1|Page
ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST,
LACTATION CERTIFICATION EXAM, BREASTFEEDING
COUNSELING, MATERNAL INFANT CARE, CLC 200 QUESTIONS
AND ANSWERS, VERIFIED CLC EXAM
The best treatment for a breastfeeding baby with vomiting and diarrhea is:
a) Discontinue breastfeeding for 24 hours and give an oral rehydration solution
b) Continue breastfeeding but supplement with an electrolyte solution
c) Discontinue all milk products and offer only tea and rice water
d) Continue breastfeeding and give no other food or fluids
d) Continue breastfeeding and give no other food or fluids
Oxytocin is considered the "mothering" hormone because:
a) It causes the milk-ejection reflex (MER)
b) Levels are maintained throughout lactation
c) Release of oxytocin is controlled by suckling
d) It promotes feelings of well-being
d) It promotes feelings of well-being
Infant self-regulation regarding feedings is dependent on:
a) Enzymes in the breast milk
b) Being fed from the breast
c) Protein levels in the breast milk
d) Fat mobilization in the gut stimulating peristalsis
b) Being fed from the breast
A mother who presents with a reddened painful breast and a temperature of 99.2 should be
advised to do which of the following first?
a) Empty breast thoroughly and frequently
b) Call the primary health care provider immediately
c) Apply cold packs to the breast every 2 hours for 15 minutes
d) Apply moist heat to the breast every 4 hours after a breastfed
a) Empty breast thoroughly and frequently
,2|Page
We know that when a mother and infant bed share that:
a) The infant is more likely to die of SIDS rather than suffocation
b) Exclusive breastfeeding to 6 months is more likely to occur
c) There is a longer duration of any breastfeeding
d) Infants exhibit increased dependency on the mother
c) There is a longer duration of any breastfeeding
Shawna is ready to stop breastfeeding because she ex exhausted. What information you can
provide to her which may help her continue is:
a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed
b) The hormones of lactation are causing you to be tired
c) Bottle-feeding is actually more exhausting because the mother will have to warm formula and
wash bottles
d) Breastfeeding is more relaxing because the mother can put up her feet while nursing
a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed
During your daily rounds, you see Torrey who gave birth to identical twin girls the evening
before. The girls are full-term, both weighing over 7 lbs. and are breastfeeding very well. The
most important thing you can share with her is:
a) Arrange to have help at home for the first several weeks
b) She needs to consume at least 1000 calories above her pre-pregnant diet
c) She must alternate breasts each feed, to keep the milk supply equal
d) The easiest way to nurse twins is to breastfeed one and bottle-feed the other, alternating at
every feed
a) Arrange to have help at home for the first several weeks
The cells that contract in response to oxytocin stimulation ejecting milk into the ductules are
called:
a) Oxyepithelial cells
b) Acini cells
c) Squamous cells
d) Myoepithelial cells
d) Myoepithelial cells (myo = muscle)
Transient symptoms of lactose intolerance in infants can appear in which of following
circumstances?
a) Babies born to mothers who consume large amounts of dairy
b) Infants that are large for gestational age
,3|Page
c) Infants of mothers with oversupply of milk
d) Infants with a congenital deficiency of amylase
c) Infants of mothers with oversupply of milk
Which of the following would be the first most helpful intervention in preventing hypoglycemia
immediately after birth in an infant of an insulin-dependent diabetic mother?
a) Take the baby to the warmer to monitor him carefully
b) Giving an ounce of formula within a half-hour of birth
c) Putting the infant skin-to-skin with his mother immediately
d) Assisting the infant going to the breast within the first hour of life
c) Putting the infant skin-to-skin with his mother immediately
You are preparing to care for Jenna who is 31-years-old and her 2-day-old infant. On Jenna's
chart it states that she has psoriasis. Which of the following do you know to be true of
psoriasis?
a) Jenna's birth itself will probably cause a decrease in her symptoms
b) Topical ointments are the first-line of treatment during lactation
c) If Jenna didn't develop psoriasis arthritis during her pregnancy it would be rare for it to show
up postpartum
d) Jenna is very young to have developed psoriasis
a) Jenna's birth itself will probably cause a decrease in her symptoms
An article published in a medical journal states that there is no difference in IQ in infants who
are breastfed than in infants who are formula-fed. In reading this article, which of the following
is MOST important for you to determine?
a) The statistical significant between the IQ points in the formula-fed vs. breastfed infants
b) The age at which the IQ was measured in these children
c) The definition of the term "breastfed"
d) The total number of infants in each group
c) The definition of the term "breastfed"
Besides giving breastfeeding mothers current information on drugs, you tell them that for a final
determination they should check with:
a) The pharmacist where she had the prescription filled
b) Her OB or nurse midwife
c) Her family HCP
d) The baby's HCP
d) The baby's HCP
, 4|Page
Which of the following is a description of postpartum blues?
a) A mild to moderate form of depression
b) May come on gradually over the first year after the brith
c) Is more common in breastfeeding mothers
d) Is more common in primiparas
d) Is more common in primiparas (A and B = postpartum depression)
What percentage of the maternal dose of a drug generally passes into the breast milk?
a) 1-2%
b) 3-4%
c) 7-8 %
d) 9-10%
a) 1-2%
Which of the following is LEAST likely to affect newborn infant suckling behaviors?
a) Crying for 10 minutes prior to a feeding
b) Maternal analgesia/anesthesia during labor
c) Use of an artificial nipple prior to the first breastfeed
d) Separation of mother and baby for 15 minutes before the first feed
d) Separation of mother and baby for 15 minutes before the first feed
Which of the following breastfed infants will most need vitamin D supplementation?
a) An Asian baby living in Los Angeles, CA
b) A black Muslim baby living in Minneapolis, MN
c) An African American infant living in Topeka, KS
d) A Caucasian infant living in Bangor, ME
b) A black Muslim baby living in Minneapolis, MN
Terrilynn's pediatrician has told her she must stop breastfeeding immediately because her son is
allergic to her milk based on blood in his stools. What would be you best initial response to
Terrilynn?
a) I am sorry to hear about the blood in his stools, but with allergic colitis it's best to stop
breastfeeding
b) Did your pediatrician discuss any other possibilities for the blood in his stools?
c) This must be very stressful for you, would you feel better if you had a second opinion?
d) How frightening for you, but often blood in an infant's stool is caused by something in your
diet. Would you like to talk about this possibility?
ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST,
LACTATION CERTIFICATION EXAM, BREASTFEEDING
COUNSELING, MATERNAL INFANT CARE, CLC 200 QUESTIONS
AND ANSWERS, VERIFIED CLC EXAM
The best treatment for a breastfeeding baby with vomiting and diarrhea is:
a) Discontinue breastfeeding for 24 hours and give an oral rehydration solution
b) Continue breastfeeding but supplement with an electrolyte solution
c) Discontinue all milk products and offer only tea and rice water
d) Continue breastfeeding and give no other food or fluids
d) Continue breastfeeding and give no other food or fluids
Oxytocin is considered the "mothering" hormone because:
a) It causes the milk-ejection reflex (MER)
b) Levels are maintained throughout lactation
c) Release of oxytocin is controlled by suckling
d) It promotes feelings of well-being
d) It promotes feelings of well-being
Infant self-regulation regarding feedings is dependent on:
a) Enzymes in the breast milk
b) Being fed from the breast
c) Protein levels in the breast milk
d) Fat mobilization in the gut stimulating peristalsis
b) Being fed from the breast
A mother who presents with a reddened painful breast and a temperature of 99.2 should be
advised to do which of the following first?
a) Empty breast thoroughly and frequently
b) Call the primary health care provider immediately
c) Apply cold packs to the breast every 2 hours for 15 minutes
d) Apply moist heat to the breast every 4 hours after a breastfed
a) Empty breast thoroughly and frequently
,2|Page
We know that when a mother and infant bed share that:
a) The infant is more likely to die of SIDS rather than suffocation
b) Exclusive breastfeeding to 6 months is more likely to occur
c) There is a longer duration of any breastfeeding
d) Infants exhibit increased dependency on the mother
c) There is a longer duration of any breastfeeding
Shawna is ready to stop breastfeeding because she ex exhausted. What information you can
provide to her which may help her continue is:
a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed
b) The hormones of lactation are causing you to be tired
c) Bottle-feeding is actually more exhausting because the mother will have to warm formula and
wash bottles
d) Breastfeeding is more relaxing because the mother can put up her feet while nursing
a) Fatigue is symptomatic of new motherhood regardless of how the baby is fed
During your daily rounds, you see Torrey who gave birth to identical twin girls the evening
before. The girls are full-term, both weighing over 7 lbs. and are breastfeeding very well. The
most important thing you can share with her is:
a) Arrange to have help at home for the first several weeks
b) She needs to consume at least 1000 calories above her pre-pregnant diet
c) She must alternate breasts each feed, to keep the milk supply equal
d) The easiest way to nurse twins is to breastfeed one and bottle-feed the other, alternating at
every feed
a) Arrange to have help at home for the first several weeks
The cells that contract in response to oxytocin stimulation ejecting milk into the ductules are
called:
a) Oxyepithelial cells
b) Acini cells
c) Squamous cells
d) Myoepithelial cells
d) Myoepithelial cells (myo = muscle)
Transient symptoms of lactose intolerance in infants can appear in which of following
circumstances?
a) Babies born to mothers who consume large amounts of dairy
b) Infants that are large for gestational age
,3|Page
c) Infants of mothers with oversupply of milk
d) Infants with a congenital deficiency of amylase
c) Infants of mothers with oversupply of milk
Which of the following would be the first most helpful intervention in preventing hypoglycemia
immediately after birth in an infant of an insulin-dependent diabetic mother?
a) Take the baby to the warmer to monitor him carefully
b) Giving an ounce of formula within a half-hour of birth
c) Putting the infant skin-to-skin with his mother immediately
d) Assisting the infant going to the breast within the first hour of life
c) Putting the infant skin-to-skin with his mother immediately
You are preparing to care for Jenna who is 31-years-old and her 2-day-old infant. On Jenna's
chart it states that she has psoriasis. Which of the following do you know to be true of
psoriasis?
a) Jenna's birth itself will probably cause a decrease in her symptoms
b) Topical ointments are the first-line of treatment during lactation
c) If Jenna didn't develop psoriasis arthritis during her pregnancy it would be rare for it to show
up postpartum
d) Jenna is very young to have developed psoriasis
a) Jenna's birth itself will probably cause a decrease in her symptoms
An article published in a medical journal states that there is no difference in IQ in infants who
are breastfed than in infants who are formula-fed. In reading this article, which of the following
is MOST important for you to determine?
a) The statistical significant between the IQ points in the formula-fed vs. breastfed infants
b) The age at which the IQ was measured in these children
c) The definition of the term "breastfed"
d) The total number of infants in each group
c) The definition of the term "breastfed"
Besides giving breastfeeding mothers current information on drugs, you tell them that for a final
determination they should check with:
a) The pharmacist where she had the prescription filled
b) Her OB or nurse midwife
c) Her family HCP
d) The baby's HCP
d) The baby's HCP
, 4|Page
Which of the following is a description of postpartum blues?
a) A mild to moderate form of depression
b) May come on gradually over the first year after the brith
c) Is more common in breastfeeding mothers
d) Is more common in primiparas
d) Is more common in primiparas (A and B = postpartum depression)
What percentage of the maternal dose of a drug generally passes into the breast milk?
a) 1-2%
b) 3-4%
c) 7-8 %
d) 9-10%
a) 1-2%
Which of the following is LEAST likely to affect newborn infant suckling behaviors?
a) Crying for 10 minutes prior to a feeding
b) Maternal analgesia/anesthesia during labor
c) Use of an artificial nipple prior to the first breastfeed
d) Separation of mother and baby for 15 minutes before the first feed
d) Separation of mother and baby for 15 minutes before the first feed
Which of the following breastfed infants will most need vitamin D supplementation?
a) An Asian baby living in Los Angeles, CA
b) A black Muslim baby living in Minneapolis, MN
c) An African American infant living in Topeka, KS
d) A Caucasian infant living in Bangor, ME
b) A black Muslim baby living in Minneapolis, MN
Terrilynn's pediatrician has told her she must stop breastfeeding immediately because her son is
allergic to her milk based on blood in his stools. What would be you best initial response to
Terrilynn?
a) I am sorry to hear about the blood in his stools, but with allergic colitis it's best to stop
breastfeeding
b) Did your pediatrician discuss any other possibilities for the blood in his stools?
c) This must be very stressful for you, would you feel better if you had a second opinion?
d) How frightening for you, but often blood in an infant's stool is caused by something in your
diet. Would you like to talk about this possibility?
