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Birth Doula Certification – Questions With Solutions
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Birth Doula Certification – Questions With SolutionsName the six parts to a typical vertex delivery ✔️Ans - 1. engagement
2. descent and flexion of fetal head
3. internal rotation
4. delivery by extension
5. restitution
6. external rotation
Engagement ✔️Ans - of the fetal head in the transverse (baby is laying
horizontally). baby's head is facing across the pelvis.
Descent and flexion of fetal head ✔️Ans - baby begins descending into
pelvis and extends or flexes. baby is still facing one side of mother.
Internal rotation ✔️Ans - fetal head rotates 90 degrees to the occipital-
anterior (baby is laying head down and facing back of mom)
Restitution ✔️Ans - fetal head turns 45 degrees to restore relationship
with its shoulders; which are still at an angle.
External rotation ✔️Ans - shoulders repeat the corkscrew ,movements of
the head, which can be seen in the final movements of the fetal head.
Station ✔️Ans - refers to relationship of fetal presenting part to the level
of the ischial spines.
When the presenting part is at the ischial spines, the station is 0; synonymous
with engagement.
When the presenting part is above the spines, the distance is measured as
minus stations which range from -1 to -4 cm.
When the presenting part is below the spines, the distance is measured as
plus stations which range from +1 to +4 cm.
First Stage of Labor (1.1) ✔️Ans - Latent Phase: Quiscent Phase;
Prodromal Labor; Pre-Labor
, begins at point where woman perceives regular uterine contractions (these
are different from Braxton-hicks)
latent phase ends with onset of active first stage
First Stage of Labor (1.2) ✔️Ans - Active Phase:
definition shifts slightly depending where you are.
USA: 5 cm dilation for multiparous women
JPN: 7 cm dilation; contractions become stronger and longer, lasting about one
minutes and repeating every 2-4 hours.
Second Stage of Labor ✔️Ans - Fetal Expulsion:
stimulated by prostaglandins and oxytocin. begins when the cervix usefully
dilated and ends when the baby is born.
beginning of normal second stage, the head is fully engaged in pelvis
fetal head continues descent into pelvis, below pubic arch, and out through
the vaginal Introits (opening).
- this is all assisted by mom pushing!!
this stage will vary by factors including parity (# babies woman has had), fetal
size, anesthesia, and presence of infection
Third Stage ✔️Ans - Placenta Delivery:
the period from just after fetus is expelled until just after the placenta is
expelled.
usually 10-12 minutes after baby is delivered.
3% of vaginal deliveries, the duration of this stage lasts longer than 30
minutes.
delaying clamping until at least one minutes after birth improves outcomes as
long as there is the ability to treat jaundice if it occurs.
obstetrician (OB) ✔️Ans - doctor who has special training in women's
health and pregnancy
specialize in both caring for women during pregnancy and labor and
delivering their babies
some OB's have advanced training in caring for high risk pregnancies
(maternal-fetal medicine specialists / perinatologists)
family practice doctor (FP) ✔️Ans - doctor who has studied family
practice medicine.
can treat many illnesses and conditions and treats men and women of all ages.
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