ALPP CLC EXAM CERTIFIED LACTATION COUNSELOR REAL/AUTHENTIC PROCTORED EXAM COMPLETE 3 VERSIONS EXAM EACH 100 QUESTIONS 300 QUESTIONS

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ALPP CLC CERTIFIED

LACTATION CONSULTANT

EXAM LATEST EXAM

QUESTIONS AND ANSWERS

• What may cause sucking blisters?
• Normal feeding patterns with a wide-open mouth
• Friction from retracted lips, a tight maxillary frenulum restricting upper lip

mobility, or hypertonia

• Infant's lips being flanged outward perfectly during a feed
• An overabundant maternal milk supply

Correct Answer: B) Friction from retracted lips, a tight maxillary frenulum

restricting upper lip mobility, or hypertonia

• When observing a feeding, what signs can indicate an issue with the infant's

lips?

• Deep, rhythmic jaw movements
• Lips flanged outward like a fish
• Breaks in the seal with the breast, lip retraction and lip tremors, leaking milk
• Audible swallowing and relaxed infant hands

Correct Answer: C) Breaks in the seal with the breast, lip retraction and lip

tremors, leaking milk

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• What are 2 ways to help improve tone and strengthen the lip seal for infants

with abnormal lip tone?

• Provide firm pressure stimulus (i.e., tapping) on the lips prior to feeding.
• Insert a clean finger or round pacifier, then partially pull it out to induce the

infant to pull it back.

• Avoid touching the infant's face. 2. Only use a bottle with a fast-flow

nipple.

• Push the infant's lips inward before feeding. 2. Keep the baby asleep

during feeds.

• Use a breast shield at all times. 2. Stretch the lips aggressively before

feeds.Correct Answer: A) 1. Provide firm pressure stimulus (i.e., tapping) on the lips prior to feeding. 2. Insert a clean finger or round pacifier, then partially pull it out to induce the infant to pull it back.

• How can parents help an infant with a cleft lip breastfeed?
• By exclusively using a bottle
• By using a finger or the shape of the breast tissue to seal the cleft
• By feeding the infant strictly in a supine position
• By pushing the baby's nose into the breast

Correct Answer: B) By using a finger or the shape of the breast tissue to seal the cleft

• What are buccal pads?
• Subcutaneous fat deposits in cheeks
• Muscle groups in the infant's jaw
• Glands located under the tongue
• The soft tissue on the roof of the mouth

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Correct Answer: A) Subcutaneous fat deposits in cheeks

• What can cause low facial tone or poorly developed buccal pads in an infant?
• Post-term delivery
• High birth weight
• Prematurity or low birth weight
• Overfeeding in the first 24 hours

Correct Answer: C) Prematurity or low birth weight

• What are possible issues due to facial hypotonia?
• An overly strong seal causing breast tissue damage
• Decreased cheek stability hindering the seal on the breast, increasing the

work of feeding and causing fatigue

• Milk moving too quickly through the infant's gut
• An inability to swallow milk once it is in the mouth

Correct Answer: B) Decreased cheek stability hindering the seal on the breast,

increasing the work of feeding and causing fatigue

• How do you assess cheeks on an infant?
• Visually inspect them from across the room
• Place a gloved finger inside the infant's mouth and place a thumb on the

outside of the cheek to sense the thickness of the fat pads.

• Measure the cheeks with a tape measure
• Pull the cheeks outward to check for elasticity

Correct Answer: B) Place a gloved finger inside the infant's mouth and place a

thumb on the outside of the cheek to sense the thickness of the fat pads.

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• How can you identify weak, thin, or unstable cheeks during a feed?
• Cheeks will look excessively puffy
• Cheeks will turn bright red
• Cheeks will collapse while baby sucks, and dimples may appear
• The baby will refuse to latch entirely

Correct Answer: C) Cheeks will collapse while baby sucks, and dimples may

appear

• What method can be used to assist an infant with low facial muscle tone

during feeds?

• Football hold
• Dancer hold - providing external support by using fingers and hand to

support infant's jaw and cheeks

• Cradle hold
• Side-lying position exclusively

Correct Answer: B) Dancer hold - providing external support by using fingers

and hand to support infant's jaw and cheeks

• What is micrognathia?
• Abnormally large tongue
• Abnormally small lower jaw
• Abnormally receding lower jaw
• Cleft palate

Correct Answer: B) Abnormally small lower jaw

• What is retrognathia?
• Abnormally receding lower jaw