DOULA CERTIFICATION EXAM 2024 ACTUAL EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS), Exams of Nursing

Download DOULA CERTIFICATION EXAM 2024 ACTUAL EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS) and more Exams Nursing in PDF only on Docsity! DOULA CERTIFICATION EXAM 2024 ACTUAL EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS) | GRADED A+ | LATEST VERSION 1. Which of the following is not a responsibility of the doula? -----CORRECT ANSWER-----------a. Providing emotional, spiritual, and physical support for the expectant mother and her partner throughout the pregnancy. b. To provide only information that is based on evidence. c. To advise the mother and her partner what the doula believes is best for them. d. Meet the mother's primary healthcare provider. ANSWER: C 2. The technique of attention focusing: -----CORRECT ANSWER-----------a. Always uses a visual object as the focus of attention. b. Diverts the mother's attention away from her labor pains by having her concentrate on something else. c. Is used by the mother's partner when timing contractions. d. Is encouraged by the doula while helping the mother and her partner create the personalized birth plan. ANSWER: B 3. The birth plan includes: -----CORRECT ANSWER-----------a. Names of mother's support team. b. A Plan B in case of difficult labor or other unexpected events. c. Personal statement from mother describing her beliefs, values, and preferences. d. All of the above. ANSWER: D 4. When the doula identifies a mother's need that s/he doubts is in her scope of practice, s/he: -----CORRECT ANSWER-----------a. Does the best s/he can. b. Asks the mother's partner what they think. c. Keeps an eye on the situation. d. Refers the mother to the appropriate resources for her needs. ANSWER: D 5. Which of the following statements is false? -----CORRECT ANSWER----- ------a. Women who have doula support require less pain medication than women without doula support. b. Women with doula support report more negative feelings about their experience in childbirth than those without doula support. c. A doula provides continuous physical, emotional, spiritual, and informational support to the expectant mother and her partner during labor, delivery and in the immediate postpartum period. d. Hygiene, better overall health, and antibiotics were responsible for a dramatic drop in maternal morbidity and mortality in the 20th century. ANSWER: B 1. Approximately 80% of our waking hours are spent in some form of communication. Which form accounts for half of that 80%? -----CORRECT ANSWER-----------a. Writing b. Reading c. Listening d. Speaking ANSWER: C 4. How can a doula help to create a safe environment for her/his pregnant client? -----CORRECT ANSWER-----------a. Dim the lights, play soft music of the woman's choosing. b. Encourage the woman to bring familiar items and use her labor space in ways that will enhance her feelings of security and comfort. c. Neither a nor b d. Both a and b ANSWER: D 5. Which statement is incorrect? -----CORRECT ANSWER-----------a. Parents should never put a rear-facing infant or convertible seat in the front seat of the car, but always use the rear seat. b. The higher priced car seats are always the best ones to choose for your baby. c. If you borrow a car seat, you should make sure that it is not more than 6 years old and was never in a crash. d. Parents should be sure to register their new car seat so that they can be notified of any problems or recalls. ANSWER: B 1. On average, a woman's foot can grow by ___________during pregnancy. -----CORRECT ANSWER-----------a. ½ inch b. ¾ inch c. half a size or more d. one size ANSWER: C 2. During pregnancy, the amount of air moved in and out of the lungs increases by nearly 50% because _____ -----CORRECT ANSWER----------- a. the mother is breathing for two. b. each breath has a greater volume of air. c. the rate of breathing increases slightly. d. b and c. ANSWER: D 3. Some women experience vision changes during pregnancy, characterized by increased ___________. -----CORRECT ANSWER--------- --a. Night blindness b. Near sightedness c. Far sightedness d. Blurred vision ANSWER: B 4. Which of the following are common skin changes in pregnancy? ----- CORRECT ANSWER-----------a. Melasma b. Darkening of moles, freckles, and birthmarks c. Folliculitis d. Striae gravidarum e. All of the above ANSWER: E 5.The chief hormone or hormones in pregnancy is/are: -----CORRECT ANSWER-----------a. Aldosterone b. Estrogen c. Progesterone d. A and B e. B and C ANSWER: E 1. Which of the following statements is incorrect? -----CORRECT ANSWER-----------a. Recent research has found that drinking alcohol, particularly in the first three months of pregnancy, increases the risk of premature birth and low birth weight. b. Controlling weight gain is more difficult later in pregnancy; so a woman should try to avoid gaining too much weight during the first months. c. Dieting to lose weight during pregnancy is recommended for obese women because some weight gain is not essential for the fetus to develop normally. d. Sexual intercourse is safe throughout pregnancy unless a woman has vaginal bleeding, pain, leakage of amniotic fluid, or uterine contractions. ANSWER: C 2. Whole body health refers to good health in which areas? -----CORRECT ANSWER-----------a. Emotional, intellectual, physical, mental, spiritual and environmental health b. Occupational, intellectual, physical, mental, spiritual, and dental health c. Physical, emotional, occupational, mental, environmental, and spiritual health d. Intellectual, physical, social, mental, occupational, and spiritual health ANSWER: A 3. The United States has the lowest infant mortality in the world. ----- CORRECT ANSWER-----------a. True b. False ANSWER: B 4. Which statement is correct? -----CORRECT ANSWER-----------a. Despite what research says, it seems that the body, mind and spirit have no connection. b. Positive beliefs, comfort and strength gained from religion cannot contribute to healing. c. There is no known way to improve your spiritual health; you either have it or you don't. d. Improving your spiritual health may help you feel better and even prevent some health problems. ANSWER: D 2. The basis of doula care is social support, and maternal social support has been shown to _______. -----CORRECT ANSWER-----------a. Offer benefits to socially disadvantaged mothers and their children. b. Reduce the risk of child abuse and neglect. c. Aid in the diagnosis and treatment of postpartum depression. d. All of the above. ANSWER: D 3. What is the most unique and significant aspect of the doula's role? ----- CORRECT ANSWER-----------a. The doula learns the policies of the physician and of the hospital in which her clients will give birth. b. The doula's presence during labor has been demonstrated to give a woman confidence and provide greater satisfaction in birth. c. Maintaining a continuous presence during labor and birth to support the mother. d. Doulas do not perform clinical tasks, make medical decisions for women and their families, or offer opinions. ANSWER: C 4. Which statement is correct? -----CORRECT ANSWER-----------a. It has been shown that a woman's memories of birth as a positive or negative experience are formed by the process of delivery itself. b. A birth that begins with many interventions and ends in cesarean section after 18 to 24 hours of labor can still be a positive experience for a woman if she enjoyed continuous nurturing presence. c. Laboring women's memories of their births were not affected by the quality of care they received while in labor. d. Stress and fear do not significantly inhibit the progression of labor. ANSWER: B 5. In labor, all of the following techniques reduce the laboring woman's awareness of pain except____ -----CORRECT ANSWER-----------a. Lying completely still on her back b. Massage c. Hydrotherapy d. Rhythmic activity ANSWER: A 1. The dilation stage of labor is when the cervix begins to open and consists of ___ phases. -----CORRECT ANSWER-----------a. 5 b. 4 c. 3 d. 2 ANSWER: B 2. Which of the following statements is incorrect? -----CORRECT ANSWER-----------a. The first phase of the dilation stage is prelabor. b. The maximum intensity of contractions usually occurs when the cervix has opened to 5 or 6 centimeters. c. The difference between early labor and prelabor is that the cervix opens gradually during early labor. d. By the time the cervix has opened to 8 or 9 centimeters, the contractions will come every 2 to 4 minutes. ANSWER: A 3. Which of the following statements is correct? -----CORRECT ANSWER-- ---------a. The resting phase usually lasts from 10 to 30 minutes. b. During the resting phase, the muscle fibers in the uterus stretch. c. For most first-time mothers, the birth stage is completed in less than one hour; and for most mothers who have given birth before, in two hours or less. d. During the birthing stage, all caregivers are of the opinion that it is best to let birth unfold spontaneously. ANSWER: A 4. During the descent phase when the mother is pushing or bearing down, how long will it usually be before the baby's head is visible at the vaginal opening? -----CORRECT ANSWER-----------a. 20 to 30 minutes b. 30 to 45 minutes c. 1 to 2 hours d. 2 to 3 hours ANSWER: C 5. Which is the longest phase of the birthing stage? -----CORRECT ANSWER-----------a. Descent b. Resting c. Crowning and birth d. Dilation ANSWER: A 1. Which of the following statements is incorrect? -----CORRECT ANSWER-----------a. Long-term disabilities caused by premature birth include behavior problems. b. Premature birth can cause a baby to have lung and breathing problems, including asthma. c. Premature babies often need services that help with development and learning. d. A history of prior preterm deliveries does not place the patient at high- risk of preterm birth. ANSWER: D 2. Which is the following statement(s) is/are true? -----CORRECT ANSWER-----------a. Breast-feeding is discouraged for most women who take medication for high blood pressure. b. Women with gestational hypertension have high blood pressure that develops after 20 weeks of pregnancy. 5. The benefits of not performing an episiotomy include: -----CORRECT ANSWER-----------a. Less pain after the baby is born b. Less relaxation of the pelvic muscles c. Better sexual function later d. All of the above e. None of the above ANSWER: D 1. The postpartum doula's biggest responsibility is to ensure that _________ -----CORRECT ANSWER-----------a. The newborn has enough diapers for two days. b. The mother keeps her postpartum checkup appointment. c. The mother is well-fed, hydrated, and rested. d. Visitors are discouraged for a month. ANSWER: C 2. For every breastfeeding support visit, the doula should _______ ----- CORRECT ANSWER-----------a. Provide a new educational video for the mother to view. b. Devote 1.5 - 2 hours of time together, where you will make sure that everything is set up for your client's success. c. Make sure the mother has all the privacy she needs. d. Both a and b e. Neither a nor b ANSWER: B 3. The main thing that causes sore nipples is _________ -----CORRECT ANSWER-----------a. Not letting nipples dry between feedings. b. Breast pads that contain plastic. c. The baby is not latching on correctly. d. Too frequent feeding. ANSWER: C 4. If new mothers may ask how often they should feed their babies, the doula's answer should be: _______ -----CORRECT ANSWER-----------a. You should feed the baby as often as it wants to be fed. b. You should limit nursing to six times day. c. Feed the baby only during the daytime to train it to sleep all night, d. As often as possible for the first week, and limit feeding to five times daily afterwards ANSWERS: A 5. When nursing, a woman needs ________ calories a day than usual. ----- CORRECT ANSWER-----------a. 1000 more b. 500 less c. The same amount d. 500 more ANSWER: D What percent of new mothers experience some sort of "baby blues"? ----- CORRECT ANSWER-----------70-80% Marshmallow Root -----CORRECT ANSWER-----------soothing moisturizer, healing for external wounds and dry cracked skin (simmer for 20 minutes and strain) Calendula -----CORRECT ANSWER-----------From the marigold plant; good for itching, swelling & acne. Healing, soothing, anti-inflammatory Comfrey -----CORRECT ANSWER-----------Has many beneficial and soothing qualities; contains allantoin. Healing, moisturizing and emollient. Topical abrasions and repairing skin close to normal. Witch Hazel -----CORRECT ANSWER-----------Extracted from the bark of the hamanelis shrub; can be a soothing agent or, in higher concentrations, an astringent. Slippery Elm -----CORRECT ANSWER-----------Yoni Steam. Soothing for perineum and provides slippery healing balm. Doula's Role Postpartum -----CORRECT ANSWER-----------Processing major birth events, navigating hormonal and bodily changes, and shifting mentality to postpartum. Postpartum preference plan. lochia -----CORRECT ANSWER-----------the postpartum vaginal discharge that typically continues for 4-6 weeks after childbirth. Maternal morbidity -----CORRECT ANSWER-----------short or long term health conditions that stem from child birth/pregnancy. maternal mortality -----CORRECT ANSWER-----------deaths that are pregnancy related during or up to one year postpartum APGAR -----CORRECT ANSWER-----------appearance, pulse, grimace, activity, respiration Doula -----CORRECT ANSWER-----------A caregiver who provides continuous physical, emotional, and educational support for the mother before, during, and after childbirth. Vitamin for Fertility and Conception -----CORRECT ANSWER-----------Folic Acid (Vit B): collard greens, broccoli, grits, mollasses, kale, cabbage, salmon, strawberries Iron during Pregnancy -----CORRECT ANSWER-----------Very important! Spinach, dark leafy greens, seafood, dried beans, lentils Brreastfeeding Nutrient -----CORRECT ANSWER-----------Iodine Nausea Herbs -----CORRECT ANSWER-----------Peppermint, ginger root Breastfeeding Herbs -----CORRECT ANSWER-----------Fennel Comfort Measures -----CORRECT ANSWER-----------Aromatherapy, Heated rice sock, stretching, maternity belt, acupuncture, birth ball, scalp massager, Birth Ceremonies -----CORRECT ANSWER-----------Smudging, Herbal Bath, Mother Blessing Ceremony premature labor -----CORRECT ANSWER-----------Under 37 weeks Primiparous ------CORRECT ANSWER-------------first baby Multiparous ------CORRECT ANSWER-------------second or more baby "Pregnancy does not cure __________." ------CORRECT ANSWER---------- ---Infertility "There's no such thing as a wasted _______. Every _____ you have is preparing you for pregnancy." ------CORRECT ANSWER------------- Contraction During the first trimester, you may see the which three symptoms? ------ CORRECT ANSWER-------------Nausea Vomiting Fatigue ^ These usually go away at the end of the first trimester, but not always.... ____________ are good for nausea because they have protein. Don't suggest that clients take crackers; glucose/insulin/nausea are connected. -- ----CORRECT ANSWER-------------Cheese cubes Describe the second trimester. ------CORRECT ANSWER-------------Less tired; fatigue is better than it was during first trimester First stage of lactation occurs; breasts enlarge (nipple areola gets darker throughout pregnancy; nipples get darker throughout pregnancy, so that the baby can see nipples. Babies do not see color, but they do see contrast.) May have backaches during this trimester, but overall, is a happy trimester Describe the third trimester. ------CORRECT ANSWER-------------Test for glucose intolerance ("glucose challenge test) A.) Fasting test, B.) 1 hour test, C.) 2-hour test, D.) 3-hour test If you do not pass 2 or 3 hour test, it's an issue Shortness of breath; this is because babies are starting to grow up. Increased blood volume (your body is anticipating that you will lose blood; so it's making more blood). Your skin will look puffier, and you will experience swelling. - Anyone who is mildly anemic should eat an iron-rich diet (egg yolks, spinach, dark green leafy vegetables, and organs. And you NEED to have a Vitamin C) - Fast onset swelling or extreme facial swelling is not normal. However, waking up not swelled and swelling throughout the day is normal. Heartburn - Dehydrated papaya (papaya enzymes helps) Cartlidge becomes soft; this is why some women "waddle;" this is cartilage in our knees. This is why the pregnant person should not do intensive exercise. Pounds to gain during 1st, 2nd, and 3rd trimester ------CORRECT ANSWER-------------1st trimester = 5 pounds 2nd trimester = 1 pound per week Harmful things to avoid during pregnancy ------CORRECT ANSWER--------- ----Smoking Alcohol Drugs Herbal products Stress (cortisol causes inflammation) Refined sugars and processed foods (focus on whole foods instead) Tightening or shortening of a muscle ------CORRECT ANSWER------------- Contraction During an active contraction, you will feel... ------CORRECT ANSWER------- ------Back ache, lower back tugging, and hypoxia (lack of oxygen). The last contraction is... ------CORRECT ANSWER-------------progressive (gets longer, more intense) The strongest muscle in the body is the ------CORRECT ANSWER------------ -9-month uterus Timing Your Contractions ------CORRECT ANSWER-------------The time between the beginning of one contraction and the beginning of the next is HOW FAR APART THEY ARE At the beginning of the contraction, the belly is completely soft. Then the contraction starts to build... Doula role: "As soon as it starts to go away (the contraction), it's over. The contractions are five minutes apart, and 1 minute long." Options in Pre-Labor (things you can say no to) ------CORRECT ANSWER- ------------Internal exams (vaginal exams) Group B strep test - done at 36 weeks Ultrasound/non-stress/biophysical induction (women should go to this after they had their morning snack, when they are hydrated, and when their baby is awake) "Big Baby" ------CORRECT ANSWER-------------9 pounds or more Doctors are afraid to deliver big babies because they are afraid of getting sewed for the baby's shoulders getting stuck. Options during labor ------CORRECT ANSWER-------------Labor augmentation Pain management IV drip/heplock Instrument delivery Movement restriction Episiotomy Fetal monitoring Cesarean birth If necessary, forceps are better than a ______, which is an absolute no. ---- --CORRECT ANSWER-------------Vacuum Use your "BRAIN" when thinking of the options that you have ------ CORRECT ANSWER-------------B - Benefit (What are the benefits?) R - Risk (What are the risks?) A - Alternatives (Are there any other options?) I -Intuitions (What is your gut/soul telling you?) N- Now (Does it have to happen now? Give me an hour to think about this." Options in labor ------CORRECT ANSWER-------------Immediate skin to skin Cordcutting Erythromycin (Ointment given to babies to prevent the transmission of gonorrhea or chlamydia to the baby) Vitamin K Hepatitis B Breastfeeding Rooming in Circumcision Preterm ------CORRECT ANSWER-------------You go into labor before 37 weeks Post-term ------CORRECT ANSWER-------------After 42 weeks is post-term. After 43 weeks, there is a higher risk for stillbirth. Full-term ------CORRECT ANSWER-------------39 to 41 weeks pregnant Most families asked for a doula around _____ weeks of pregnancy ------ CORRECT ANSWER-------------28 weeks Things to ask a family who is hiring a doula ------CORRECT ANSWER------- ------Relationship between partner/partner's role Fears and concerns about pregnancy (Tell the family to write down their fears or concerns about: the rest of your pregnancy, labor itself, and becoming a parent. Advise them to jot these down either once they wake up in the morning, or before they go to bed at night) Name your fear, and the plan how you will address the fear when it comes up Medical history General expectations Cultural/religious restrictions and preferences Elements of a good birthing experience - how mothers want to feel ------ CORRECT ANSWER-------------Supported Heard/listened to Nurtured Feeling in control * Dealing with rude medical staff ------CORRECT ANSWER-------------If something inappropriate happens (nurse says something racist or against your client), ask to speak to the charge nurse. "It feels like we've done something wrong here - you seem to be annoyed with me and the birthing person. We're really excited about this birth today, let us know if there's anything that we can do to make this situation better for all of us." HOW does the Doula ask questions during labor? ------CORRECT ANSWER-------------The key is to always give an option when asking a question. This way, the pregnant person feels like she is in control. Ex 1: Do you want some apple juice OR orange juice? Ex 2: Do you want to take a shower OR do you want to sit on a birth ball? What is the role of the doula? ------CORRECT ANSWER-------------Provide comfort Support (informational, physical, emotional) Encourage Create a sense of community Motivate Empower Create plan (birth, postpartum) Support families Doulas Do NOT ------CORRECT ANSWER-------------Do anything clinical Make decisions for people Speak for people Judge Business Side - Hiring Families -- list the main 5 steps in the process ------ CORRECT ANSWER-------------1. Families request you. 2. Send them an intake form. 3. Have a virtual interview, no more than 45 minutes. 4. Next morning, send a follow up thank you email 5. Once the family confirms they want to work with you, send them the contract to sign. 1/3 payment up front with contract (covers prenatal visits, being on call) Remaining 2/3 at 36-week mark (Covers birth and postpartum visit)