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ALPP/CLC Exam
Lactation Counselor Exam Study
255
Nursing
Professional
04/03/2026

Additional Nursing Flashcards

 


 

Cards

Term
1000
Definition
The first _______ days campaign is world wide and includes breastfeeding!
Term
Myocardial Infaction
Definition
Women who don't breastfed are at higher risk of this
Term
Oxytocin
Definition
The hormone of love.
Term
Strategies
Definition
Promotion, protection, and support are these
Term
Certified Lactation Counselor
Definition
CLC stands for
Term
10
Definition
Baby-friendly includes ___ Steps to Successful Breastfeeding.
Term
Timely Interventions
Definition
What's one reason breastfeeding mothers need help?
Term
Increase breast milk supply
Definition
Drinking extra water does not
Term
Not accurate
Definition
The idea of hind milk being higher in fat
Term
Areola
Definition
This is the darker skin around the nipple
Term
10-12
Definition
Babies need to nurse this many times a day
Term
Species Specific
Definition
Mammal milk is special because it is
Term
Lactose
Definition
Mammal milk contains this
Term
Lactogenesis 1 is made
Definition
Starting in pregnancy
Term
Placenta
Definition
Lactogenesis II happens only after the complete delivery of the
Term
Baby
Definition
The ______ needs 1+ hours of skin to skin immediately after birth.
Term
Hedge Hog milk
Definition
Human milk has a different composition from
Term
Breastmilk
Definition
Has relatively low iron content
Term
Species own milk
Definition
one thing that increases gastrin
Term
4 and 4
Definition
Babies should have ____ stools per day by day _____.
Term
Breastfeeding mothers
Definition
May perceive less stress.
Term
Evidenced
Definition
It is important to be ______ based in breast feeding practice.
Term
Pituitary
Definition
There are two separate hormone pathways in lactation. This gland is important to both.
Term
Stretching
Definition
Nipple ________ is important for oxytocin.
Term
CODE
Definition
Sometimes called the ____, this involves regulation of breastmilk substitutes.
Term
Pregnancy
Definition
Colostrum, or newborn milk, is made under the influence of _______.
Term
Competency
Definition
CLCs have had their _____ verified
Term
Lactose
Definition
All mammal milk contains this.
Term
Expression
Definition
With preemies initiation of milk _____ in the first hour resulted in more milk
Term
Expression
Definition
With preemies initiation of milk _____ in the first hour resulted in more milk
Term
Disparities
Definition
When looking at the US breast feeding trends, there are concerning ______.
Term
UNICEF
Definition
World Health Organization and _____ have set out three strategies for breastfeeding initiation and duration
Term
Breastfeeding
Definition
_______ is a public health priority.
Term
Exclusive
Definition
_____ breastfeeding conveys the most benefits.
Term
Myth
Definition
It is a ____ that the later milk nursed is always higher in fat.
Term
Acidic
Definition
Breastfed babies gut is more _____ compared to babies fed formula.
Term
Support
Definition
Promotion, Protection and ____ are three strategies to improve breastfeeding rates.
Term
Complex
Definition
Milk composition is _____.
Term
Brain
Definition
The most rapidly developing organ in humans is this
Term
World
Definition
______ Breastfeeding Trends Initiative is also called the WBTI.
Term
Praise
Definition
The “40 hour” song reminds us to _____ the mother.
Term
Fullness
Definition
Breast are soft to touch with normal ______.
Term
Iron
Definition
Lactoferrin deprives the bacteria of this
Term
Sodium
Definition
Hypernatremia involves ____ levels.
Term
Evert
Definition
With grade 3 inverted nipples, the nipple does not ______.
Term
Stroking
Definition
Prolactin involves nipple ______.
Term
Nourished
Definition
A concern about sleepy babies are that they could be under- _______.
Term
Sheehan
Definition
This syndrome can happen after a profound blood loss.
Term
Stretching
Definition
Oxytocin involves nipple _______.
Term
False
Definition
It is _____ that drinking plenty of water increases milk supply.
Term
Gastrin
Definition
______ and CCK promote growth in the gut.
Term
Antibodies
Definition
_____ such as secretory IGA bind to microbes in the baby’s intestinal tract
Term
Engorgement
Definition
The nipple might be difficult to grasp with ______.
Term
Tandem
Definition
This is what it is called when nursing two babies from different pregnancies.
Term
Four
Definition
Babies should have ____ stools by day 4 and each day after.
Term
milk
Definition
Issues with the thyroid can impact ____ supply potentially.
Term
Evert
Definition
Grade 1 and 2 nipples would ______ during a feeding or expressing.
Term
Increases
Definition
As pressure inside the breast _______, milk production decreases.
Term
Known
Definition
With constructed knowers, the knower is part of the _____.
Term
Technical
Definition
Procedural knowers might want to have technical information about breastfeeding.
Term
Groups
Definition
Subjective knowers often like to be part of breastfeeding support _____.
Term
Receiver
Definition
This type of knower, a ______ of knowledge, believe that all authorities tell the truth.
Term
Powerless
Definition
Women in silence sometimes feel _____.
Term
Ways
Definition
Women’s ______ of Knowing helps us to understand how women know.
Term
Formula
Definition
This is often recalled
Term
Open
Definition
Ask ____ ended questions.
Term
Hand
Definition
_____ expression is the cleanest way to express milk.
Term
Pumps
Definition
_____ should be appropriate for individual use.
Term
Breastfeeding
Definition
This is one of the CDC’s obesity prevention strategies
Term
Mother's
Definition
First choice in hierarchy of feeding. Baby at ____ breast.
Term
CDC
Definition
For contraindications, in the US, look to the ____.
Term
Never judge, never judge
Definition
When you counsel, when you counsel ….
Term
Donor Milk
Definition
______ is different from informal sharing
Term
Sterile
Definition
Powdered substances are not this
Term
Reflective listening
Definition
This is important with counseling
Term
Confidence
Definition
______ increases with group-based peer counseling.
Term
Hands
Definition
______ off helping is the best.
Term
Doula
Definition
This person can be so helpful during labor
Term
Skin to Skin
Definition
This practice is a great starting point for changing practices
Term
PPAD
Definition
Postpartum adjustment disorder is called this
Term
Not
Definition
Almond milk is ____ appropriate for babies.
Term
Praise
Definition
As a counselor, be sure to _____ the breastfeeding family.
Term
Rounded
Definition
The baby’s cheek line should be
Term
Lower
Definition
The _____ lip needs to make contact to the breast first.
Term
Angle
Definition
The corner of the baby’s mouth should show an ____ of 140 degrees or more.
Term
Clogged
Definition
A lump in the breast might be a _____ duct.
Term
Raynauds
Definition
A vasospasm issue that is sometimes mistaken for yeast is
Term
Hypoglycemia
Definition
Low blood sugar is called
Term
Gape
Definition
When the baby opens wide during a latch, it is called a ___.
Term
hands
Definition
The baby should end the feeding with relaxed ____.
Term
Rocker
Definition
Which is preferable? Rocker or Piston?
Term
Hurt
Definition
Breastfeeding should not ___.
Term
LAT
Definition
The tool used to assess breastfeeding in the LCTC is the:
Term
Oxytocin
Definition
Prolactin is one lactation hormone. Another one is:
Term
Comprehensive
Definition
The tool to assess issues with the milk supply or weight gain is the ____ Risk Assessment Tool.
Term
Emergency
Definition
Two breast mastitis is a medical ______.
Term
Hemorrhage
Definition
Skin to skin can decrease rate of primary post-partum _______.
Term
Milk
Definition
When babies are in close proximity, the can smell the _____.
Term
Goldsmiths Sign
Definition
One concern when a baby refuses a breast is possible
Term
Supplementation
Definition
Delaying first breastfeeding can increase the chance of _________.
Term
Over Supply
Definition
With _____, the baby might try to slow the flow by clamping at the breast.
Term
Thrush
Definition
Yeast in the baby’s mouth is also called ____.
Term
Uninterrupted
Definition
Skin to skin should be continuous and ______.
Term
Nine
Definition
How many states are there with skin to skin?
Term
Calories
Definition
Preterm babies burned fewer ____ skin to skin then in the incubator.
Term
Medications
Definition
Fenugreek is concerning because of the potential to block the absorption of this
Term
Poorly
Definition
Sometimes babies who have jaundice feed _____.
Term
Breastfeed
Definition
Babies with down syndrome can ________.
Term
Tone
Definition
Babies with down syndrome often struggle with breastfeeding because of low _____.
Term
Cesarean
Definition
A surgical birth is called a _______.
Term
Washing
Definition
When teaching hand expression, hand ______ is important.
Term
Dumping
Definition
Pumping and ______ is an out-of-date strategy if alcohol was consumed.
Term
Nourishment
Definition
Infants require _____ to remove milk.
Term
human milk
Definition
Premature babies do better with ________.
Term
Rectal bleeding
Definition
Proctocolitis is _______.
Term
Beginning
Definition
Foremilk, in research is defined as the milk that comes out in the ______ of a feeding.
Term
Kernicterus
Definition
One concern we have with jaundice is possible _______.
Term
LAM
Definition
This is one form of child spacing which involves breastfeeding.
Term
Hyperbilirubinemia
Definition
Jaundice is also called _____.
Term
Weight gain
Definition
Premature babies who did skin to skin had better _____.
Term
Six
Definition
LAM is not effective once the baby is ___ months old.
Term
Flavors
Definition
Babies can taste the _____ of their family table through the milk.
Term
No
Definition
Are induced lactation and re-lactation the same thing?
Term
Spicy
Definition
It is a myth that ___ foods are not appropriate with breastfeeding.
Term
Higher
Definition
Hind milk is not necessarily _____ in fat.
Term
Smoking
Definition
______ is one activity that can decrease milk supply.
Term
strikes
Definition
Nursing _____ are not weaning but could turn into a wean without counseling and help
Term
Office Hours
Definition
Participants in this course had a chance to meet with faculty during ______.
Term
solid
Definition
Complementary foods are the _____ foods added around 6 months.
Term
Exclusive
Definition
_______ breastfeeding conveys more health benefits than mixed feeding.
Term
Competencies
Definition
This course involves 7 ________.
Term
Counselor
Definition
After passing the ALPP CLC exam, a person is a Certified Lactation ________.
Term
Distractable
Definition
Breastfeeding babies 4-6 months are sometimes _____.
Term
Disparities
Definition
There are too many _______ which impact maternal and child health outcomes.
Term
Initiatives
Definition
With Baby Friendly Hospital ______, there are 10 steps.
Term
Discourage
Definition
A prenatal class filled with lists of possible breastfeeding problems could _____ breastfeeding.
Term
10
Definition
Babies need to feed ___ to 12 times in 24 hours.
Term
Nine
Definition
There are ____ instinctive stages that babies go through while skin to skin in the first hour or so after birth.
Term
liquid
Definition
Supplementary feeds are _____ and not solid foods.
Term
Cadwell
Definition
One of the authors of the pocket guide is Karin ____.
Term
Pregnant
Definition
A mother who has an older baby and sore nipples might be ______.
Term
CODE
Definition
The ____ is about the marketing of infant formula.
Term
A rounded cheek line
Definition
Is better than a broken one
Term
The baby's lower lip
Definition
Should reach the breast first
Term
Flat or inverted nipples
Definition
Babies can still latch onto
Term
Nipple
Definition
The nose needs to be opposite of this at the start of the latching process
Term
Hands off
Definition
is the best way to help with breast feeding
Term
Lack of seal
Definition
Puckering of the top lip indicates
Term
Relaxed
Definition
When the baby is full, the hands look
Term
Milk supply issues
Definition
Have rarely one cause
Term
feeding cues
Definition
Babies feed best at their best time following
Term
Gape
Definition
This is not a cry
Term
Suck Swallow Ratio
Definition
1:1 or 2:1 is idea for this
Term
Skin To Skin
Definition
It is great to begin the feeding with
Term
is important
Definition
Praising the mother and family
Term
Asymmetrical
Definition
The baby latched should look
Term
Crying
Definition
A late feeding cue
Term
Babies feed every three hours
Definition
People often say this but it is an outdated idea
Term
Breastfeeding
Definition
The LAT is for assessing
Term
Milk Supply and Weight Loss
Definition
The comprehensive risk assessment tool is for issues about
Term
140 or more is ideal for this
Definition
Angle of the mouth opening
Term
Latch needs to be assessed
Definition
Cracks are signs of
Term
Sore Nipples
Definition
A hand on the back of the head is associated with
Term
never hurt
Definition
Breastfeeding should
Term
lipstick
Definition
The nipple should look the same after a feeding and not like new ____.
Term
The first 1000 days
Definition
This campaign is world wide and includes breastfeeding
Term
Myocardial Infarction
Definition
Women who do not breastfeed are at higher risk of this.
Term
Oxytocin
Definition
The hormone of love
Term
Strategies
Definition
Promotion, protection, and support are these
Term
CLC
Definition
Certified lactation Counselor
Term
Areola
Definition
The darker skin around the nipple
Term
Species specific
Definition
Mammal milk is special because it is _____ ____.
Term
Lactogensis 1
Definition
is made starting in pregnancy
Term
Placenta
Definition
Lactogenesis II happens only after the complete delivery of the
Term
baby
Definition
The ____ needs 1+ hours of skin to skin immediately after birth.
Term
hedge hog milk
Definition
Human Milk has a different composition from
Term
low iron content
Definition
Breast milk has a
Term
Species own milk
Definition
What is the one thing that increases gastrin?
Term
breastfeeding moms
Definition
May perceive less stress
Term
lower
Definition
Making milk has a relatively ______ energy cost.
Term
normal fullness
Definition
Baby can grasp the nipple with this.
Term
engorgement
Definition
Baby may have difficulty grasping the nipple with this.
Term
less engorgement
Definition
Nursing frequently in the first few days is associated with this
Term
less milk
Definition
Engorgement and excess pressure on the breast can cause this
Term
long
Definition
Having _____ spaces between feedings can impact milk supply.
Term
discrepant breast size
Definition
One implant can indicate that there was ______.
Term
twice
Definition
The nipple stretches to ______ it’s length during breastfeeding.
Term
It may never evert
Definition
If there is a grade 3 inverted nipple
Term
hemorrhage
Definition
Sheehan’s syndrome can happen after a _______.
Term
Thyroid
Definition
Hypo or Hyper of this can impact breastfeeding.
Term
Betamethasone
Definition
Can alter physiology
Term
Tandem Nursing
Definition
Twins nursing at the same time is not called this
Term
nap
Definition
Smoking and nursing may result in babies who do this less
Term
Women’s ways of knowing
Definition
Belenky wrote this book
Term
gape
Definition
Wide open mouth
Term
Should be 140+ degrees angle
Definition
Corner of mouth
Term
by cue
Definition
Babies should feed
Term
10-12
Definition
The number of feeds per day
Term
Never say
Definition
Nurse every 2-3 hours
Term
promoted
Definition
Skin to skin breastfeeding should be
Term
Piston jaw motion
Definition
Up and down motion
Term
Rocker motion
Definition
More of the full jaw
Term
make a seal
Definition
Lips need to
Term
a feeding
Definition
If there is pain, ask questions and assess
Term
open
Definition
Flex the hips to ___ the lips
Term
tummy
Definition
Baby should be “_____” to mummy
Term
baby
Definition
At the end of the feeding the _____ should come off the breast looking relaxed.
Term
milk transfer
Definition
Stools are one indicator of
Term
Effective
Definition
Long feedings may not be ______.
Term
Fat milk
Definition
Fast feedings often have higher _______.
Term
don't feed well
Definition
Sleepy babies generally ____.
Term
REM before feeding
Definition
Babies who are asleep should be observed for ______.
Term
A Hierarchy
Definition
WHO has this for the infant feeding choices for the term baby
Term
Hand expression
Definition
The cleanest way to express milk
Term
Informal sharing
Definition
Cannot be condoned in the US regarding breast milk
Term
Pumps
Definition
2/3 of users of _____ reported problems.
Term
Manufacturer instructions
Definition
When cleaning pumps you should follow the _______
Term
infant formula
Definition
Often recalled due to contamination
Term
Reflux
Definition
Can be associated with cow milk allergy for some babies
Term
Hyperinsulinemia
Definition
Excessive weight gain for formula fed babies could be due to this
Term
Schoolish
Definition
Prenatal breastfeeding information should not seem like this
Term
the first chair
Definition
To make breastfeeding the norm, we need to take
Term
Achievable and desirable
Definition
We must always be sure we are clear that breastfeeding is
Term
talking to a friend
Definition
Counseling is not like
Term
asking open ended questions
Definition
One step in motivation interviewing is
Term
Reflective Listening
Definition
Listening for deeper understanding is part of this
Term
support the 10 steps
Definition
One thing that can help support exclusive breastfeeding in the hospital stay is to do this
Term
Piston
Definition
A chewing motion at the breast is associated with this jaw motion
Term
Asymmetric
Definition
Symmetric or Asymmetric
Term
pain
Definition
This was associated with all elements of poor latch
Term
Rapid weight gain
Definition
This is often seen with oversupply
Term
The Australian posture
Definition
This posture can be helpful with oversupply
Term
The Dancer technique
Definition
This technique can be helpful with a baby with Down Syndrome
Term
flaky, shiny skin
Definition
With thrush, the breast may have
Term
sore nipples
Definition
This is common but should not be normal
Term
Raynaud phenomenon
Definition
Nipples that are painful and change colors (blue, raspberry, white) could be this
Term
24-48 hours
Definition
A clog that does not move in this amount of time needs to be seen by a health provider
Term
Smoking
Definition
One thing that can decrease milk supply but is not contraindicated to breastfeeding
Term
Hypoglycemia
Definition
Low blood sugar
Term
Skin to Skin
Definition
KMC is a special type of this
Term
Blue Gatorade
Definition
Does not increase milk supply
Term
Potatoes
Definition
This is not an evidence-based solution to clogged ducts
Term
Structural racism
Definition
It is unacceptable that this impacts healthcare
Term
important
Definition
Skilled assessment of breastfeeding is
Term
shortly after birth
Definition
Vitamin K should be given
Term
Complementary
Definition
Starting solids is also called this type of feeding
Term
lochia
Definition
This refers to the vaginal discharge after birth
Term
Parent-led weaning
Definition
This is one of the 3 human strategies for breast feeding.
Term
A nursing strike
Definition
Peer pressure can sometimes be used to help with this
Term
daytime interventions
Definition
This works best for night time feeding issues
Term
Prolactin Levels
Definition
This is the highest at night and in the early morning
Term
Supplementary feeding
Definition
Is not starting solid foods
Term
Evidence based
Definition
Lactation care providers need to stay up to date and be _________.
Term
The ALPP CLC exam
Definition
To become a CLC, one needs to pass
Term
7
Definition
After 5A, there are this many competencies
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