Certified Lactation Counselor Questions
and Answers (Latest update 2025)
Predominant Breastfeeding - Correct Answer ✅ Babies who
receive breastmilk and other liquids (e.g. water, minerals,
vitamins, oral meds).
Breastfeeding - Correct Answer ✅ Baby receives human
milk, as well as other foods or fluids, including formula.
Complementary Feeding - Correct Answer ✅ Process starts
when BM alone or infant formula alone is no longer sufficient
to meet nutritional requirements of infants, therefore other
foods or liquids are introduced. Typically child is between 6-
23 months
3 strategies for increasing BF initiation and duration -
Correct Answer ✅ Promotion, Protection, Support
Promotion - Correct Answer ✅ Focuses on advantages of
BF on a personal, community, country, or global level. BF to
the community.
,Certified Lactation Counselor Questions
and Answers (Latest update 2025)
Protection - Correct Answer ✅ Focuses on government,
manufacturer, and social responsibility to assure BF ability to
compete with commercial interests.
Includes state, local, an national laws regarding BF.
International Code of Marketing of Breast-milk Subsitutes -
Correct Answer ✅ Addresses improper marketing practices
by formula companies. It is not currently a law in the US.
What does the International Code Prohibit? - Correct Answer
✅ Distributing free formula
Giving coupons for formula
What did the AAP resolution state in regards to the
International Code? - Correct Answer ✅ No distributing
formula, discharge bags, industry written handouts.
Support - Correct Answer ✅ Focuses on interaction of
helpers with family, as well as program development and
implementation.
,Certified Lactation Counselor Questions
and Answers (Latest update 2025)
10 steps to successful BF - Correct Answer ✅ 1. Written BF
policy. Skin to Skin immediately after birth.
2. Train healthcare staff
3. Inform pregnant women about benefits and management
of BF
4. Help all mothers initiate BF within 1 hour after birth
5. Show mother's how to BF and maintain lactation
6. Exclusive breast milk only
7. Practice rooming in 24 hours a day
8. Encourage BF on demand
9. No artificial teats or pacifiers
10. Establishment of BF support groups
Healthcare staff responsibility for working with lactating
mothers include what? - Correct Answer ✅ 1. Training
2. Minimum of 20 hours of training
3. 3 hours of competency verification
What are the indications for providing supplementation other
than breast milk? - Correct Answer ✅ 1. Medical condition
, Certified Lactation Counselor Questions
and Answers (Latest update 2025)
2. Parents request after being informed of consequences
Protocol for calculating Baby's daily needs - Correct Answer
✅ Baby's weight x 2.5 (2.7 or 3.0 if Baby needs to catch up
weight) = daily ounces. PCP decides what the multiplier is!!!
What should be assessed 3-5 days after birth by PCP? -
Correct Answer ✅ Hydration (elimination patterns)
Body weight (no more than 7% loss)
Observe Feeding
Maternal or infant issues
What is a CLC? - Correct Answer ✅ Nationally recognized
designation awarded by the ALPP. Practice parameters are
designated by professional scope of practice.
How many stools per day should a breast fed newborn have?
- Correct Answer ✅ 4, some yellow by day 4.
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