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ALPP CLC EXAM CERTIFIED LACTATION
CONSULTANT ACTUALPRACTICE TEST 1-9 EXAM
NEWEST VERSION 2025/2026 QUESTIONS AND 100%
CORRECT DETAILED ANSWERS |UPDATED
&GRADED A+
The IBCLC decides to use a nipple shield with baby Noah
and his mom. At what point do you expect Noah will be
able to be weaned off it? a) when the baby is
approximately his full-term corrected age, b) as soon as
the baby can latch comfortably and transfer milk using the
shield, c) the chances of the infant being weaned from the
shield is unlikely, or d) since milk supply will be decreased
dramatically, shields should never be used with preterm
infants - ANSWER-a) when the baby is approximately his
full-term corrected age
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Which one of the following substances in breast milk
promotes the growth of beneficial bacteria in the infant? a)
lactoferrin, b) interferon, c) transferas, or d) bifidus factor -
ANSWER-d) bifidus factor
Symptomatic hypoglycemia in the newborn is manifested
by which of the following: a) high pitched cry, b)
exaggerated moro reflex, c) hypothermia, or d) tremors,
jitters - ANSWER-d) tremors, jitters
Jake, Sarah's husband, says that he has heard that
drinking beer will increase Sarah's milk supply. What do
you tell him? a) Oh, that's an old wives' tale that has been
around for years. There isn't any truth to it, b) Beer really
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won't do anything for milk supply unless mom has a low
production. Then yes, it will help, c) Beer can increase
prolactin levels and thus milk supply, but is offset by the
decrease in the oxytocin levels so babies take less milk
after alcohol consumption, or d) What they have found is
that beer- or wine- helps the mother to relax so that she
lets her milk down more quickly and effectively, thus it
appears that it actually increases her supply - ANSWER-c)
Beer can increase prolactin levels and thus milk supply,
but is offset by the decrease in the oxytocin levels so
babies take less milk after alcohol consumption
Which of the following do infants need for optimal
development? a) their own room, b) a stay-at-home mom,
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c) interaction with adults, or d) a predictable schedule -
ANSWER-c) interaction with adults
You are an IBCLC and have the opportunity to attend a
lunch and learn given by the formula representative
regarding their new organic formula. From an ethical
perspective, which is your best course of action? a) not
attend since this is presented by a formula company and
by attending you will be in violation of the International
Code of the Marketing of Breast-Milk Substitutes (The
Code), b) attend the presentation, but announce when the
lunch is served that you are not permitted to eat the food
or you will be in violation of The Code, c) attend the
presentation, bringing your own lunch with you, or d) not
attend since this is a presentation about formula and as a
ALPP CLC EXAM CERTIFIED LACTATION
CONSULTANT ACTUALPRACTICE TEST 1-9 EXAM
NEWEST VERSION 2025/2026 QUESTIONS AND 100%
CORRECT DETAILED ANSWERS |UPDATED
&GRADED A+
The IBCLC decides to use a nipple shield with baby Noah
and his mom. At what point do you expect Noah will be
able to be weaned off it? a) when the baby is
approximately his full-term corrected age, b) as soon as
the baby can latch comfortably and transfer milk using the
shield, c) the chances of the infant being weaned from the
shield is unlikely, or d) since milk supply will be decreased
dramatically, shields should never be used with preterm
infants - ANSWER-a) when the baby is approximately his
full-term corrected age
,2|Page
Which one of the following substances in breast milk
promotes the growth of beneficial bacteria in the infant? a)
lactoferrin, b) interferon, c) transferas, or d) bifidus factor -
ANSWER-d) bifidus factor
Symptomatic hypoglycemia in the newborn is manifested
by which of the following: a) high pitched cry, b)
exaggerated moro reflex, c) hypothermia, or d) tremors,
jitters - ANSWER-d) tremors, jitters
Jake, Sarah's husband, says that he has heard that
drinking beer will increase Sarah's milk supply. What do
you tell him? a) Oh, that's an old wives' tale that has been
around for years. There isn't any truth to it, b) Beer really
,3|Page
won't do anything for milk supply unless mom has a low
production. Then yes, it will help, c) Beer can increase
prolactin levels and thus milk supply, but is offset by the
decrease in the oxytocin levels so babies take less milk
after alcohol consumption, or d) What they have found is
that beer- or wine- helps the mother to relax so that she
lets her milk down more quickly and effectively, thus it
appears that it actually increases her supply - ANSWER-c)
Beer can increase prolactin levels and thus milk supply,
but is offset by the decrease in the oxytocin levels so
babies take less milk after alcohol consumption
Which of the following do infants need for optimal
development? a) their own room, b) a stay-at-home mom,
, 4|Page
c) interaction with adults, or d) a predictable schedule -
ANSWER-c) interaction with adults
You are an IBCLC and have the opportunity to attend a
lunch and learn given by the formula representative
regarding their new organic formula. From an ethical
perspective, which is your best course of action? a) not
attend since this is presented by a formula company and
by attending you will be in violation of the International
Code of the Marketing of Breast-Milk Substitutes (The
Code), b) attend the presentation, but announce when the
lunch is served that you are not permitted to eat the food
or you will be in violation of The Code, c) attend the
presentation, bringing your own lunch with you, or d) not
attend since this is a presentation about formula and as a
