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CLC EXAM 2025 VERSION 2 /CERTIFIED LACTATION
COUNSELOR EXAM VERSION 2 NEWEST 2025/ 2026
ACTUAL EXAM COMPLETE 250 QUESTIONS AND
CORRECT ANSWERS|A+ GRADED|| NEWEST
UPDATE!!
How do thyroid imbalances affect breastfeeding? -
ANSWER-Affect release of hormones and can cause
increased/decreased supply
What is the effect of pseudoephedrine and corticosteroids
on milk production? - ANSWER-Pseudoephedrine
decreases milk supply by decreasing prolactin.
Corticosteroids suppress lactation and milk volume
what changes to milk can occur if pregnant while lactating/
- ANSWER--switches back to colostrum
-sore nipples
-hormonal shifts
How does smoking affect milk supply? - ANSWER-
Decreases prolactin which decreases milk production
What can pacifier use indicate in terms of breastfeeding?
Which group of infants may benefit from pacifier use? -
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ANSWER-More education needed on feeding cues,
hunger, crying, etc.
Premature infants can benefit from pacifier use
What diseases are at higher risk with pacifier use? -
ANSWER-Diarrhea, ear infections
Possible decrease in milk supply due to a decrease in
nerve and nipple stimulation is a side effect of using what
tool when breastfeeding? - ANSWER-nipple shields
Name 2 dangers of using a nipple shield - ANSWER-1.
Hypernatremic dehydration
2. Fungal biofilm
What is the relationship between BF and postpartum
depression? - ANSWER-Mothers with PPD are more likely
to wean early, but weaning early increases risk of
developing PPD
What way of learning requires few and familiar words, not
providing info to remember, the woman may feel voiceless
- ANSWER-Category 1: Silence
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What way of learning believes that authority figures tell the
truth, do not like ambiguity, and like to repeat the right
answer? - ANSWER-Category 2: Receivers of Knowledge
Which way of learning believes knowledge is personal and
private, trusts their own intuition over experts, and embeds
themselves in definitions and roles? - ANSWER-Category
3: Subjective Knowing
Which way of learning prefers procedures for acquiring
knowledge, understands other POV, will change providers
easily, but may want technical information? - ANSWER-
Category 4: Procedural Knowing
Which way of learning understands truth to be contextual,
can live with conflict, embraces all titles given to them, and
has significant empathetic potential? - ANSWER-Category
5: Constructed knowing
Starting at the top of the WHO feeding pyramid, what is
the order of type of feeding for a term baby? - ANSWER-1.
Baby at mother's breast
2. Mother's own expressed milk
3. Donor expressed milk
4. Cow's milk formula
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5. Soy formula
What does pasteurization process for donor milk do to the
milk? - ANSWER-Destroys some of the beneficial
components found in human milk
What are some reasons that formula use is so high in the
US? - ANSWER-inadequate maternity leave, unequal pay,
maternal morbidity, lack of counseling, healthcare access
why is the UN/WHO concerned about formula usage? -
ANSWER-- Presence of microorganisms infecting the
formula
- Not sanitized water
- Improper bottle cleaning
- Lack of training on how to prepare
Are there any marketed formulas/products that have
evidence to support their claims of improving outcomes
and brain development? - ANSWER-No, just
breastfeeding
CLC EXAM 2025 VERSION 2 /CERTIFIED LACTATION
COUNSELOR EXAM VERSION 2 NEWEST 2025/ 2026
ACTUAL EXAM COMPLETE 250 QUESTIONS AND
CORRECT ANSWERS|A+ GRADED|| NEWEST
UPDATE!!
How do thyroid imbalances affect breastfeeding? -
ANSWER-Affect release of hormones and can cause
increased/decreased supply
What is the effect of pseudoephedrine and corticosteroids
on milk production? - ANSWER-Pseudoephedrine
decreases milk supply by decreasing prolactin.
Corticosteroids suppress lactation and milk volume
what changes to milk can occur if pregnant while lactating/
- ANSWER--switches back to colostrum
-sore nipples
-hormonal shifts
How does smoking affect milk supply? - ANSWER-
Decreases prolactin which decreases milk production
What can pacifier use indicate in terms of breastfeeding?
Which group of infants may benefit from pacifier use? -
,2|Page
ANSWER-More education needed on feeding cues,
hunger, crying, etc.
Premature infants can benefit from pacifier use
What diseases are at higher risk with pacifier use? -
ANSWER-Diarrhea, ear infections
Possible decrease in milk supply due to a decrease in
nerve and nipple stimulation is a side effect of using what
tool when breastfeeding? - ANSWER-nipple shields
Name 2 dangers of using a nipple shield - ANSWER-1.
Hypernatremic dehydration
2. Fungal biofilm
What is the relationship between BF and postpartum
depression? - ANSWER-Mothers with PPD are more likely
to wean early, but weaning early increases risk of
developing PPD
What way of learning requires few and familiar words, not
providing info to remember, the woman may feel voiceless
- ANSWER-Category 1: Silence
,3|Page
What way of learning believes that authority figures tell the
truth, do not like ambiguity, and like to repeat the right
answer? - ANSWER-Category 2: Receivers of Knowledge
Which way of learning believes knowledge is personal and
private, trusts their own intuition over experts, and embeds
themselves in definitions and roles? - ANSWER-Category
3: Subjective Knowing
Which way of learning prefers procedures for acquiring
knowledge, understands other POV, will change providers
easily, but may want technical information? - ANSWER-
Category 4: Procedural Knowing
Which way of learning understands truth to be contextual,
can live with conflict, embraces all titles given to them, and
has significant empathetic potential? - ANSWER-Category
5: Constructed knowing
Starting at the top of the WHO feeding pyramid, what is
the order of type of feeding for a term baby? - ANSWER-1.
Baby at mother's breast
2. Mother's own expressed milk
3. Donor expressed milk
4. Cow's milk formula
, 4|Page
5. Soy formula
What does pasteurization process for donor milk do to the
milk? - ANSWER-Destroys some of the beneficial
components found in human milk
What are some reasons that formula use is so high in the
US? - ANSWER-inadequate maternity leave, unequal pay,
maternal morbidity, lack of counseling, healthcare access
why is the UN/WHO concerned about formula usage? -
ANSWER-- Presence of microorganisms infecting the
formula
- Not sanitized water
- Improper bottle cleaning
- Lack of training on how to prepare
Are there any marketed formulas/products that have
evidence to support their claims of improving outcomes
and brain development? - ANSWER-No, just
breastfeeding
