CLC CERTIFIED LACTATION COUNSELOR
ACTUAL PAPER 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
⩥ Breastfeeding. Answer: Baby receives human milk, as well as other
foods or fluids, including formula.
⩥ Complementary Feeding. Answer: Process starts when BM alone or
infant formula alone is no longer sufficient to meet nutritional
requirements of infants, therefore other foods or liquids are introduced.
Typically child is between 6-23 months
⩥ 3 strategies for increasing BF initiation and duration. Answer:
Promotion, Protection, Support
⩥ Promotion. Answer: Focuses on advantages of BF on a personal,
community, country, or global level. BF to the community.
⩥ Protection. Answer: Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
,⩥ International Code of Marketing of Breast-milk Subsitutes. Answer:
Addresses improper marketing practices by formula companies. It is not
currently a law in the US.
⩥ What does the International Code Prohibit?. Answer: Distributing free
formula
Giving coupons for formula
⩥ What did the AAP resolution state in regards to the International
Code?. Answer: No distributing formula, discharge bags, industry
written handouts.
⩥ Support. Answer: Focuses on interaction of helpers with family, as
well as program development and implementation.
⩥ 10 steps to successful BF. Answer: 1. Written BF policy. Skin to Skin
immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
,9. No artificial teats or pacifiers
10. Establishment of BF support groups
⩥ Healthcare staff responsibility for working with lactating mothers
include what?. Answer: 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
⩥ What are the indications for providing supplementation other than
breast milk?. Answer: 1. Medical condition
2. Parents request after being informed of consequences
⩥ Protocol for calculating Baby's daily needs. Answer: Baby's weight x
2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP
decides what the multiplier is!!!
⩥ What should be assessed 3-5 days after birth by PCP?. Answer:
Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
, ⩥ What is a CLC?. Answer: Nationally recognized designation awarded
by the ALPP. Practice parameters are designated by professional scope
of practice.
⩥ How many stools per day should a breast fed newborn have?. Answer:
4, some yellow by day 4.
⩥ When should a baby be back to birth weight?. Answer: 12-14 days
post birth
⩥ How much weight should a baby gain daily?. Answer: Approximately
1 ounce
⩥ Why do women supplement with formula when there is no medical
need?. Answer: 1. Lack of preparation for what the newborn period
would be like.
2. Lack of timely interventions
⩥ Alveoli. Answer: Small glands in the breast that produce milk
⩥ At-Breast Supplementer. Answer: a device that allows a supplement to
be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
ACTUAL PAPER 2026 QUESTIONS WITH
COMPLETE SOLUTIONS GRADED A+
⩥ Breastfeeding. Answer: Baby receives human milk, as well as other
foods or fluids, including formula.
⩥ Complementary Feeding. Answer: Process starts when BM alone or
infant formula alone is no longer sufficient to meet nutritional
requirements of infants, therefore other foods or liquids are introduced.
Typically child is between 6-23 months
⩥ 3 strategies for increasing BF initiation and duration. Answer:
Promotion, Protection, Support
⩥ Promotion. Answer: Focuses on advantages of BF on a personal,
community, country, or global level. BF to the community.
⩥ Protection. Answer: Focuses on government, manufacturer, and social
responsibility to assure BF ability to compete with commercial interests.
Includes state, local, an national laws regarding BF.
,⩥ International Code of Marketing of Breast-milk Subsitutes. Answer:
Addresses improper marketing practices by formula companies. It is not
currently a law in the US.
⩥ What does the International Code Prohibit?. Answer: Distributing free
formula
Giving coupons for formula
⩥ What did the AAP resolution state in regards to the International
Code?. Answer: No distributing formula, discharge bags, industry
written handouts.
⩥ Support. Answer: Focuses on interaction of helpers with family, as
well as program development and implementation.
⩥ 10 steps to successful BF. Answer: 1. Written BF policy. Skin to Skin
immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
,9. No artificial teats or pacifiers
10. Establishment of BF support groups
⩥ Healthcare staff responsibility for working with lactating mothers
include what?. Answer: 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
⩥ What are the indications for providing supplementation other than
breast milk?. Answer: 1. Medical condition
2. Parents request after being informed of consequences
⩥ Protocol for calculating Baby's daily needs. Answer: Baby's weight x
2.5 (2.7 or 3.0 if Baby needs to catch up weight) = daily ounces. PCP
decides what the multiplier is!!!
⩥ What should be assessed 3-5 days after birth by PCP?. Answer:
Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
, ⩥ What is a CLC?. Answer: Nationally recognized designation awarded
by the ALPP. Practice parameters are designated by professional scope
of practice.
⩥ How many stools per day should a breast fed newborn have?. Answer:
4, some yellow by day 4.
⩥ When should a baby be back to birth weight?. Answer: 12-14 days
post birth
⩥ How much weight should a baby gain daily?. Answer: Approximately
1 ounce
⩥ Why do women supplement with formula when there is no medical
need?. Answer: 1. Lack of preparation for what the newborn period
would be like.
2. Lack of timely interventions
⩥ Alveoli. Answer: Small glands in the breast that produce milk
⩥ At-Breast Supplementer. Answer: a device that allows a supplement to
be given while a baby is actively nursing at the breast,
ex: Supplement Nursing System
