ALPP Certified Lactation Counselor (CLC) Exam
Questions with Correct Answers 2026 Update
Breast feeding: a public health priority -Correct Answer ✔-has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's in the
US
Costs to prevent needless deaths -Correct Answer ✔-less than $6 billion/year worldwide
Suboptimal breastfeeding -Correct Answer ✔-accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
Nursing a baby for a year or more -Correct Answer ✔-decreases by 10-15% the risk of
developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
Women who do not breastfeed -Correct Answer ✔-are at greater risk for myocardial
infarction and aspects of metabolic syndrome; are at a greater risk of breast,
endometrial, and ovarian cancer
WHO and UNICEF three strategies -Correct Answer ✔-for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
Breastfeeding promotion -Correct Answer ✔-focuses on advantages of breastfeeding on
a personal, community, country, or global level
Breastfeeding protection -Correct Answer ✔-focuses on government, manufacturer, and
social responsibility to assure breastfeeding's ability to compete with commercial
interests; includes addressing improper marketing practices; the AAP advices not to
provide formula, company gift bags, and industry-authored handouts; in the US, state
and local breastfeeding legislation addresses breastfeeding in public, employment
issues, jury duty, family law, mothers in prison, etc.
Breastfeeding support -Correct Answer ✔-focuses on the interaction of "helpers" with
family as well as program development and implementation
Community expertise -Correct Answer ✔-variety of community expertise is needed to
promote, protect, and support breastfeeding
, International models -Correct Answer ✔-for integrating breastfeeding promotion,
protection, and support as well as balancing technical information, programs, and
protocols
CLC -Correct Answer ✔-nationally recognized designation awarded by the ALPP to those
who are exam eligible and pass the exam; have competenct verified
Clcs and ibclcs -Correct Answer ✔-health professionals who provide lactation support
Why is breastfeeding so difficult? -Correct Answer ✔-1. Unrealistic expectations
2. Lack of timely interventions
Unrealistic expectations -Correct Answer ✔-lack of preparation for what the newborn
period would look like
Lack of timely interventions -Correct Answer ✔-mother's problems at 3 to 7 days posed
as the greatest risk to stopping
Breastfeeding trends -Correct Answer ✔-last 150 years or som rates have declined
International code of matketing of breastmilk substitutes (the code) -Correct Answer ✔-
an international health policy framework to regulate the marketing of breastmilk
substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry which
were promoting formula feeding over breastfeeding, which in turn was leading to
dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world health
assembly
The code -Correct Answer ✔-regulates the marketing of breastmilk substitutes which
includes infant formulas, follow-on formulas, and any other food or drink, together with
feeding bottles and teats, intended for babies and young children; sets standards for the
labeling and quality of products and for how the law should be implemented and
monitored within countries
Restricting marketing -Correct Answer ✔-does not mean that the products cannot be
made available, neither does it restrict parents choice; it simply aims to make sure that
Questions with Correct Answers 2026 Update
Breast feeding: a public health priority -Correct Answer ✔-has been recognized as a
public health priority in tropical climates since the 1930's, but not until the 1990's in the
US
Costs to prevent needless deaths -Correct Answer ✔-less than $6 billion/year worldwide
Suboptimal breastfeeding -Correct Answer ✔-accounts for more than 3,340 maternal
and child deaths a year, 80% are maternal
Nursing a baby for a year or more -Correct Answer ✔-decreases by 10-15% the risk of
developing hypertension, diabetes, hyperlipidemia, and cardiovascular disease
Women who do not breastfeed -Correct Answer ✔-are at greater risk for myocardial
infarction and aspects of metabolic syndrome; are at a greater risk of breast,
endometrial, and ovarian cancer
WHO and UNICEF three strategies -Correct Answer ✔-for increased breastfeeding
initiation and duration in every country: promotion, protection, and support
Breastfeeding promotion -Correct Answer ✔-focuses on advantages of breastfeeding on
a personal, community, country, or global level
Breastfeeding protection -Correct Answer ✔-focuses on government, manufacturer, and
social responsibility to assure breastfeeding's ability to compete with commercial
interests; includes addressing improper marketing practices; the AAP advices not to
provide formula, company gift bags, and industry-authored handouts; in the US, state
and local breastfeeding legislation addresses breastfeeding in public, employment
issues, jury duty, family law, mothers in prison, etc.
Breastfeeding support -Correct Answer ✔-focuses on the interaction of "helpers" with
family as well as program development and implementation
Community expertise -Correct Answer ✔-variety of community expertise is needed to
promote, protect, and support breastfeeding
, International models -Correct Answer ✔-for integrating breastfeeding promotion,
protection, and support as well as balancing technical information, programs, and
protocols
CLC -Correct Answer ✔-nationally recognized designation awarded by the ALPP to those
who are exam eligible and pass the exam; have competenct verified
Clcs and ibclcs -Correct Answer ✔-health professionals who provide lactation support
Why is breastfeeding so difficult? -Correct Answer ✔-1. Unrealistic expectations
2. Lack of timely interventions
Unrealistic expectations -Correct Answer ✔-lack of preparation for what the newborn
period would look like
Lack of timely interventions -Correct Answer ✔-mother's problems at 3 to 7 days posed
as the greatest risk to stopping
Breastfeeding trends -Correct Answer ✔-last 150 years or som rates have declined
International code of matketing of breastmilk substitutes (the code) -Correct Answer ✔-
an international health policy framework to regulate the marketing of breastmilk
substitutes in order to protect breastfeeding
- published by the WHO in 1981
- internationally agreed voluntary code of practice
- written in response to the marketing activities of the infant feeding indurstry which
were promoting formula feeding over breastfeeding, which in turn was leading to
dramatic increases in maternal and infant morbidity and mortality
- subsequent clarifying and extending resolutions have been passed by the world health
assembly
The code -Correct Answer ✔-regulates the marketing of breastmilk substitutes which
includes infant formulas, follow-on formulas, and any other food or drink, together with
feeding bottles and teats, intended for babies and young children; sets standards for the
labeling and quality of products and for how the law should be implemented and
monitored within countries
Restricting marketing -Correct Answer ✔-does not mean that the products cannot be
made available, neither does it restrict parents choice; it simply aims to make sure that
