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CLC Final Exam (Certified Lactation Counselor): Practice Questions & Correct Answers

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This comprehensive document is a complete practice exam for the Certified Lactation Counselor (CLC) certification. It contains over 200 actual exam-style questions with correct detailed solutions and rationales. Core topics include: galactogogues (fenugreek, domperidone), relactation and induced lactation, supplemental feeding devices, preterm infant feeding (Kangaroo Mother Care, gavage feeding, breastmilk odor), infant conditions (Down syndrome, cleft lip/palate, jaundice), milk expression (hand expression vs. pumping, guided imagery), breast anatomy and surgery (hypoplasia, inverted nipples, breast implants, peri-areolar incisions), maternal health conditions (anemia, Sheehan’s syndrome, obesity, smoking, cannabis use), medications and lactation (LactMed, contraindications, Paxil, Dong Quai, Pepto-Bismol), infectious diseases (Lyme disease, Zika virus, herpes), breastfeeding management (latch assessment, positioning, nipple pain, Raynaud’s, mastitis, MRSA, blebs, plugs, oversupply, green stools), infant feeding cues, growth spurts, weight gain norms, vitamin D supplementation, Lactational Amenorrhea Method (LAM), Baby-Friendly Hospital Initiative (Step 4, skin-to-skin), CDC mPINC survey, Joint Commission Perinatal Core Measures, pacifier use in NICU, nipple shields, pumping, milk storage, donor milk vs. informal sharing, formula preparation safety, food allergies and colic, caffeine, alcohol, garlic, environmental contaminants, research ethics (nonmaleficence, veracity, role fidelity, autonomy, justice, confidentiality), and the ALPP Code of Ethics. Ideal for CLC exam candidates, lactation consultants, doulas, nurses, and breastfeeding support professionals.

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CLC FINAL EXAM (CERTIFIED LACTATION

COUNSELOR) NEWEST EXAM

QUESTIONS AND CORRECT DETAILED
SOLUTIONS


When looking at the research in this section on galactogogues, there is _____
correlation between increasing serum prolactin levels and long term
breastfeeding success.

A direct

No direct

Somewhat of a

None of the above - ✔✔✔ Correct Answer > No direct



Relactation and induced lactation are both about increasing milk supply.

The statement above is not correct. The statement above is correct. - ✔✔✔
Correct Answer > The statement above is correct



In this section, ______________ was discussed as a strategy for emergencies.

Galactagogues

Induced lactation

Relactation


Page 1 of 72

,Powdered infant formula - ✔✔✔ Correct Answer > Relactation



When counseling to help a parent increase milk supply:

It's not necessary to assess a feeding

Suggest fenugreek

Suggest massage between feedings to increase blood flow to the breast

Consider how often the baby is being fed, how effective feeding is, and what the
baby is being fed - ✔✔✔ Correct Answer > Consider how often the baby is
being fed, how effective feeding is, and what the baby is being fed



All supplemental feeding devices are easy for all parents to use. - ✔✔✔ Correct
Answer > F



A baby who is unable to sustain a seal and a feed can still easily feed with an at
breast supplementer. - ✔✔✔ Correct Answer > F



There are safety and efficacy studies for all of the supplemental feeding devices.
- ✔✔✔ Correct Answer > F



According to research presented in this section, feeding infants bottles of breast
milk is no different than nursing at the breast, in terms of long-term
breastfeeding rates. - ✔✔✔ Correct Answer > F When considering



Page 2 of 72

,supplemental feeding methods, above all, the baby cannot be compromised. -
✔✔✔ Correct Answer > T



Research discussed in this section showed which of the following, regarding
terminating breastfeeding:

At 12 weeks, return to work or school was the major reason.

At 4 weeks, return to work or school was the major reason.

At 12 weeks, breast pain was the major reason.

At 12 weeks, not enough milk was the major reason. - ✔✔✔ Correct Answer >
At 12 weeks, return to work or school was the major reason.



The recommendation discussed in this section suggests that anyone
breastfeeding, even those partially breastfeeding, should always avoid all cow
milk products in order to have a baby who cries less. - ✔✔✔ Correct Answer >
F



Cancer diagnosis may be seen as late as 5 years after

Goldsmith's sign. - ✔✔✔ Correct Answer > T



Babies who have difficulty sustaining a feed in the first few days may have one
of many conditions, including:

High blood sugar

Lactose intolerance

Page 3 of 72

, Autism Spectrum Disorder Jaundice - ✔✔✔ Correct Answer > Jaundice As
discussed in this section on neonatal hypoglycemia, according to the AAP
Committee on the Fetus and Newborns, a reasonable (although arbitrary) cutoff
for treating symptomatic infants is:

20 30

40

50 - ✔✔✔ Correct Answer > 40



Babies who present with jaundice should not breastfeed. - ✔✔✔

Correct Answer > F



Underfeeding is one reason for early onset jaundice. - ✔✔✔ Correct Answer >
T



The best position for a mother to be in when doing KMC with her premie is laid
back. - ✔✔✔ Correct Answer > F



Upright is best!



When a mother is skin to skin with premie twins, each breast warms up to heat
the closest baby. - ✔✔✔ Correct Answer > T Babies need extra calories when
skin to skin because they burn more calories. - ✔✔✔ Correct Answer > F



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