CERTIFIED LACTATION COUNSELOR
ACTUAL EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● What are the 3 stages of early breast development? Answer: 1. In
utero
2. First 2 months of life
3. Puberty
●● Breast development during menstruation Answer: - Estrogen:
Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
●● What is Lactogenesis? Answer: The initiation of milk production
●● How many stages of Lactogensis are there? Answer: 4
●● What stages of Lactogenesis occur during pregnancy? Answer: 1 and
2
●● Lactogenesis 1 Answer: Ductal and Lobular-Alveolar systems grow
at an accelerated rate (influenced by hormones)
, - breasts enlarge
- high progesterone levels cause an increase in alveoli
- colostrum begins to produce in the alveoli
●● When does Lactogenesis 1 occur? Answer: around 16 weeks
●● Lactogenesis 2 Answer: The placenta is released from the uterus and
progesterone levels drop
- this causes the alveolar cells to begin to release milk and allows them
to continue to produce more milk
●● How long does Lactogenesis 2 last? Answer: 2-4 days
●● What are the 5 main areas of the breast? Answer: - Upper Inner
- Lower Inner
- Upper Outer
- Lower Outer
- Tail of Spence
●● What are the 2 types of breast tissue and what are they composed of?
Answer: - Parenchyma: ductal and lobular-alveolar structures
- Strom: connective tissue (fat, vascular, nerve, lymphatic)
ACTUAL EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● What are the 3 stages of early breast development? Answer: 1. In
utero
2. First 2 months of life
3. Puberty
●● Breast development during menstruation Answer: - Estrogen:
Induces Ductal System development
- Progesterone: Induces Lobular-Alveolar development
●● What is Lactogenesis? Answer: The initiation of milk production
●● How many stages of Lactogensis are there? Answer: 4
●● What stages of Lactogenesis occur during pregnancy? Answer: 1 and
2
●● Lactogenesis 1 Answer: Ductal and Lobular-Alveolar systems grow
at an accelerated rate (influenced by hormones)
, - breasts enlarge
- high progesterone levels cause an increase in alveoli
- colostrum begins to produce in the alveoli
●● When does Lactogenesis 1 occur? Answer: around 16 weeks
●● Lactogenesis 2 Answer: The placenta is released from the uterus and
progesterone levels drop
- this causes the alveolar cells to begin to release milk and allows them
to continue to produce more milk
●● How long does Lactogenesis 2 last? Answer: 2-4 days
●● What are the 5 main areas of the breast? Answer: - Upper Inner
- Lower Inner
- Upper Outer
- Lower Outer
- Tail of Spence
●● What are the 2 types of breast tissue and what are they composed of?
Answer: - Parenchyma: ductal and lobular-alveolar structures
- Strom: connective tissue (fat, vascular, nerve, lymphatic)
