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Postpartum Certification Exam
April 4, 2017
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You are now taking the Madriella Postpartum Doula Certification Examination.
Name
Who paid for this exam? (The name on the credit card)
Email
Phone Number
How can you assist a mother that is anxious about dropping the baby?
---Select an answer below----
By showing her how to “baby proof” the house, clearing all walkways of tripping obstacles.
Remind her that she usually doesn’t drop things, so why should the baby be any different?
By offering to carry the baby for her for the first couple of days.
None of the above.
When can a new mother expect a surge in breast milk production?
---Select an answer below----
Within three to six weeks after her delivery.
Within three to six days after her delivery.
Within three to six minutes after her delivery.
None of the above.
Which of the following is NOT a possible symptom of postpartum depression?
---Select an answer below----
Having no energy
Hyperactivity
No interest in the baby
Trouble focusing, remembering, or making decisions
What is the overriding concern for postpartum care?
---Select an answer below----
The mother and baby get to bond after birth.
All medical orders and prescriptions are followed.
The mother should eat well and get lots of sleep.
None of the above.
In case your client asks, perineal healing is generally sufficient to allow resumption of sexual intercourse somewhere between _____________ postpartum.
---Select an answer below----
Four and six days
Four and six weeks
Four and six months
None of the above.
If your client is recovering from a cesarean birth and is in pain, but doesn’t want to take her medication out of fear that it will be passed on to the baby while nursing, what should you tell her?
---Select an answer below----
She should just grit her teeth and go with out the medication.
Some may go to the baby, but not enough to be harmful.
She should not worry so much.
None of the above.
What can a Doula do to help a mother with other children?
---Select an answer below----
Suggest she send them to stay with other family members for the first 30 days.
Instruct the husband on what he should be doing to help.
Offer to assist with errands, meal preparation, laundry, etc.
None of the above.
In the womb the baby receive the hormonal cues for drowsiness from their mother’s hormones, but when they are born their sleep cycle is governed largely by what timetable?
---Select an answer below----
The length of time it takes them to feed, digest, and get hungry again.
How often they go to the bathroom.
When the sun is up.
None of the above.
What is a sitz bath?
---Select an answer below----
A bath in which your client sits in water up to her hips.
A specialized shower table found in high-end birthing centers.
A spa treatment that involves aromatherapy oils and herbs.
None of the above.
Which hormone makes the mother (and the newborn baby) want to be awake?
---Select an answer below----
Cortisol
Melatonin
Serotonin
None of the above
When is it safe for a mother to start doing pelvic floor exercises?
---Select an answer below----
Within the first few weeks of birth.
Within the first few days of birth.
Within the first few hours of birth.
None of the above.
This is a form of anxiety with which the sufferer feels very nervous and has recurring panic attacks.
---Select an answer below----
Postpartum Misanthropic Schemata
Postpartum Panic Disorder
Postpartum Circadian Rhythm disorder.
None of the above.
A ___________________is defined as the loss of more than 500 mL of blood after delivery, and it occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries.
---Select an answer below----
Postpartum hemorrhage
Postpartum infection
Postpartum phlebitis
None of the above.
What can a new mother do to help normalize her babies sleep patterns?
---Select an answer below----
Include the baby in her daily activities.
Reduce the amount of stimulation at night.
Expose the baby to natural light patterns.
All of the above.
Which of the following tasks is inappropriate for a postpartum doula?
---Select an answer below----
Teaching the mother how to breastfeed.
Administering prescribed medication to the mother or newborn.
Demonstrating correct diapering procedures.
None of the above.
What is the Edinburgh Postnatal Depression Scale?
---Select an answer below----
A medicinal cocktail used to treat postpartum depression.
A set of screening questions that can identify postpartum depression.
A set of mental exercises that can assist in mood stability.
None of the above.
What emotional factors may come in to play when a woman has an unplanned cesarean birth?
---Select an answer below----
She may feel like she failed at giving birth.
She may feel like her birth doula failed her.
She may feel resentment, depression or guilt.
All of the above are possible.
Which symptom is a sign of possible danger following a cesarean birth?
---Select an answer below----
If she has a fever in excess of 100 degrees Fahrenheit.
Has a foul-smelling vaginal discharge.
Abrupt pain in the abdomen, including tenderness or burning.
All of the above.
Pregnancy and postpartum are both periods of change for the mother. How is the change different?
---Select an answer below----
Pregnancy is a slow and gradual change, postpartum is dramatic and swift.
In pregnancy the change is largely physical.
In postpartum the change is largely emotional.
None of the above.
What is the advantage of breastfeeding?
---Select an answer below----
It provides the babies first immunizations.
It helps babies to resist allergies.
Babies cannot be overfed with breastfeeding.
All of the above.
Why is skin-to-skin bonding important?
---Select an answer below----
Studies of infants show that you cannot hold the baby enough in the first 6 months of life.
Skin-to-skin contact helps to mature her baby’s autonomic nervous system.
Babies cannot auto-regulate their own basic body systems very well.
All of the above.
The primary purpose of the postpartum doula is to help the mother and the entire family do what?
---Select an answer below----
Transition into life with a newborn.
Recover and heal from traumatic births.
Get their lives back to the way it was before pregnancy.
None of the above.
Which hormone makes the mother (and the newborn baby) want to sleep?
---Select an answer below----
Cortisol
Melatonin
Serotonin
None of the above
Postpartum doulas do not perform any medical or “clinical tasks”, yet the Madriella curriculum contains medical information. Why is that?
---Select an answer below----
In an emergency you might have to perform a medical task.
Some doulas are also nurses and it’s good for them to brush up.
Part of being a doula is providing informational support to the mother.
None of the above.
Fill in the blank
The role of a postpartum doula is one of _________________; you are teaching and empowering the new mother and family members while lending a hand with some tasks in order to keep them from getting overwhelmed.
---Select an answer below----
Instructional assistance
Horizontal direction
Unconditional acceptance
None of the above.
Why is it appropriate for a postpartum doula to offer to run errands for the mother?
---Select an answer below----
The mother might not feel comfortable leaving her house because of “nesting” instincts.
Doctors recommend new mothers do not drive for two or more weeks following delivery.
The lack of sleep may cause the mother to be a careless driver.
None of the above.
A mother that has had a cesarean birth should avoid heavy lifting for at least ___________.
---Select an answer below----
6-10 days.
Up to 6 weeks.
Up to 6 months.
None of the above.
Fatigue, sleep problems, low energy, and changes in weight, are common after having a baby, but they can be symptoms of what condition?
---Select an answer below----
Postpartum thyroiditis
Postpartum septicemia
Postpartum phlebitis
None of the above.
One of the most important factors in recovering from an episiotomy is __________.
---Select an answer below----
Attitude.
Hygiene.
The skill of the doctor.
None of the above.
Why should a new mother engage in pelvic floor exercises?
---Select an answer below----
It will promote healing.
It will improve blood flow to the area and improve pelvic floor tone.
It will protect her against having accidental urine leaks.
All of the above
What reassurance could you give a mother that is worried about her baby being cold?
---Select an answer below----
Babies should wear one light layer more than what the mom is comfortable wearing.
Most pediatricians recommend dressing the baby in as many layers as possible.
Most pediatricians recommend babies wear less than the mother, since they are always warm.
None of the above.
What can you suggest a mother try when dealing with colic?
---Select an answer below----
Motion (car rides, swings, etc).
Position changes (lay them on their belly and pat their back).
Reduce external stimuli (turn off the lights and turn down the TV)
All of the above.
What is lochia?
---Select an answer below----
A vaginal discharge, it is the tissue and blood that lined her uterus during pregnancy.
A postoperative infection common with cesarean births.
Local inflammation of the perineal region.
None of the above.
One of the most common fears of new parents is that the baby will stop breathing while they are sleeping, or will smother in their crib. What are common sense safety measures they can do to put them at ease?
---Select an answer below----
They should put the baby to sleep on their back.
They should use a well-made and properly assembled crib.
They should keep pillows, and stuffed animals out of the crib.
All of the above.
If it hurts to urinate, she doesn't think she is emptying her bladder fully and she has an unusually frequent urge to urinate, your client may have__________________.
---Select an answer below----
Urinary tract infection (UTI)
Vaginal prolapse
Guillain barre syndrome urinary retention
None of the above.
A mother recovering from an episiotomy can speed recovery by doing what?
---Select an answer below----
Keeping the area dry and exposed to air as often as possible.
Avoiding straining during bowel movements.
Rinse the area gently after going to the bathroom.
All of the above.
Hemorrhoids are a fairly common complaint for women in the postpartum period. What is something she can do to relieve the discomfort?
---Select an answer below----
She can soak in a warm tub.
She can apply medicated pads to the affected area.
She can use a doctor recommended topical hemorrhoid medication
All of the above.
How is Baby colic defined?
---Select an answer below----
Crying for more than three hours a day for more than three days a week for three weeks.
Babies that consistently refuse to go to sleep.
Babies that have difficulty burping after feeding.
None of the above.
What was the focus of the National Institute of Child Health and Human Development "Back to Sleep" campaign in 1994?
---Select an answer below----
The recommendation that babies sleep on their backs or sides to reduce the risk of SIDS.
The recommendation that babies not be picked up when crying at night.
The recommendation that babies be put right back to sleep after feeding.
None of the above.
A normal adults sleep patterns are based on what physiological cycle?
---Select an answer below----
The Circadian Rhythm.
The Doze Track
The Krueger Cycle.
None of the above.
