1|Page
ALPP CLC EXAM CERTIFIED LACTATION
CONSULTANT ACTUALPRACTICE TEST 1-9 EXAM
NEWEST VERSION 2025/2026 QUESTIONS AND
100%CORRECT DETAILED ANSWERS
(ALREADYGRADED A+)
The neonatologist has determined that week old, 3 lbs. 15
oz. baby Noah in the NICU needs to take in 35
mL/feeding- feeding q3h. What is the best way to ensure
that this breastfed baby is getting an adequate caloric
intake? a) preterm infants need to receive 109-140 kcal/kg
body weight per day depending on gestational age,
weight, and medical/physical problems, b) have the
mother pump her milk and feed 35 mL mixed with human
milk fortifier at each feed, c) do a before and after weight
(ac/pc) and supplement to reach 35 mL at each feed after
,2|Page
breastfeeding if needed, or d) since ac/pc weights are
inaccurate at this point, follow each breastfeed with the
required amount of supplement - ANSWER-c) do a before
and after weight (ac/pc) and supplement to reach 35 mL at
each feed after breastfeeding if needed
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
,3|Page
infants - ANSWER-a) when the baby is approximately his
full-term corrected age
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
, 4|Page
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
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
ALPP CLC EXAM CERTIFIED LACTATION
CONSULTANT ACTUALPRACTICE TEST 1-9 EXAM
NEWEST VERSION 2025/2026 QUESTIONS AND
100%CORRECT DETAILED ANSWERS
(ALREADYGRADED A+)
The neonatologist has determined that week old, 3 lbs. 15
oz. baby Noah in the NICU needs to take in 35
mL/feeding- feeding q3h. What is the best way to ensure
that this breastfed baby is getting an adequate caloric
intake? a) preterm infants need to receive 109-140 kcal/kg
body weight per day depending on gestational age,
weight, and medical/physical problems, b) have the
mother pump her milk and feed 35 mL mixed with human
milk fortifier at each feed, c) do a before and after weight
(ac/pc) and supplement to reach 35 mL at each feed after
,2|Page
breastfeeding if needed, or d) since ac/pc weights are
inaccurate at this point, follow each breastfeed with the
required amount of supplement - ANSWER-c) do a before
and after weight (ac/pc) and supplement to reach 35 mL at
each feed after breastfeeding if needed
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
,3|Page
infants - ANSWER-a) when the baby is approximately his
full-term corrected age
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
, 4|Page
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
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
