ALPP CLC Exam Breastfeeding, Support, and Lactation
ALPP CLC Exam Coverage:
Anatomy & Physiology: Prolactin (production) vs. Oxytocin
(let-down); colostrum vs. mature milk.
Positioning & Latch: Signs of deep vs. shallow latch; belly-
to-belly alignment.
Milk Transfer: Identifying audible swallows and infant
satiation cues.
Growth & Output: Weight gain patterns and diaper counts
(voiding/stooling).
,Common Challenges: Managing engorgement, plugged
ducts, mastitis, and thrush.
Low Milk Supply: Differentiating between perceived and
actual low supply; skin-to-skin benefits.
Hand Expression & Tools: Manual expression techniques
and pump flange fitting.
Counseling Skills: Active listening, open-ended questions,
and affirming the parent.
Public Health: WHO/UNICEF Ten Steps and the
International Marketing Code.
Pharmacology: Basics of medication transfer into human
milk.
Legal & Ethics: ALPP Scope of Practice and when to refer
to an IBCLC or MD.
,What are the costs to prevent needless deaths
worldwide?
Less than $6 billion/year
,
,What accounts for more than 3,340 maternal and child
deaths a year?
What has been recognized as a public health priority in
tropical climates since the 1930s?
Suboptimal breastfeeding
Breastfeeding
,How much does nursing a baby for a year or more
decrease the risk of developing hypertension, diabetes,
hyperlipidemia, and cardiovascular disease?
By 10-15%
What risks do women who do not breastfeed face?
Greater risk for myocardial infarction and aspects of
metabolic syndrome; greater risk of breast, endometrial,
and ovarian cancer
,What are the three strategies by WHO and UNICEF for
increased breastfeeding initiation and duration?
Promotion, protection, and support
What does breastfeeding promotion focus on?
Advantages of breastfeeding on a personal, community,
country, or global level
,What does breastfeeding protection focus on?
Government, manufacturer, and social responsibility to
assure breastfeeding's ability to compete with commercial
interests
What does breastfeeding support focus on?
Interaction of 'helpers' with family and program
development and implementation
,What is needed to promote, protect, and support
breastfeeding?
A variety of community expertise
What does CLC stand for?
Certified Lactation Counselor
, What are CLCs and IBCLCs?
Health professionals who provide lactation support
What contributes to breastfeeding difficulties?
Unrealistic expectations and lack of timely interventions
ALPP CLC Exam Coverage:
Anatomy & Physiology: Prolactin (production) vs. Oxytocin
(let-down); colostrum vs. mature milk.
Positioning & Latch: Signs of deep vs. shallow latch; belly-
to-belly alignment.
Milk Transfer: Identifying audible swallows and infant
satiation cues.
Growth & Output: Weight gain patterns and diaper counts
(voiding/stooling).
,Common Challenges: Managing engorgement, plugged
ducts, mastitis, and thrush.
Low Milk Supply: Differentiating between perceived and
actual low supply; skin-to-skin benefits.
Hand Expression & Tools: Manual expression techniques
and pump flange fitting.
Counseling Skills: Active listening, open-ended questions,
and affirming the parent.
Public Health: WHO/UNICEF Ten Steps and the
International Marketing Code.
Pharmacology: Basics of medication transfer into human
milk.
Legal & Ethics: ALPP Scope of Practice and when to refer
to an IBCLC or MD.
,What are the costs to prevent needless deaths
worldwide?
Less than $6 billion/year
,
,What accounts for more than 3,340 maternal and child
deaths a year?
What has been recognized as a public health priority in
tropical climates since the 1930s?
Suboptimal breastfeeding
Breastfeeding
,How much does nursing a baby for a year or more
decrease the risk of developing hypertension, diabetes,
hyperlipidemia, and cardiovascular disease?
By 10-15%
What risks do women who do not breastfeed face?
Greater risk for myocardial infarction and aspects of
metabolic syndrome; greater risk of breast, endometrial,
and ovarian cancer
,What are the three strategies by WHO and UNICEF for
increased breastfeeding initiation and duration?
Promotion, protection, and support
What does breastfeeding promotion focus on?
Advantages of breastfeeding on a personal, community,
country, or global level
,What does breastfeeding protection focus on?
Government, manufacturer, and social responsibility to
assure breastfeeding's ability to compete with commercial
interests
What does breastfeeding support focus on?
Interaction of 'helpers' with family and program
development and implementation
,What is needed to promote, protect, and support
breastfeeding?
A variety of community expertise
What does CLC stand for?
Certified Lactation Counselor
, What are CLCs and IBCLCs?
Health professionals who provide lactation support
What contributes to breastfeeding difficulties?
Unrealistic expectations and lack of timely interventions
