You are now taking the Madriella Birth Doula Certification Examination.

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According to the text (Chapter 5), what is the most intense part of the labor process?

What exercise can you do to help prevent headaches caused by stress?

What is Prodromal Labor?

How does a Doula know when to encourage a woman to push?

Where is fetal monitoring placed?

What kind of language should she use in her birth plan?

What is the purpose of the cleansing breath?

What is meant by "informing rather than directing" the mother?

What is the benefit for the baby in the lunging position?

A Typical first birth for a woman could last how long?

What tool should the Doula be prepared to use in the delivery room?

What contingency should you have in place if you have two mothers with very close due dates?

What is the Doulas job when it comes to writing the birth plan?

What does the term "efface" mean?

What position allows the Doula to administer massage and counter pressure to relieve the pain of back labor?

What medical procedures are routinely done when a laboring woman is first admitted?

What is recommended for a home birth?

The Active Phase of Active Labor requires what type of support from the Doula?

Which of the following is not part of the Bony Pelvis?

What type of movements are helpful when the baby is trying to move into the pelvis during the first stage?

What physical support measures are employed by a Doula?

How does a Doula know what type of support a woman needs during labor?

What should the Doula be watching out for during the Prodromal Labor stage?

What can a woman use to relieve back pain and pressure on the pelvis during pregnancy?

What is the pelvic inlet?

What should the Doula be doing during the Latent Phase of Active Labor?

What are Endorphins?

What kind of women can have birth in a birthing center?

Why are some women so uncomfortable during pregnancy?

Why is the squatting position called the “midwifes forceps”?

What is a contraction?

What does the term station refer to?

Why should Doulas be familiar with hospital procedures?

How does a birth plan help facilitate communication with the doctor?

When do most client-Doula relationships begin?

What is a benefit to walking during early labor?

Which list correctly shows the Five Facets of Doula Support?

What is the benefit to tailor sitting?

What benefits are gained by doing prebirth exercises at home?

How can you assist a woman doing standing lunges?

Which hormone has a stimulating effect on the uterine muscles?

Which term best describes a birth plan?

What can a Doula do for a woman that does not want to have a catheter while she is in labor?

What muscles cause pain in the upper back?

What percentage of new mothers are effected by the postpartum blues?

What information should your Doula contract cover?

Why should caffeine be avoided?

What does the term “self-advocacy” mean in the context of birth planning?

Which of the following is NOT a crucial element of the birth plan?

How doe the cartilage joint in the front of the pelvis accommodate the birthing process?

What is the overriding concern when it comes to changing positions in birth?

How does relaxation affect the Uterus?

Why is controlled breathing often used in labor?

What is a contraction?

Why should a woman practice relaxation techniques during labor?

How much can you charge for each hour you spend in the delivery room with the mother?

Why are Doulas not required to be licensed?

How does writing a birth plan help a woman psychologically deal with the hospital procedures?

What can a Doula do to make sure she is well received at a birthing center or hospital?

What advice is appropriate when it comes to contractions?

Which hormone has a relaxing effect on the cartilage and joints?

What may be a serious cause of birth anxiety for a woman?

How long does a Doula have to stay with a woman in labor?

Why is it important to provide informational support to a woman preparing to give birth?

What can a woman do in the supported squatting position if she wants to turn the baby?

How can you provide physical relief for a woman experiencing “back labor”?

What is the most common cause of pain in breastfeeding?

Why are some men uncomfortable being an active participant in the birth process?

What should the Doula do if the medical staff insists on a procedure the mother specified that she did not want done in her birth plan?

What does it mean to be a Certified Doula?

What should the Doula do during the first home visit?

What technique can be utilized to create more room in the pelvis?

What causes “back labor” in women?

What should a Doula do to prepare for working in local hospitals?

What is the benefit for the mother in a waterbirth?

What is a Fundal massage?

What is involved in the “Puppet-strings” method?

How doe the cartilage joint in the front of the pelvis accommodate the birthing process?

Why do some hospitals and birth centers limit food and water intake during labor?

What is the purpose of the IV infusion of Ringer's lactate?

Why does a woman need a birth plan?

What can you encourage her to do when the baby is crowning to motivate her to keep pushing?

How much of the breast tissue should be in the infants mouth?

Where should a Doula be during delivery?

What is auscultation?

What benefits do relaxation exercises give the mother during labor?

What is a focal point?

How does Blood Catecholamine levels effect labor?

What is the advantage of breastfeeding?

What is the benefit to semi-sitting?

What is the purpose of a focal point?

How many times should a Doula visit the mother at her home?

What causes back pain in pregnant women?

What is a Doula?

What is a possible consequence for a Doula that violates her contract?

Where is an Epidural placed?

How does changing position during labor benefit the mother?

What causes pelvic pain during the latter part of pregnancy?

Where do 99% of all births occur in the United States?

What benefits can be gained by practicing birth positions with a Doula?

Why would you write a different birth plan for different members of the birth team?

What is the purpose of a contract?

What body system creates Hormones?

What advice is appropriate when it comes to contractions?

What should the Doula do during Prodromal Labor?

What should you do if you do not have a stand-in Doula and a mother wants to hire you and her baby is due on the same day as a client you have already contracted with?

What percentage of non-Doula assisted births are C-sections?

What is the most common fetal presentation in birth?

What muscles should be stretched to alleviate pain in the lower back?

Why is there a need for postpartum support?

What are the "Powers" in the 3Ps referring to?

How does the medical community as a whole view Doula support?

Who is in charge of the birth team?

Why do more women prefer to give birth in hospitals than at home?

What is the difference in care between birthing centers and hospitals?

Why is it important for a woman to practice relaxation techniques in different positions?

Why are childbirth classes not very helpful in preparing a mother for the postpartum period?

What is happening to the mothers body in the first 3-7 days after the birth?

What is the educational standard for Doulas?

What are camelback contractions?

What is the purpose of “tense and release” exercises?

How does changing position during labor benefit the baby?

What is “touch relaxation” ?

Birthing centers specialize in what types of births?

What is the purpose of a Birth Plan?

Why is a birth plan called a living document?

What causes “back labor” in women?

What is “mental imagery”?

How does a Doula affect the length of labor?

Why does a Doula contract have to have a "negative element"?

How soon does symptoms of postpartum blues appear?

What percentage of women have back pain during pregnancy?

What are the benefits of squatting during labor?

What does a Doula do during a postpartum visit?

What is the goal of the Doula?

Why should the Doula not expect every hospital to be the same?

What should the Doula be doing during the Latent Phase of Birth?

What are the benefits of using a birth ball?

What percentage of Doula assisted births are C-sections?

What causes pain and cramps in the gastrocnemius (calf) muscle?

What is an Episiotomy?

What is a cleansing breath?

What does the term "descent" refer to?

Why should Doulas study the Physiology of Birth?

Why does a Doula have to research hospitals and birthing centers in her area?

What postbirth options could she consider?

How long can the Latent Phase of Active Labor last?

What should you be doing if your client is in the supported squatting position?

What changed for women when births moved from home to hospital?

How does medical staff measure the cervical dilation?

What can a woman do during labor to assist the baby in moving through the bony pelvis?

Why might a woman want to use the side-lying position?

What are Leopold’s maneuvers?

What are Hormones?

What is active listening?

How have hospitals attempted to soften the atmosphere of birth rooms?

What can a woman do during labor to assist the baby in moving through the bony pelvis?