Page 1 of 25
CERTIFIED LACTATION COUNSELOR EXAM/ CLC
PRACTICE EXAM RECENT UPDATE WITH ALL
QUESTIONS WELL ELABORATED/ ASSURED PASS
AND GRADED A+
What duration of breastfeeding is associated with significantly reduced incidence
of acute otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than
4-6 months - ANSWER: C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to
children fed nonhuman milk from a bottle. True of False? - ANSWER: True
What contracts to push milk into the ducts (smooth muscle cells)? - ANSWER:
myoepithelial cells
What cells make milk? - ANSWER: alveolar cells
How many nipple pores (per breast) per lactation? - ANSWER: 3-5
What are the two separate hormone pathways, in which the pituitary gland is
important to both? - ANSWER: prolactin and oxytocin
Prolactin levels go down in between nursings and rise during - ANSWER: nursing
Which glands develop early in pregnancy on the areola as a result from pregnancy
hormones? - ANSWER: Montgomery glands
,Page 2 of 25
What is associated with ongoing milk production and positively associated with
___ - ANSWER: suckling within the first 2 hours after birth
In premies, what is associated with ongoing milk production? - ANSWER:
initiation of milk production before 1 hour
Mechanisms to trigger oxytocin - ANSWER: Conditioned response conditioned
milk ejection or let down reflex, nipple stretching, and baby hand massage
The hormones of lactation have an emotional/behavioral function as well as
making and moving milk: - ANSWER: Aggression, protection, bonding/trust
Frequency of mammal species feeds that are high fat/protein and low water content
- ANSWER: infrequent
Mammal species milk with higher water content feed more - ANSWER:
frequently
Prolactin triggers what in mammary cells - ANSWER: production of lactose
Stage two of making milk (lactogenesis II) happens to everyone who - ANSWER:
delivers a placenta
What triggers stage III of Lactogenesis? - ANSWER: Prolactin from frequent
nipple stimulation and frequent removal of milk
Prolactin draws what - ANSWER: water
, Page 3 of 25
Preterm milk appears to be higher in what as compared to mature milk? -
ANSWER: protein, fat, electrolytes
After one year of lactation, human milk expressed has significantly increased ___
contents, compared with milk expressed by women lactation for a shorter time -
ANSWER: fat/energy
What does faster milk removal increase? - ANSWER: fat content
What influences amount of fat transferred? - ANSWER: degree of breast
emptying, amount of available milk, breast storage capacity
Longer the time between feedings, what is decreased? - ANSWER: fat content
Three scenarios when breastmilk composition changes: - ANSWER: over the
course of lactation, within the day, within a feeding
The breast fed baby can regulate his fat intake quickly and thus mothers should be
encouraged to practice baby led feeding which means - ANSWER: cues from
baby
If a higher calorie content is needed for a specific preterm infant, what time of day
samples should preferably be given? - ANSWER: evening
pH of the gut of the breastfed babies is more - ANSWER: acidic
Iron content in human milk is relatively (low/high? - ANSWER: low
CERTIFIED LACTATION COUNSELOR EXAM/ CLC
PRACTICE EXAM RECENT UPDATE WITH ALL
QUESTIONS WELL ELABORATED/ ASSURED PASS
AND GRADED A+
What duration of breastfeeding is associated with significantly reduced incidence
of acute otits media (AOM)? A) Any breastfeeding B) Up to 3 mos C) More than
4-6 months - ANSWER: C) More than 4-6 months
Breastfeeding lowers the risk for the incidence of dental caries compared to
children fed nonhuman milk from a bottle. True of False? - ANSWER: True
What contracts to push milk into the ducts (smooth muscle cells)? - ANSWER:
myoepithelial cells
What cells make milk? - ANSWER: alveolar cells
How many nipple pores (per breast) per lactation? - ANSWER: 3-5
What are the two separate hormone pathways, in which the pituitary gland is
important to both? - ANSWER: prolactin and oxytocin
Prolactin levels go down in between nursings and rise during - ANSWER: nursing
Which glands develop early in pregnancy on the areola as a result from pregnancy
hormones? - ANSWER: Montgomery glands
,Page 2 of 25
What is associated with ongoing milk production and positively associated with
___ - ANSWER: suckling within the first 2 hours after birth
In premies, what is associated with ongoing milk production? - ANSWER:
initiation of milk production before 1 hour
Mechanisms to trigger oxytocin - ANSWER: Conditioned response conditioned
milk ejection or let down reflex, nipple stretching, and baby hand massage
The hormones of lactation have an emotional/behavioral function as well as
making and moving milk: - ANSWER: Aggression, protection, bonding/trust
Frequency of mammal species feeds that are high fat/protein and low water content
- ANSWER: infrequent
Mammal species milk with higher water content feed more - ANSWER:
frequently
Prolactin triggers what in mammary cells - ANSWER: production of lactose
Stage two of making milk (lactogenesis II) happens to everyone who - ANSWER:
delivers a placenta
What triggers stage III of Lactogenesis? - ANSWER: Prolactin from frequent
nipple stimulation and frequent removal of milk
Prolactin draws what - ANSWER: water
, Page 3 of 25
Preterm milk appears to be higher in what as compared to mature milk? -
ANSWER: protein, fat, electrolytes
After one year of lactation, human milk expressed has significantly increased ___
contents, compared with milk expressed by women lactation for a shorter time -
ANSWER: fat/energy
What does faster milk removal increase? - ANSWER: fat content
What influences amount of fat transferred? - ANSWER: degree of breast
emptying, amount of available milk, breast storage capacity
Longer the time between feedings, what is decreased? - ANSWER: fat content
Three scenarios when breastmilk composition changes: - ANSWER: over the
course of lactation, within the day, within a feeding
The breast fed baby can regulate his fat intake quickly and thus mothers should be
encouraged to practice baby led feeding which means - ANSWER: cues from
baby
If a higher calorie content is needed for a specific preterm infant, what time of day
samples should preferably be given? - ANSWER: evening
pH of the gut of the breastfed babies is more - ANSWER: acidic
Iron content in human milk is relatively (low/high? - ANSWER: low
