Certified Childbirth Educator Practice Exam

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• The third trimester spans which weeks?
• Listeria infection is best described as which of the following?
• Beta endorphins have which effects?
• The first stage of labor can last anywhere from which range?
• The first stage of labor lasts about how long for a multipara?
• From the ninth week of gestation until birth, the developing human is called a fetus. What term is used for this stage?
• Which of the following is NOT one of the four cervix changes during labor?
• Breath-holding during pushing involves holding the breath and pushing for 10 seconds, repeated several times per contraction. What is the term for this practice?
• Which prenatal test involves sampling placental tissue to detect fetal abnormalities?
• What is the term for the typical sequence of fetal positions as it descends through the pelvis during labor?
• Which hormone produced in the pituitary gland stimulates uterine contractions to initiate labor and is also present during orgasm?
• Which of the following is NOT a described function of prolactin?
• Which term describes the cervix softening during labor?
• When the mother does not feel contractions or the urge to push, caregivers guide the pushing by specifying when, how long, and how hard to push. This is called?
• Which newborn prophylaxis involves preventing conjunctival infection after birth?
• Delayed cord clamping is defined as waiting until blood is no longer pulsing before clamping and cutting the umbilical cord. Typical duration?
• Vertex presentation accounts for approximately what percentage of births?
• Induction of labor tends to be more successful when the cervix is ripe, anterior and starting to efface and dilate.
• An expulsion of the fetus within less than 3 hours of the beginning of regular contractions is called
• During shoulder delivery, which shoulder is birthed first?
• What is the most favorable and most common fetal presentation?
• Which strategy is identified as improving recall in teaching?
• Which of the following is a listed benefit of skin-to-skin contact?
• The term that refers to the direction toward which the back of the baby's head (the occiput) or other presenting part lies is called what?
• Pitocin use carries which risk during labor?
• The International Childbirth Initiative is based on ___ and ___ care.
• Which non-medical comfort technique is Aromatherapy?
• Mothers who have ___ issues are more likely to develop postpartum depression.
• Which of the following is a member of the Circle of Care?
• To which structure are oocytes transported before fertilization can occur?
• What term describes the mother's urge to push as she follows her own body signals, increasing oxygen for the baby?
• This hormone from your ovaries relaxes and softens the ligaments, cartilage and cervix, making these tissues more stretchable and letting the pelvic joints spread during birth.
• Frank breech presentation is defined as which of the following?
• Contraction duration is defined as
• What learning approach involves weaving small segments of content across multiple class sessions to build on prior knowledge?
• Which domain pertains to attitudes toward a subject?
• In late pregnancy, this hormone has less effect on your uterus, letting contractions increase and start labor.
• In active labor, contractions typically occur how often and for how long?
• During descent in the second stage, the baby typically rotates into which position?
• Which two decisions are considered most impactful on birth outcomes?
• Gravida 2 refers to a woman who is
• Which term describes the placenta not expelled within 30 minutes after birth?
• Descent of the baby into the pelvis is described by which term?
• Which of the following is true about occiput posterior position?
• Which term describes noncancerous uterine growths that can develop during a woman's reproductive years?
• In active labor, contractions typically occur how often and for how long?
• Inducing labor is associated with which of the following outcomes?
• Nullipara means
• Which prenatal test examines fetal blood for abnormalities?
• This hormone comes from your baby, placenta and tissues within your uterus and increased levels late in pregnancy change the ratio of estrogen to progesterone.
• Which pelvic diameter is widest at the pelvic inlet?
• Which of the following is a recall-improving method aside from the Rule of 3?
• Oxytocin has calming and analgesic effects on mothers and babies, which statement best describes this effect?
• What is the severe form of nausea and vomiting during pregnancy called?
• Which is the last instinctive stage of the magical hour?
• Footling breech presentation refers to which scenario?
• Which description matches occiput posterior position?
• Which statement best describes pushing guidance during the second stage?
• Which of the following can be a result of catecholamines during labor?
• During active labor, the cervix normally dilates to what measurement?
• During which range of weeks is a developing human called an embryo?
• Early term is defined as how many weeks?
• Which of the following is a stated ICEA goal?
• Which pelvic diameter is widest at the pelvic outlet?
• For multiparas, the second stage is typically:
• Which newborn test is used to screen for metabolic or genetic disorders after birth?
• What are the 3 R's of labor & birth?
• Which prenatal test obtains tissue from the chorion to detect congenital abnormalities?
• Excessive bleeding after childbirth is called
• Complete breech presentation is characterized by which description?
• In transitions, cervical dilation progresses to ___.
• What are some examples of rhythm in labor?
• Which term describes a blood clot in a deep vein, usually in the legs?
• Which hormone is produced by the baby, placenta and tissues within the uterus and increases late in pregnancy to change the estrogen-to-progesterone ratio?
• What is eclampsia?
• In breastfeeding mothers, production of which hormones increases?
• How often is recertification required for Certified Childbirth Educator (CCE) credentials?
• Which two hormones decrease drastically in the first days postpartum?
• Oxytocin is often described as which of the following?
• Which sequence describes how the shoulders are delivered after the head?
• The second trimester spans which weeks?
• Which of the following is an emotional factor that influences labor?
• The umbilical cord drops through the open cervix ahead of the baby and can become trapped against the baby's body during delivery is called
• Breath-holding during pushing may decrease the amount of oxygen available for the baby.
• Which of the following are pre-labor signs?
• Meconium in the amniotic fluid indicates potential what?
• Which of the following is NOT one of the five components of caring?
• Most providers ask families to contact them when contractions reach which pattern?
• The milk supply should be well-established by six weeks postpartum. Which option restates this true statement?
• Preterm labor is defined as birth before the ___ week of pregnancy.
• Which action describes the cervix moving forward to an anterior position during labor?
• Which of the following is NOT a breech presentation?
• What are the ICEA's three core values?
• Post term pregnancy is defined as reaching how many weeks?
• Contraction intensity is defined by
• Which option correctly lists the four components of cervical change?
• As the head passes under the lower border of the symphysis pubis, which part appears first?
• Which placental complication is described as a serious condition where the placenta detaches from the uterus?
• Which pushing approach involves refraining from pushing until the baby is crowning, potentially lengthening labor but conserving energy?
• The second stage duration for primiparas is approximately what?
• What term describes the head returning to the position it entered the pelvis at the birth entrance?
• What is the term for spontaneous loss of pregnancy before 20 weeks?
• The technique where the mother holds her breath and pushes to 'ten' and is discouraged is known as
• Around how many weeks postpartum is the milk supply well established for breastfeeding mothers?
• Contraction frequency is measured from which points?
• Placenta previa is often managed by which delivery method?
• Full term pregnancy is defined as how many weeks?
• Which of the following is an example of a Gate Control technique used to reduce labor pain?
• Primigravida refers to a woman who is
• Lyme disease during pregnancy can contribute to which fetal outcomes?
• Which option correctly describes the correct phrase used to indicate the starting point when washing a baby?
• Toxoplasmosis is best described as which of the following?
• A pregnancy in which the fertilized egg implants outside the uterus is called what?
• Around which day after fertilization does the heart begin to beat?
• Which term describes revisiting topics in increasing depth over multiple sessions?
• Which method of induction involves separating the membranes from the lower uterine segment to release prostaglandins?
• When was ICEA founded?
• What is the typical full-term gestational window for a due date?
• Which method of medical induction involves rupturing the membranes artificially?
• Which term describes the cervix thinning or shortening during labor?
• These hormones are produced in the amniotic membrane and they soften and ripen your cervix in preparation for labor and stimulate muscles in your uterus and bowels.
• Which option lists medications used for medical induction?
• When the biparietal diameter passes the pelvic inlet, this movement is known as?
• Which hormone is primarily associated with promoting growth of uterine muscles and breast ducts?
• Which sequence lists the baby's 9 instinctive stages in the correct order from first to last?
• The fetal chin flexes toward the chest describes which movement?
• What are the 6 infant states?
• Which of the following is NOT a sign that labor is near?
• Which prenatal test samples amniotic fluid via a needle inserted into the uterus?
• Headache and visual changes with high blood pressure in pregnancy indicate which condition?
• What is the duration of transition?
• APGAR score includes which five criteria and when is it performed?
• What is the bloody discharge after birth?
• Which of the following is NOT one of the three types of learning objectives?
• Which combination of symptoms are considered pre-labor signs?
• Which newborn prophylaxis is given to prevent bleeding due to vitamin K deficiency?
• Rh incompatibility occurs during pregnancy if a woman has which combination of blood types?
• What are the 3 benefits to breathing techniques?
• Which term describes the cervix opening during labor?
• The first stage of labor lasts about how long for a primipara?
• At which week does the fetal period begin?
• Which of the following are positive signs of labor?
• What does the Rule of 3 state in learning?
• What should a mother do if she experiences a dwindling milk supply?
• During the magical hour, which stage directly follows Relaxation?
• Prolactin has which roles?
• Infant growth spurts occur at which times?
• The ___ returns to its pre-pregnant size after delivery.
• Which statement about infant states is true?
• What are the two pillars of the International Childbirth Initiative?
• The condition in which the placenta covers the cervix opening is called what?
• What is the recommended daily intake of folic acid before and during pregnancy?
• Active labor lasts on average for a primipara around how many hours?
• After fertilization, the embryo moves to which structure where the uterine lining thickens in response to hormones?
• Lyme disease in pregnancy is caused by which organism and can lead to which fetal outcomes?
• Which option represents a psychomotor objective?
• What is a typical length of the average female menstrual cycle?
• Which statement best captures the Rule of 3?
• Which of the following is NOT a non-medical induction method?
• Delayed cord clamping duration?
• Pregnant women should avoid which two medications for fever?
• Back labor pain is commonly associated with which fetal head position?
• What is the ICEA philosophy?
• What are the five components of caring?
• Preeclampsia is characterized by which of the following?
• Which is the correct sequence of the fetal head movements during birth from rotation to rotation?
• Which of the following is a method of medical induction?
• Occurs when the uterus fails to contract after the delivery of the baby and can lead to postpartum hemorrhage
• Skin-to-skin contact immediately after birth may facilitate reduction in which substance?
• Which option lists the four physical factors that influence labor?
• In late pregnancy, rising levels of which hormone increase the uterus's sensitivity to oxytocin and help start labor?
• Which consequence is associated with oxytocin reducing stress and increasing sociability?
• What movement does the fetal head perform to pass through the pelvic diameters?
• Which of the following is a recommended approach to pushing during the second stage?
• A procedure that instills isotonic fluid into the amniotic cavity to correct fetal heart rate changes due to umbilical cord compression is called what?
• The second stage of labor begins at:
• Which NOT listed benefit of skin-to-skin contact?
• Which imaging techniques are not associated with risk in pregnancy?
• A placenta that has not undergone placental expulsion within 30 minutes of the baby's birth and can cause postpartum hemorrhage
• The female eggs are produced by which organ and what are the eggs called?
• Which of the following is NOT among the six infant states?
• Which hormone promotes the growth of your uterine muscles and their blood supply, encourages production of vaginal mucus and stimulates development of the blood supply and ductal system in the breasts?
• Which statement best reflects Gate Control Theory in labor pain management?
• What is involution?
• Which event occurs around day 15 after fertilization?
• Which hormone helps soften ligaments and widen the pelvic joints during birth?
• A high Bishop score indicates the cervix is ripe, anterior and starting to dilate and efface.
• Which scoring system is used to evaluate cervical readiness for labor induction?
• Which statement describes a characteristic of the biomedical model of care?
• The female eggs are produced by which organ?
• Breech presentation refers to which presenting part being lowest?
• Induction is more likely to succeed when the cervix is ripe, anterior and starting to efface and dilate.
• At 0 station, the baby's head is in line with which pelvic landmark, indicating engagement?
• Early or latent labor is characterized by which of the following best describes contractions?
• Which hormone is produced by the baby, placenta, and uterine tissues and rises late in pregnancy to shift the estrogen-to-progesterone balance?
• Placental abruption is a serious complication where the placenta detaches from the uterus.
• Which change occurs in the uterine lining in response to the normal reproductive hormones to support implantation?
• In the Circle of Care, who is at the center?
• Which of the following is NOT a non-medical comfort technique?
• What is the active phase of pushing?
• In the biomedical model, how is technology perceived?
• Which of the following is NOT a method to increase milk supply?
• Contractions during prelabor are described as
• Active labor lasts from roughly how many minutes to how many hours for multiparas?
• What occurs after the cord is cut?
• Which non-medical comfort technique specifically involves immersion in water?
• Which prenatal test is performed earlier in pregnancy to detect fetal abnormalities by sampling placental tissue?
• Which statement describes prolactin's mood-related effect?
• The embryo stage is defined as occurring during which weeks?
• Which hormone helps relax the uterus during pregnancy, reducing contractions and also relaxes the blood vessels, stomach and bowels?
• Which fetal head position is considered optimal for labor, with the back of the baby's head facing the mother's front (anterior)?
• Which hormone is most directly associated with cervical ripening and labor readiness by acting on the cervix?
• This hormone relaxes your uterus during pregnancy, keeping it from contracting too much and also relaxes the blood vessels, walls of the stomach and the bowels.
• Where does fertilization typically occur in the female reproductive system?
• Which of the following is NOT one of ICEA's five goals?
• Eclampsia is characterized by which of the following?
• Family-centered maternity care recognizes birth as ___.
• Listeria infection during pregnancy commonly presents with which symptom?
• What does ICEA's philosophy emphasize regarding birth decisions?
• Latent labor commonly occurs at which setting?
• Primipara means
• Toxoplasmosis exposure is commonly associated with which exposure?
• The end of the first stage of labor is characterized by which event?
• Which statement best describes the social model or midwifery model of care?
• Engagement is indicated when the fetal head is aligned with which pelvic landmark?
• Which hormone is primarily responsible for milk synthesis?
• Ferguson's reflex is defined as what?
• Preterm pregnancy is defined as before 37 weeks; which week is used as an example of preterm?
• What are the 5 S's for comforting a baby?
• What are some effects of the increased release of adrenaline during transition?
• Gate Control Theory of Pain proposes that pain perception decreases when the brain receives other stimuli; which of the following examples illustrates this concept?
• Compound presentation is defined as
• What does skin to skin contact regulate for the newborn?
• In transition, contractions may be ___ long and occur every ___.
• This local anesthetic is used before an episiotomy or forceps delivery or for repair of the perineum after birth?
• Which newborn procedure is used for disorder screening immediately after birth?
• Which are the three factors relating to the position of the baby that influence labor?
• Crowning and birth describes which phase?
• Which of the following is NOT an evidence-based benefit of using a doula?
• After the birth of the head and shoulders, what is the term for the remaining body?
• APGAR score includes which five criteria and when is it performed?
• Which statement best describes latent labor as the longest phase of labor?
• Which hormones increase with pain and exertion and counteract unpleasant feelings?
• A lactating woman should consume ____ more calories per day.
• Which fetal head position is most favorable for labor progress?
• According to Rule 90/20/8, how often should the instructor change strategy within a 90-minute session?
• Which of the following is a direct effect of oxytocin during labor?
• Which statement about labor induction is NOT true?
• This phase begins when the baby's head no longer retreats from the vaginal opening and ends when the baby is completely born.
• When bathing a baby, the best approach is to bathe ___ times a week, starting from the baby's head to the toes.
• Which symptom is common in the first trimester and usually not alarming?
• What is it called when a woman's cervix is dilated to 10 cm?
• What is the latent phase of pushing?
• Multipara means