Page 1 of 102
Certified Lactation Counselor (CLC) EXAM WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE JUST RELEASED
Question: What is a tethered maxillary frenulum? - CORRECT ANSWER✔✔Referred to as upper
or superior labial frenulum- a tightness or thickness in the band of tissue that attaches the
upper lip to the upper gum
Question: What is a cleft lip? - CORRECT ANSWER✔✔A fissure or opening in the upper lip, may
extend into the nose, may be unilateral or bilateral
Question: What is the second most common birth defect? - CORRECT ANSWER✔✔Cleft lip
Question: What is a sign of a possible tight maxillary frenulum? - CORRECT
ANSWER✔✔Blanching of the frenulum when gently lifting the upper lip, reduced lip movement
Question: What may cause sucking blisters? - CORRECT ANSWER✔✔Friction from retracted lips,
a tight maxillary frenulum restricting upper lip mobility, can be secondary cause of tight lingual
frenulum (tongue-tie) or hypertonia
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SUCCESS!
,Page 2 of 102
Question: When observing a feeding, what signs can indicate an issue with the infant's lips? -
CORRECT ANSWER✔✔Breaks in the seal with the breast, lip retraction and lip tremors, leaking
milk
Question: What are 2 ways to help improve tone and strengthen the lip seal for infants with
abnormal lip tone? - CORRECT ANSWER✔✔1. Provide firm pressure stimulus (i.e. tapping) on
the lips prior to feeding. 2. Insert clean finger or round, somewhat firm pacifier, then partially
pull it out of infant's mouth to induce the infant to pull it back.
Question: 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 - CORRECT ANSWER✔✔C) More than 4-6 months
Question: Breastfeeding lowers the risk for the incidence of dental caries compared to children
fed nonhuman milk from a bottle. True of False? - CORRECT ANSWER✔✔True
Question: Does breastfeeding lower the risk of NEC in preterm infants? - CORRECT
ANSWER✔✔Yes
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SUCCESS!
,Page 3 of 102
Question: Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - CORRECT ANSWER✔✔Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Question: Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - CORRECT ANSWER✔✔Yes
Question: True of False. Lactational amenorrhea, or the delay in return of menses after birth, is
not associated with exclusive breastfeeding. - CORRECT ANSWER✔✔False
Question: What are the physical benefits of breastfeeding to the lactating parent? - CORRECT
ANSWER✔✔Lower risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2
diabetes, reduced risk of cardiovascular disease
Question: What are the 3 main steps of Evidence-Based Practice (EBP)? - CORRECT
ANSWER✔✔Best available clinical evidence, Clinical expertise, Patient concerns and needs
Question: What are the benefits of breastfeeding for infants? - CORRECT
ANSWER✔✔Protective against respiratory infections, asthma, gastrointestinal infections and
diarrhea, ear infections, dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes,
higher performance on intelligence tests
3
SUCCESS!
, Page 4 of 102
Question: What are hypotonic lips in an infant? - CORRECT ANSWER✔✔Abnormally LOW
muscle tone or weakness in lips- may impact amount of suction, increase work of feeding, can
contribute to milk loss and fatigue during feedings
Question: What are hypertonic lips in an infant? - CORRECT ANSWER✔✔Abnormally HIGH
muscle tone or overuse of lips- increased lip activity to hold breast in mouth
Question: What can hypertonic lips be an indication of? - CORRECT ANSWER✔✔1. Neurological
abnormality or injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for
muscular weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility secondary
to a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature (hypo- or
hypersensitive)
Question: How can parents help infant with cleft lip breastfeed? - CORRECT ANSWER✔✔By
using finger or shape of the breast tissue to seal the cleft.
Question: What are buccal pads? - CORRECT ANSWER✔✔Subcutaneous fat deposits in cheeks
Question: What can cause low facial tone or poorly developed buccal pads in an infant? -
CORRECT ANSWER✔✔Prematurity or low birth weight
4
SUCCESS!
Certified Lactation Counselor (CLC) EXAM WITH
COMPLETE QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE JUST RELEASED
Question: What is a tethered maxillary frenulum? - CORRECT ANSWER✔✔Referred to as upper
or superior labial frenulum- a tightness or thickness in the band of tissue that attaches the
upper lip to the upper gum
Question: What is a cleft lip? - CORRECT ANSWER✔✔A fissure or opening in the upper lip, may
extend into the nose, may be unilateral or bilateral
Question: What is the second most common birth defect? - CORRECT ANSWER✔✔Cleft lip
Question: What is a sign of a possible tight maxillary frenulum? - CORRECT
ANSWER✔✔Blanching of the frenulum when gently lifting the upper lip, reduced lip movement
Question: What may cause sucking blisters? - CORRECT ANSWER✔✔Friction from retracted lips,
a tight maxillary frenulum restricting upper lip mobility, can be secondary cause of tight lingual
frenulum (tongue-tie) or hypertonia
1
SUCCESS!
,Page 2 of 102
Question: When observing a feeding, what signs can indicate an issue with the infant's lips? -
CORRECT ANSWER✔✔Breaks in the seal with the breast, lip retraction and lip tremors, leaking
milk
Question: What are 2 ways to help improve tone and strengthen the lip seal for infants with
abnormal lip tone? - CORRECT ANSWER✔✔1. Provide firm pressure stimulus (i.e. tapping) on
the lips prior to feeding. 2. Insert clean finger or round, somewhat firm pacifier, then partially
pull it out of infant's mouth to induce the infant to pull it back.
Question: 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 - CORRECT ANSWER✔✔C) More than 4-6 months
Question: Breastfeeding lowers the risk for the incidence of dental caries compared to children
fed nonhuman milk from a bottle. True of False? - CORRECT ANSWER✔✔True
Question: Does breastfeeding lower the risk of NEC in preterm infants? - CORRECT
ANSWER✔✔Yes
2
SUCCESS!
,Page 3 of 102
Question: Is there a difference in the protective effect against SIDS between babies that are
exclusively breastfed vs. non-exclusively? - CORRECT ANSWER✔✔Yes, babies that are exclusively
breastfed have a stronger protective effect against SIDS
Question: Does breastfeeding lower the risk for the incidence of malocclusion (misalignment of
teeth)? - CORRECT ANSWER✔✔Yes
Question: True of False. Lactational amenorrhea, or the delay in return of menses after birth, is
not associated with exclusive breastfeeding. - CORRECT ANSWER✔✔False
Question: What are the physical benefits of breastfeeding to the lactating parent? - CORRECT
ANSWER✔✔Lower risk of breast cancer, lower risk of ovarian cancer, reduced risk of Type 2
diabetes, reduced risk of cardiovascular disease
Question: What are the 3 main steps of Evidence-Based Practice (EBP)? - CORRECT
ANSWER✔✔Best available clinical evidence, Clinical expertise, Patient concerns and needs
Question: What are the benefits of breastfeeding for infants? - CORRECT
ANSWER✔✔Protective against respiratory infections, asthma, gastrointestinal infections and
diarrhea, ear infections, dental caries, teeth misalignment, NEC and SIDS, obesity, diabetes,
higher performance on intelligence tests
3
SUCCESS!
, Page 4 of 102
Question: What are hypotonic lips in an infant? - CORRECT ANSWER✔✔Abnormally LOW
muscle tone or weakness in lips- may impact amount of suction, increase work of feeding, can
contribute to milk loss and fatigue during feedings
Question: What are hypertonic lips in an infant? - CORRECT ANSWER✔✔Abnormally HIGH
muscle tone or overuse of lips- increased lip activity to hold breast in mouth
Question: What can hypertonic lips be an indication of? - CORRECT ANSWER✔✔1. Neurological
abnormality or injury of the tongue, jaws, or facial nerves. 2. Can also be compensating for
muscular weakness in the cheeks, jaw, or tongue or reduced lingual or labial mobility secondary
to a tight labial frenulum or ankyloglossia (tongue-tie) 3. May be sensory in nature (hypo- or
hypersensitive)
Question: How can parents help infant with cleft lip breastfeed? - CORRECT ANSWER✔✔By
using finger or shape of the breast tissue to seal the cleft.
Question: What are buccal pads? - CORRECT ANSWER✔✔Subcutaneous fat deposits in cheeks
Question: What can cause low facial tone or poorly developed buccal pads in an infant? -
CORRECT ANSWER✔✔Prematurity or low birth weight
4
SUCCESS!