams?
2 hours. - ANSIf a mother has received labor analgesia , self-attachment
during skin-to -skin (golden hour) may take up to how many hours?
2-12 hours post birth. - ANSDelaying a bath for how many hours post-birth
raises EBF rates?
2.5 -6X higher risk of early weaning. - ANSIn-hospital supplementation of
formula lead to:
22% - ANSThe newest assumption is that which percent of SIDS deaths
can be directly attributed to maternal smoking during pregnancy?
3 and 5. - ANSEngorgement symptoms occur most commonly between
which days postpartum?
3 to 7 days. The fastest drop-off is in the 10 days following discharge from
the hospital. - ANSMother's problems at how many days postpartum posed
the greatest risk to stopping?
3-5 days or 48-72hr - ANSAccording to the AAP, All breast-feeding
newborn infants should be seen by a pediatrician by how many days post
birth?
3
, 3% to 9% decrease. - ANSDuring lactation there is a what percent
decrease in bone density?
30 minutes post-feed - ANSHighest content of fat in milk found:
4 days - ANSInfants who suckled within the first two hours ingested
significantly more milk and which day postpartum than those that did not?
4 tablespoons. - ANSA heavy wet diaper is approximately how much fluid?
40 mg/dL - ANSA reasonable cut off for treating symptomatic hypoglycemia
in infants is what glucose blood level?
400 IUs - ANSSome professional organizations suggest how much (IUs)
supplementation of vitamin D daily in EBF infants?
5-6 hours. - ANSSleeping through the night means a stretch of how many
hours?
60%. Needs to be assessed by HCP for safety. - ANSPercentage of breast
abscess positive for MRSA?
62% infection rate with lanolin users. Non-lanolin users 18%. - ANSWhat is
the percentage of infection rate with lanolin versus non-lanolin creams?
7% and no further loss by day 5 - ANSAccording to the AAP, weight loss in
the newborn should be no more than what percent from the birth weight?
4
Study. Latest Edition 2026-2027.
Questions & Correct Answers. Graded
A
0.5 grams of alcohol per kg of body weight. This corresponds to
approximately* 2-2.5oz of liquor, 8oz of table wine, or 2 cans of beer. -
ANSAccording to the Institute of medicine, alcohol may be consumed in
moderation by nursing mothers. Advising the lactating women to limit her
intake to no more than:
0.5oz to 1 oz or more a day - ANSExclusively breastfed infants are
expected to gain how many ounces per day in the early months?
1 in 60,000 - ANSGalactosemia
1. Breast
2. Milk Expression
3. Milk from Human Milk Banking Association of North America or State
Licensed Milk Bank
4. Cow Formula
5. Soy Formula - ANSHierarchy of infant feeding:
1. Have a written breastfeeding policy that is routinely communicated to all
health care staff.
1
,2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of
breastfeeding.
4. Help mothers initiate breastfeeding within one hour of birth.
5. Show mothers how to breastfeed and how to maintain lactation, even if
they are separated from their infants.
6. Give newborn infants no food or drink other than breastmilk, unless
medically indicated.
7. Practice "rooming in"-- allow mothers and infants to remain together 24
hours a day.
8. Encourage breastfeeding on demand.
9. Give no pacifiers or artificial nipples to breastfeeding infants
10. Foster the establishment of breastfeeding support groups and refer
mothers to them on discharge from the hospital or clinic. - ANSTen Steps
to Successful Breastfeeding
10-12 feedings per 24 hour time, several bowel movements every day from
day 2 through the first 6weeks (quarter sized bowels) & (4 on 4), expect
stool color to transition to yellow and seedy by day 5, 1 + heavy wet diaper
for each day of life until day 6. (6+ on day 6+). - ANSNewborn
expectations:
10pm-9am - ANSBabies born between these hours of the day or more at
risk to receive supplementation:
12-14 days - ANSWe expect the baby to be back at birthweight by how
many days post birth?
2
,2 grams - ANSWhen doing a weighted feed, they digital scale should be
accurate to how many grams?
2 hours. - ANSIf a mother has received labor analgesia , self-attachment
during skin-to -skin (golden hour) may take up to how many hours?
2-12 hours post birth. - ANSDelaying a bath for how many hours post-birth
raises EBF rates?
2.5 -6X higher risk of early weaning. - ANSIn-hospital supplementation of
formula lead to:
22% - ANSThe newest assumption is that which percent of SIDS deaths
can be directly attributed to maternal smoking during pregnancy?
3 and 5. - ANSEngorgement symptoms occur most commonly between
which days postpartum?
3 to 7 days. The fastest drop-off is in the 10 days following discharge from
the hospital. - ANSMother's problems at how many days postpartum posed
the greatest risk to stopping?
3-5 days or 48-72hr - ANSAccording to the AAP, All breast-feeding
newborn infants should be seen by a pediatrician by how many days post
birth?
3
, 3% to 9% decrease. - ANSDuring lactation there is a what percent
decrease in bone density?
30 minutes post-feed - ANSHighest content of fat in milk found:
4 days - ANSInfants who suckled within the first two hours ingested
significantly more milk and which day postpartum than those that did not?
4 tablespoons. - ANSA heavy wet diaper is approximately how much fluid?
40 mg/dL - ANSA reasonable cut off for treating symptomatic hypoglycemia
in infants is what glucose blood level?
400 IUs - ANSSome professional organizations suggest how much (IUs)
supplementation of vitamin D daily in EBF infants?
5-6 hours. - ANSSleeping through the night means a stretch of how many
hours?
60%. Needs to be assessed by HCP for safety. - ANSPercentage of breast
abscess positive for MRSA?
62% infection rate with lanolin users. Non-lanolin users 18%. - ANSWhat is
the percentage of infection rate with lanolin versus non-lanolin creams?
7% and no further loss by day 5 - ANSAccording to the AAP, weight loss in
the newborn should be no more than what percent from the birth weight?
4
