ALPP CERTIFIED LACTATION
COUNSELOR CLC COMPREHENSIVE
EXAMINATION TEST 2026 STUDY
GUIDE QUESTIONS WITH DETAILED
SOLUTIONS
◉ Breastfeeding lowers the risk for the incidence of dental caries
compared to children fed nonhuman milk from a bottle. True of False?
Answer: True
◉ Does breastfeeding lower the risk of NEC in preterm infants?
Answer: Yes
◉ Is there a difference in the protective effect against SIDS between
babies that are exclusively breastfed vs. non-exclusively? Answer: Yes,
babies that are exclusively breastfed have a stronger protective effect
against SIDS
◉ Does breastfeeding lower the risk for the incidence of malocclusion
(misalignment of teeth)? Answer: Yes
◉ True of False. Lactational amenorrhea, or the delay in return of
menses after birth, is not associated with exclusive breastfeeding.
Answer: False
, ◉ What are the physical benefits of breastfeeding to the lactating
parent? Answer: Lower risk of breast cancer, lower risk of ovarian
cancer, reduced risk of Type 2 diabetes, reduced risk of cardiovascular
disease
◉ What are the 3 main steps of Evidence-Based Practice (EBP)?
Answer: Best available clinical evidence, Clinical expertise, Patient
concerns and needs
◉ What are the benefits of breastfeeding for infants? Answer: Protective
against respiratory infections, asthma, gastrointestinal infections and
diarrhea, ear infections, dental caries, teeth misalignment, NEC and
SIDS, obesity, diabetes, higher performance on intelligence tests
◉ What are hypotonic lips in an infant? Answer: Abnormally LOW
muscle tone or weakness in lips- may impact amount of suction, increase
work of feeding, can contribute to milk loss and fatigue during feedings
◉ What are hypertonic lips in an infant? Answer: Abnormally HIGH
muscle tone or overuse of lips- increased lip activity to hold breast in
mouth
◉ What can hypertonic lips be an indication of? Answer: 1.
Neurological abnormality or injury of the tongue, jaws, or facial nerves.
2. Can also be compensating for muscular weakness in the cheeks, jaw,
or tongue or reduced lingual or labial mobility secondary to a tight labial
frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature
(hypo- or hypersensitive)
COUNSELOR CLC COMPREHENSIVE
EXAMINATION TEST 2026 STUDY
GUIDE QUESTIONS WITH DETAILED
SOLUTIONS
◉ Breastfeeding lowers the risk for the incidence of dental caries
compared to children fed nonhuman milk from a bottle. True of False?
Answer: True
◉ Does breastfeeding lower the risk of NEC in preterm infants?
Answer: Yes
◉ Is there a difference in the protective effect against SIDS between
babies that are exclusively breastfed vs. non-exclusively? Answer: Yes,
babies that are exclusively breastfed have a stronger protective effect
against SIDS
◉ Does breastfeeding lower the risk for the incidence of malocclusion
(misalignment of teeth)? Answer: Yes
◉ True of False. Lactational amenorrhea, or the delay in return of
menses after birth, is not associated with exclusive breastfeeding.
Answer: False
, ◉ What are the physical benefits of breastfeeding to the lactating
parent? Answer: Lower risk of breast cancer, lower risk of ovarian
cancer, reduced risk of Type 2 diabetes, reduced risk of cardiovascular
disease
◉ What are the 3 main steps of Evidence-Based Practice (EBP)?
Answer: Best available clinical evidence, Clinical expertise, Patient
concerns and needs
◉ What are the benefits of breastfeeding for infants? Answer: Protective
against respiratory infections, asthma, gastrointestinal infections and
diarrhea, ear infections, dental caries, teeth misalignment, NEC and
SIDS, obesity, diabetes, higher performance on intelligence tests
◉ What are hypotonic lips in an infant? Answer: Abnormally LOW
muscle tone or weakness in lips- may impact amount of suction, increase
work of feeding, can contribute to milk loss and fatigue during feedings
◉ What are hypertonic lips in an infant? Answer: Abnormally HIGH
muscle tone or overuse of lips- increased lip activity to hold breast in
mouth
◉ What can hypertonic lips be an indication of? Answer: 1.
Neurological abnormality or injury of the tongue, jaws, or facial nerves.
2. Can also be compensating for muscular weakness in the cheeks, jaw,
or tongue or reduced lingual or labial mobility secondary to a tight labial
frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature
(hypo- or hypersensitive)
