2025/2026 NEW ALPP CLC EXAM WITH ALL
COMPLETE QUESTIONS AND DETAILED CORRECT
VERIFIED ANSWERS WITH RATIONALE
Page | 1
(EXPERTLY VERIFIED) GUARANTEED
PASS|ALREADY TOP RATED A+.
ALPP CLC
Ace the ALPP Certified Lactation Counselor (CLC) Exam 2025/2026
with confidence. This comprehensive exam includes questions in key
concepts, practice questions, and essential topics covering lactation
management, counseling techniques, and evidence-based care. Perfect
for last-minute revision or thorough preparation. Ideal for students and
professionals aiming to pass the CLC exam with confidence.
How long has breastfeeding been a public health priority?
...... ANSWER ...... Tropical climates - since 1930s
US - since 1990s
Effect of human milk on premature infants ...... ANSWER
...... - better cardiovascular function
- Predominant breastmilk diet in first 28 days of life is
associated with greater gray matter volume at term
- promotes maturation of intestines
, Impact of HM diet on NEC rates in extremely premature
infants ...... ANSWER ...... 98%+ HM = NEC rate of
1.3%
Page | 2
Pre-term formula = NEC rate of 11.1%
Mixed diet = NEC rate of 8.2%
PIBBS ...... ANSWER ...... Preterm Infant
Breastfeeding Behavior Scale
- Rooting
- Areolar Grasp
- Latched-on
- Sucking
- Longest-sucking burst
- Swallowing
BF difficulties in infants with Down Syndrome ......
ANSWER ...... - low tone (feeding cues may be more
subtle, weak suck, low endurance)
- depressed reflexes (depressed gape, may have difficulty
latching)
- deficiency in smooth tongue movement
- skeletal abnormalities of the mouth and skull, decreased
volume of oral cavity
, - can improve with practice and support
Page | 3 Corrective interventions for positioning babies with
difficulty sustaining a feed ...... ANSWER ...... -
individualize positions to provide extra support, maximize
infant's tone
- provide sensory input to the mouth and muscle toning
exercises
BF difficulties with ccleft palate ...... ANSWER ......
making a seal, creating a vacuum, and sustaining the feed
Remove milk to make milk ...... ANSWER ...... -
expression within 1 hr of birth promotes MBM production
through week 8
Tips for using pump or hand expression to build milk
supply ...... ANSWER ...... - express in proximity to
infant
- double stimulation
- collect milk on one breast while nursing on the other
- guided imagery
- power pump for a day or two to increase volume
, - adequate frequency of stimulation
Page | 4 Galactagogues ...... ANSWER ...... - substances
believed to increase milk production
- may increase prolactin levels
- no direct correlation between artificially increasing
prolactin levels and long-term BF success
- If mothers receive education and practice techniques that
support lactation physiology, galactagogues appear to have
little or no added benefit
Fenugreek ...... ANSWER ...... - may cause reduced
absorption of all medications
- may worsen asthma, diarrhea, maple smelling urine, and
perspiration
- cross reaction is possible if there is an allergy to legumes
- could decrease blood coagulation and serum glucose
- research doesn't show a statistically significant effect on
prolactin levels
Reglan (metoclopramide) ...... ANSWER ......
Research showed that it did not improve MBM volume or
duration of BF in mothers pumping for premature infants
COMPLETE QUESTIONS AND DETAILED CORRECT
VERIFIED ANSWERS WITH RATIONALE
Page | 1
(EXPERTLY VERIFIED) GUARANTEED
PASS|ALREADY TOP RATED A+.
ALPP CLC
Ace the ALPP Certified Lactation Counselor (CLC) Exam 2025/2026
with confidence. This comprehensive exam includes questions in key
concepts, practice questions, and essential topics covering lactation
management, counseling techniques, and evidence-based care. Perfect
for last-minute revision or thorough preparation. Ideal for students and
professionals aiming to pass the CLC exam with confidence.
How long has breastfeeding been a public health priority?
...... ANSWER ...... Tropical climates - since 1930s
US - since 1990s
Effect of human milk on premature infants ...... ANSWER
...... - better cardiovascular function
- Predominant breastmilk diet in first 28 days of life is
associated with greater gray matter volume at term
- promotes maturation of intestines
, Impact of HM diet on NEC rates in extremely premature
infants ...... ANSWER ...... 98%+ HM = NEC rate of
1.3%
Page | 2
Pre-term formula = NEC rate of 11.1%
Mixed diet = NEC rate of 8.2%
PIBBS ...... ANSWER ...... Preterm Infant
Breastfeeding Behavior Scale
- Rooting
- Areolar Grasp
- Latched-on
- Sucking
- Longest-sucking burst
- Swallowing
BF difficulties in infants with Down Syndrome ......
ANSWER ...... - low tone (feeding cues may be more
subtle, weak suck, low endurance)
- depressed reflexes (depressed gape, may have difficulty
latching)
- deficiency in smooth tongue movement
- skeletal abnormalities of the mouth and skull, decreased
volume of oral cavity
, - can improve with practice and support
Page | 3 Corrective interventions for positioning babies with
difficulty sustaining a feed ...... ANSWER ...... -
individualize positions to provide extra support, maximize
infant's tone
- provide sensory input to the mouth and muscle toning
exercises
BF difficulties with ccleft palate ...... ANSWER ......
making a seal, creating a vacuum, and sustaining the feed
Remove milk to make milk ...... ANSWER ...... -
expression within 1 hr of birth promotes MBM production
through week 8
Tips for using pump or hand expression to build milk
supply ...... ANSWER ...... - express in proximity to
infant
- double stimulation
- collect milk on one breast while nursing on the other
- guided imagery
- power pump for a day or two to increase volume
, - adequate frequency of stimulation
Page | 4 Galactagogues ...... ANSWER ...... - substances
believed to increase milk production
- may increase prolactin levels
- no direct correlation between artificially increasing
prolactin levels and long-term BF success
- If mothers receive education and practice techniques that
support lactation physiology, galactagogues appear to have
little or no added benefit
Fenugreek ...... ANSWER ...... - may cause reduced
absorption of all medications
- may worsen asthma, diarrhea, maple smelling urine, and
perspiration
- cross reaction is possible if there is an allergy to legumes
- could decrease blood coagulation and serum glucose
- research doesn't show a statistically significant effect on
prolactin levels
Reglan (metoclopramide) ...... ANSWER ......
Research showed that it did not improve MBM volume or
duration of BF in mothers pumping for premature infants
