ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST,
LACTATION CERTIFICATION EXAM, BREASTFEEDING
COUNSELING, MATERNAL INFANT CARE, CLC 400 QUESTIONS
AND ANSWERS, VERIFIED CLC EXAM
A mother of twins wants to exclusively breastfeed but worries about supply. What
is the best initial counseling point?
Correct answer: Milk supply increases with demand; frequent and effective
feeding from both babies can support adequate production.
A parent of a late-preterm infant is frustrated that the baby falls asleep during
feeds. What should you prioritize?
Correct answer: Teach breast compression and frequent gentle stimulation to
maintain active sucking.
A mother is returning to work in one week and wants to build a freezer stash.
What is the most helpful recommendation?
Correct answer: Add one pumping session after the morning feed to gradually
store milk.
A parent asks whether her exclusively breastfed infant needs water during hot
weather.
Correct answer: Explain that exclusively breastfed infants do not require water
before 6 months.
A breastfeeding mother develops mastitis with fever and flu-like symptoms. She
considers stopping breastfeeding. What should you advise?
1|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
Correct answer: Continue breastfeeding or pumping to maintain milk flow while
initiating appropriate treatment.
A parent suspects the infant's frequent spitting up is due to her diet. What is the
best first step?
Correct answer: Assess feeding technique for fast letdown or overfeeding before
considering maternal diet changes.
During a consult, you observe clicking sounds during feeding. The infant is losing
suction repeatedly. What is the likely cause?
Correct answer: Suboptimal latch resulting in air intake and ineffective seal.
A 5-day-old infant is jaundiced and sleepy, with poor feeding. What is the priority
intervention?
Correct answer: Wake the infant for frequent effective feeds and assess milk
transfer.
A parent exclusively uses nipple shields and asks whether they affect supply. What
is accurate guidance?
Correct answer: Shields can reduce stimulation for some dyads; monitor supply
and milk transfer closely.
A mother reports shooting breast pain after feeding, worse in cold air. What is the
likely issue?
Correct answer: Possible nipple vasospasm that may benefit from improving latch
and keeping nipples warm.
2|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
A breastfed infant has green frothy stools and fussiness. The mother also reports a
very strong letdown. What is the most likely explanation?
Correct answer: Imbalance from oversupply leading to high foremilk intake.
A mother wants to supplement with formula “just at night” to help the baby sleep
longer. What is the best counseling approach?
Correct answer: Explain that nighttime feeding supports supply and formula may
not increase sleep duration.
A mother with sore nipples states she was told to time feeds strictly to 10 minutes
per side. What is the correct guidance?
Correct answer: Feeding should be based on infant cues and active swallowing,
not strict timing.
A caregiver wants to give expressed breast milk but warms it in boiling water.
What is the concern?
Correct answer: Excessive heat can damage bioactive components in breast milk.
A breastfeeding parent with a history of breast surgery reports low supply on the
operated side. What is the first step?
Correct answer: Evaluate incision type and glandular tissue involvement to guide
feeding strategies.
A parent reports one breast producing significantly more than the other. What is
the best explanation?
Correct answer: It is normal for breasts to differ in production; feeding patterns
also influence supply.
3|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
A mother reports that her 3-week-old infant is fussy at the breast and frequently
pulls off. You observe a shallow latch and a narrow gape. What is the most
effective first intervention?
Correct answer: Encourage a deeper latch by repositioning the infant so the chin
and body are closer to the breast.
A parent who exclusively pumps reports decreased supply after returning to work.
She is pumping every 4–5 hours. What is the priority recommendation?
Correct answer: Increase pumping frequency to mimic infant feeding patterns,
about every 2–3 hours.
A newborn has lost 8% of birthweight in 48 hours and is showing fewer wet
diapers than expected. What is the most appropriate first action?
Correct answer: Assess latch and feeding efficiency at the breast to determine
transfer issues.
A breastfeeding parent taking a new antihypertensive medication asks if it is safe
for lactation. What is the best approach?
Correct answer: Consult evidence-based lactation pharmacology resources such as
LactMed before advising.
A mother expresses concern about “not having enough milk” because she cannot
pump much. The infant shows excellent weight gain. What is the best response?
Correct answer: Explain that pump output does not reliably reflect milk supply if
infant is feeding well.
A 4-month-old infant wakes every 2 hours to feed. The mother wonders if her milk
is “not filling enough.” How should you respond?
4|Page
ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST,
LACTATION CERTIFICATION EXAM, BREASTFEEDING
COUNSELING, MATERNAL INFANT CARE, CLC 400 QUESTIONS
AND ANSWERS, VERIFIED CLC EXAM
A mother of twins wants to exclusively breastfeed but worries about supply. What
is the best initial counseling point?
Correct answer: Milk supply increases with demand; frequent and effective
feeding from both babies can support adequate production.
A parent of a late-preterm infant is frustrated that the baby falls asleep during
feeds. What should you prioritize?
Correct answer: Teach breast compression and frequent gentle stimulation to
maintain active sucking.
A mother is returning to work in one week and wants to build a freezer stash.
What is the most helpful recommendation?
Correct answer: Add one pumping session after the morning feed to gradually
store milk.
A parent asks whether her exclusively breastfed infant needs water during hot
weather.
Correct answer: Explain that exclusively breastfed infants do not require water
before 6 months.
A breastfeeding mother develops mastitis with fever and flu-like symptoms. She
considers stopping breastfeeding. What should you advise?
1|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
Correct answer: Continue breastfeeding or pumping to maintain milk flow while
initiating appropriate treatment.
A parent suspects the infant's frequent spitting up is due to her diet. What is the
best first step?
Correct answer: Assess feeding technique for fast letdown or overfeeding before
considering maternal diet changes.
During a consult, you observe clicking sounds during feeding. The infant is losing
suction repeatedly. What is the likely cause?
Correct answer: Suboptimal latch resulting in air intake and ineffective seal.
A 5-day-old infant is jaundiced and sleepy, with poor feeding. What is the priority
intervention?
Correct answer: Wake the infant for frequent effective feeds and assess milk
transfer.
A parent exclusively uses nipple shields and asks whether they affect supply. What
is accurate guidance?
Correct answer: Shields can reduce stimulation for some dyads; monitor supply
and milk transfer closely.
A mother reports shooting breast pain after feeding, worse in cold air. What is the
likely issue?
Correct answer: Possible nipple vasospasm that may benefit from improving latch
and keeping nipples warm.
2|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
A breastfed infant has green frothy stools and fussiness. The mother also reports a
very strong letdown. What is the most likely explanation?
Correct answer: Imbalance from oversupply leading to high foremilk intake.
A mother wants to supplement with formula “just at night” to help the baby sleep
longer. What is the best counseling approach?
Correct answer: Explain that nighttime feeding supports supply and formula may
not increase sleep duration.
A mother with sore nipples states she was told to time feeds strictly to 10 minutes
per side. What is the correct guidance?
Correct answer: Feeding should be based on infant cues and active swallowing,
not strict timing.
A caregiver wants to give expressed breast milk but warms it in boiling water.
What is the concern?
Correct answer: Excessive heat can damage bioactive components in breast milk.
A breastfeeding parent with a history of breast surgery reports low supply on the
operated side. What is the first step?
Correct answer: Evaluate incision type and glandular tissue involvement to guide
feeding strategies.
A parent reports one breast producing significantly more than the other. What is
the best explanation?
Correct answer: It is normal for breasts to differ in production; feeding patterns
also influence supply.
3|Page
, ALPP CLC EXAM 2025, CERTIFIED LACTATION COUNSELOR TEST
A mother reports that her 3-week-old infant is fussy at the breast and frequently
pulls off. You observe a shallow latch and a narrow gape. What is the most
effective first intervention?
Correct answer: Encourage a deeper latch by repositioning the infant so the chin
and body are closer to the breast.
A parent who exclusively pumps reports decreased supply after returning to work.
She is pumping every 4–5 hours. What is the priority recommendation?
Correct answer: Increase pumping frequency to mimic infant feeding patterns,
about every 2–3 hours.
A newborn has lost 8% of birthweight in 48 hours and is showing fewer wet
diapers than expected. What is the most appropriate first action?
Correct answer: Assess latch and feeding efficiency at the breast to determine
transfer issues.
A breastfeeding parent taking a new antihypertensive medication asks if it is safe
for lactation. What is the best approach?
Correct answer: Consult evidence-based lactation pharmacology resources such as
LactMed before advising.
A mother expresses concern about “not having enough milk” because she cannot
pump much. The infant shows excellent weight gain. What is the best response?
Correct answer: Explain that pump output does not reliably reflect milk supply if
infant is feeding well.
A 4-month-old infant wakes every 2 hours to feed. The mother wonders if her milk
is “not filling enough.” How should you respond?
4|Page
