Doula Exam – Questions With Verified Answers
6 ways to progress in labor ✔️Ans - Dilation, Effacement, Station, Cervical
Position, Cardinal Movements, Cervical Ripeness
Dilation ✔️Ans - Opening of the cervix
The cervix dilates from ✔️Ans - 0 to 10 cm
Effacement ✔️Ans - thinning of the cervix
Effacement is measured in ✔️Ans - percentage
Station ✔️Ans - where baby's head is in relation to the cervix
what station is crowning? ✔️Ans - +4
What helps with a - station? ✔️Ans - Opening the pelvis
Posterior cervical position ✔️Ans - Cervix is facing the back
Anterior cervical position ✔️Ans - Cervix is facing the front
Cardinal movements ✔️Ans - Turns and movements of the fetus's journey
out of the body
Engagement ✔️Ans - Passage of the largest diameter of the fetal head
through the pelvic inlet, station 0
Descent ✔️Ans - - continuous downward movement through the pelvis
- begins with engagement and continues until the birth of the baby
Flexion ✔️Ans - Baby tucks chin to chest
internal rotation ✔️Ans - Baby turns shoulders to fit through pelvis
Extension ✔️Ans - Fetal head extends when crowning
, External rotation ✔️Ans - head turns to position as entering the pelvis and
aligns with the fetal body, anterior shoulder is passing under the symphysis
Expulsion ✔️Ans - Fetus leaves the body
Cervical Ripeness ✔️Ans - soft and favorable vs thick and unfavorable
Pre-term Labor ✔️Ans - 24 weeks- 36 weeks, 6 days
Causes of Pre-Term Labor ✔️Ans - Dehydration, Infection, Sex, Too much
activity
symptoms of pre-term labor ✔️Ans - Cramping, tightening, leaking fluid,
bleeding
Fetus is viable (with life-saving measures) after ✔️Ans - 24 weeks
Methods to stop Pre-Term Labor ✔️Ans - Medication to slow or stop
contractions (tocolytics)
Stitch to stop cervix from dilating
AIDET ✔️Ans - acknowledge, introduce, duration, explanation, thank you
First Trimester ✔️Ans - Conception to 13 weeks, 6 days
Physical Changes in the first trimester ✔️Ans - Tiredness, swollen breasts,
upset stomach, cravings or aversions, constipation, peeing a lot, headache,
heartburn, weight loss or gain
Emotional changes in first trimester ✔️Ans - Mood swings, fear, emotional
outbursts, doubt
Tests/ Procedures in first trimester ✔️Ans - Ultrasounds to establish due
date
Blood tests and labs (looking for HGH)
Pregnancy confirmation test
PAP
NIPT (non-invasive testing for genetic abnormalities)
6 ways to progress in labor ✔️Ans - Dilation, Effacement, Station, Cervical
Position, Cardinal Movements, Cervical Ripeness
Dilation ✔️Ans - Opening of the cervix
The cervix dilates from ✔️Ans - 0 to 10 cm
Effacement ✔️Ans - thinning of the cervix
Effacement is measured in ✔️Ans - percentage
Station ✔️Ans - where baby's head is in relation to the cervix
what station is crowning? ✔️Ans - +4
What helps with a - station? ✔️Ans - Opening the pelvis
Posterior cervical position ✔️Ans - Cervix is facing the back
Anterior cervical position ✔️Ans - Cervix is facing the front
Cardinal movements ✔️Ans - Turns and movements of the fetus's journey
out of the body
Engagement ✔️Ans - Passage of the largest diameter of the fetal head
through the pelvic inlet, station 0
Descent ✔️Ans - - continuous downward movement through the pelvis
- begins with engagement and continues until the birth of the baby
Flexion ✔️Ans - Baby tucks chin to chest
internal rotation ✔️Ans - Baby turns shoulders to fit through pelvis
Extension ✔️Ans - Fetal head extends when crowning
, External rotation ✔️Ans - head turns to position as entering the pelvis and
aligns with the fetal body, anterior shoulder is passing under the symphysis
Expulsion ✔️Ans - Fetus leaves the body
Cervical Ripeness ✔️Ans - soft and favorable vs thick and unfavorable
Pre-term Labor ✔️Ans - 24 weeks- 36 weeks, 6 days
Causes of Pre-Term Labor ✔️Ans - Dehydration, Infection, Sex, Too much
activity
symptoms of pre-term labor ✔️Ans - Cramping, tightening, leaking fluid,
bleeding
Fetus is viable (with life-saving measures) after ✔️Ans - 24 weeks
Methods to stop Pre-Term Labor ✔️Ans - Medication to slow or stop
contractions (tocolytics)
Stitch to stop cervix from dilating
AIDET ✔️Ans - acknowledge, introduce, duration, explanation, thank you
First Trimester ✔️Ans - Conception to 13 weeks, 6 days
Physical Changes in the first trimester ✔️Ans - Tiredness, swollen breasts,
upset stomach, cravings or aversions, constipation, peeing a lot, headache,
heartburn, weight loss or gain
Emotional changes in first trimester ✔️Ans - Mood swings, fear, emotional
outbursts, doubt
Tests/ Procedures in first trimester ✔️Ans - Ultrasounds to establish due
date
Blood tests and labs (looking for HGH)
Pregnancy confirmation test
PAP
NIPT (non-invasive testing for genetic abnormalities)
