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ALPP CLC EXAM 2 PREPARATION ACTUAL EXAM
NEWEST 2026 2027 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS FULLY VERIFIED
BRAND NEW VERSION HIGH YIELD STUDY GUIDE
ACTUAL UPDATED PRACTICE QUESTIONS EXAM
PREPARATION GRADED A+ SUCCESS REVIEW
Can woman with implants/ breast reduction breast feed? - CORRECT
ANSWER- Yes do not know impact until trying, just because colostrum
not sure if will get normal milk -colustrum is pregnancy hormone
induced, need nerves for rest of milk
Can a baby latch with inverted nipple? - CORRECT ANSWER-Yes
baby can form teat, although thing about the need for nipple stroking
(prolactin) and nipple stretching (oxytocin)
3 classification of inverted nipples - CORRECT ANSWER-grade 1-
easily pulled out by breast pump or nursing, at reast look inverted
grade 2 can be pulled out but dont maintain their projection grade 3
difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems
due to? - CORRECT ANSWER-Poor oxygen to milk making cells, or
causing mom to feel exhausted or depressed causing lack of bf
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- secretory activation - lactogenesis II - CORRECT CORRECT
ANSWER=excessive pressure can result from
- breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple - CORRECT ANSWER=normal fullness
- breast hard
- temp normal+
- mom feels discomfort
- breast hot, shiny
- nipple difficulty to grasp, baby can't latch - CORRECT
ANSWER=engorgement
Sheehan's syndrome (postpartum pituitary necrosis) - CORRECT
ANSWER-A patient fails to lactate after an emergency C-section with
marked blood loss. Pituitary has been deprived of blood and functions
are impaired other symptoms included low blood pressure, anemia,
fatigue, profound hair loss, dull hair. Can have symptoms partially or
fully resolved.
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Maternal obesity/overweight can delay lactogenis ___ - CORRECT
ANSWER-2 PCOS excess insulin increases production of _____, higher
androgens cause acne, excessive hair growth, wt gain and problems with
ovulation and _______, possible treatment with - CORRECT
ANSWER-androgens, lactation, metformin
Drug that cause milk delay? - CORRECT ANSWER-peeudoephedrine
(think pseudofed), corticosteriods, betamethason (giving to women who
will deliver before 24 weeks) if given 3-9 days before delivery can delay
lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. -
CORRECT ANSWER-prolactin
Are nicotine patches safe during BF - CORRECT ANSWER-refer to
healthcare provider
Cadmimum is a heavy metal found in _____ and _____ - CORRECT
ANSWER- cigarettes and formula
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What types of formulas have more cadmimum? - CORRECT
ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - CORRECT
ANSWER- maternal smoking during pregnancy
Are electronic cigarettes safe in pregnancy? - CORRECT ANSWER-
tested by FDA some contain nicotine and carcinogens, nicotrine transfer
appears minimal
Cannabis and Breastfeeding? - CORRECT ANSWER-passive exposure
is a concern, no safe threshold, lack of studies and high fat solubility
makes cannabis difficult to analyaze in breast milk, opinions vary
THC is still measurable in EBM ____ days after maternal marijuana use
- CORRECT ANSWER-6
Pacifiers increase risk for ______ and _____ - CORRECT ANSWER-
diarrhea and ear infections
ALPP CLC EXAM 2 PREPARATION ACTUAL EXAM
NEWEST 2026 2027 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS FULLY VERIFIED
BRAND NEW VERSION HIGH YIELD STUDY GUIDE
ACTUAL UPDATED PRACTICE QUESTIONS EXAM
PREPARATION GRADED A+ SUCCESS REVIEW
Can woman with implants/ breast reduction breast feed? - CORRECT
ANSWER- Yes do not know impact until trying, just because colostrum
not sure if will get normal milk -colustrum is pregnancy hormone
induced, need nerves for rest of milk
Can a baby latch with inverted nipple? - CORRECT ANSWER-Yes
baby can form teat, although thing about the need for nipple stroking
(prolactin) and nipple stretching (oxytocin)
3 classification of inverted nipples - CORRECT ANSWER-grade 1-
easily pulled out by breast pump or nursing, at reast look inverted
grade 2 can be pulled out but dont maintain their projection grade 3
difficult or impossible to pull out
iron deficiency anemia has been associated with milk supply problems
due to? - CORRECT ANSWER-Poor oxygen to milk making cells, or
causing mom to feel exhausted or depressed causing lack of bf
,2 | Page
- secretory activation - lactogenesis II - CORRECT CORRECT
ANSWER=excessive pressure can result from
- breast soft to touch
- body temp normal
- mom feels well
- breast may be hot
- baby can grasp nipple - CORRECT ANSWER=normal fullness
- breast hard
- temp normal+
- mom feels discomfort
- breast hot, shiny
- nipple difficulty to grasp, baby can't latch - CORRECT
ANSWER=engorgement
Sheehan's syndrome (postpartum pituitary necrosis) - CORRECT
ANSWER-A patient fails to lactate after an emergency C-section with
marked blood loss. Pituitary has been deprived of blood and functions
are impaired other symptoms included low blood pressure, anemia,
fatigue, profound hair loss, dull hair. Can have symptoms partially or
fully resolved.
,3 | Page
Maternal obesity/overweight can delay lactogenis ___ - CORRECT
ANSWER-2 PCOS excess insulin increases production of _____, higher
androgens cause acne, excessive hair growth, wt gain and problems with
ovulation and _______, possible treatment with - CORRECT
ANSWER-androgens, lactation, metformin
Drug that cause milk delay? - CORRECT ANSWER-peeudoephedrine
(think pseudofed), corticosteriods, betamethason (giving to women who
will deliver before 24 weeks) if given 3-9 days before delivery can delay
lactogensis 2
Mothers who smoke have lower _____ levels if smoked within 12 hrs. -
CORRECT ANSWER-prolactin
Are nicotine patches safe during BF - CORRECT ANSWER-refer to
healthcare provider
Cadmimum is a heavy metal found in _____ and _____ - CORRECT
ANSWER- cigarettes and formula
, 4 | Page
What types of formulas have more cadmimum? - CORRECT
ANSWER-Soy based
22% of all SIDs contributed deaths can be contributed to - CORRECT
ANSWER- maternal smoking during pregnancy
Are electronic cigarettes safe in pregnancy? - CORRECT ANSWER-
tested by FDA some contain nicotine and carcinogens, nicotrine transfer
appears minimal
Cannabis and Breastfeeding? - CORRECT ANSWER-passive exposure
is a concern, no safe threshold, lack of studies and high fat solubility
makes cannabis difficult to analyaze in breast milk, opinions vary
THC is still measurable in EBM ____ days after maternal marijuana use
- CORRECT ANSWER-6
Pacifiers increase risk for ______ and _____ - CORRECT ANSWER-
diarrhea and ear infections
