Certified Childbirth Educator Practice Exam

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