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CLC PRACTICE EXAM #7 UPDATED: (2026) QUESTIONS AND VERIFIED ANSWERS |MULTIPLE CHOICES| 100% PASSED

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Pass the Certified Lactation Counselor (CLC) Exam with confidence using this updated practice exam featuring multiple-choice questions and verified answers – covering every essential topic including prenatal breastfeeding education (cow’s milk protein allergy cross-sensitivity to soy), newborn behavior (second-night fussiness from CNS stimulation, rooming-in for sleepy babies), preterm infant assessment (lanugo, 32-week gestation feeding challenges), maternal nutrition and milk supply (nutrient depletion, galactogogues like oats, hyperlactation syndrome), breastfeeding complications (yeast infections, nipple trauma, nursing strikes, tongue-tie revision, colic as underfeeding), drug safety during lactation (contraindicated chemotherapeutic agents, radioactive isotopes and milk storage half-lives), International WHO Code violations (formula samples to healthcare workers), pumping plans for preterm infants (initiate within first hour postpartum), low milk supply evaluation (thyroid testing, retained placental fragments with high progesterone, breast reduction surgery), infant weight gain and stool patterns (bilirubin, weight loss 10%, slow but consistent gain), vitamin D requirements (maternal 25-(OH)-D ≥58 ng/mL), autism spectrum disorder risks (formula-fed from birth), Baby-Friendly Hospital Initiative components, counseling skills (facilitating, focusing on specific concerns), Human Milk Banking Association criteria (blood transfusion exclusion), optimal birth spacing (36-59 months), smoking and breastfeeding (benefits outweigh risks), and workplace lactation support. Perfect for lactation consultants, IBCLC candidates, nurses, midwives, doulas, and anyone preparing for the CLC certification exam.

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CLC PRACTICE EXAM #7 UPDATED: (2026)
QUESTIONS AND VERIFIED ANSWERS
|MULTIPLE CHOICES| 100% PASSED

You are discussing allergies in a prenatal breastfeeding class. One of the facts you
want to point out is that many of the babies who are allergic to cow's milk protein
can also be sensitive to:
a) Wheat
b) Corn
c) Soy
d) Eggs - CORRECT ANSWER ✔✔- c) Soy


Julie, a first time mom, tells you that her baby was very fussy last night, which was
the baby's second night. You know that this is most likely due to:
a) Her milk isn't in yet, and the baby is hungry
b) She's exhausted and is magnifying the situation
c) The mom is uptight and transmitting her nervousness to the baby
d) Overwhelming CNS stimulation in the baby - CORRECT ANSWER ✔✔- d)
Overwhelming CNS stimulation in the baby


Alyssa reports that Ethan falls asleep whenever the nurses bring him to here to
breastfeed. Which of the following would be the most helpful advice?
a) Room-in with Ethan, watching him for feeding cues
b) Wake him by washing his face with a cool, damp cloth
c) Make sure the nurses bring him in as soon as he cries



1

,d) Coax him to the breast using drops of glucose water on the nipple - CORRECT
ANSWER ✔✔- a) Room-in with Ethan, watching him for feeding cues


Babies who have early contact with their mothers and who were provided with
postpartum support are more likely to:
a) Have a faster weight gain than babies who are separated from mom
b) Be able to sleep in their own room by one month
c) Be breastfed long enough to meet the mother's goals
d) Breastfeed more frequently at night - CORRECT ANSWER ✔✔- d) Breastfeed
more frequently at night


On the physical exam of a 28-week preterm infant , which of the following is
likely to be found?
a) Lanugo all over the body
b) Dry and peeling skin
c) Palpable breast buds
d) Ability to coordinate suck, swallow, and breathe - CORRECT ANSWER ✔✔-
a) Lanugo all over the body


Cherie, a new mother, with a 4-week-old infant, visits you for a breastfeeding
evaluation. In the process of taking her history, you find that Cherie eats mostly
chips, cookies and soda "because she is just too busy to prepare anything". Your
MOST IMPORTANT concern with Cherie's diet is:
a) The quality of her breast milk
b) The quantity of her breast milk
c) The health of the baby
d) The depletion of Cherie's nutrient stores - CORRECT ANSWER ✔✔- d) The
depletion of Cherie's nutrient stores

2

, Halli is now 2-hours-old and still has not shown any interest in nursing. You do a
blood sugar test on Halli, and find that it's 38 mg/dL, which is lower than your
hospital standard of 40 mg/dL. What should you do first?
a) Put her under the warmer as she is most likely hypothermic
b) Give her 1 oz. of formula by finger-feeding
c) Have mom hand express colostrum and feed her with a spoon
d) Wait about 30 seconds and use a second reagent strip to check the glucose -
CORRECT ANSWER ✔✔- d) Wait about 30 seconds and use a second reagent
strip to check the glucose


Mothers with breastfeeding problems may be hesitant to seek help from a
professional for the following reason:
a) Lack of insurance coverage for lactation services
b) Having to leave her home to seek help
c) Stress of having to repeat "her story" to multiple people
d) Having problems is in conflict with the image of being a super-mom, which she
wants to portray - CORRECT ANSWER ✔✔- d) Having problems is in conflict
with the image of being a super-mom, which she wants to portray


A type of research that focuses on relationships among variables is called:
a) Qualitative
b) Quantitative
c) Statistically significant
d) Randomized controlled trials - CORRECT ANSWER ✔✔- b) Quantitative


Nipple erection is induced by which of the following?


3

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