Birth Doula Certification Exam
Questions and Answers 100%
PASS
name the six parts to a typical vertex delivery—ANSWER-1. engagement
2. descent and flexion of fetal head
3. internal rotation
4. delivery by extension
5. restitution
6. external rotation
engagement—ANSWER-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—ANSWER-baby begins descending into pelvis and extends
or flexes. baby is still facing one side of mother.
internal rotation—ANSWER-fetal head rotates 90 degrees to the occipital-anterior (baby is
laying head down and facing back of mom)
restitution—ANSWER-fetal head turns 45 degrees to restore relationship with its shoulders;
which are still at an angle.
, external rotation—ANSWER-shoulders repeat the corkscrew ,movements of the head, which
can be seen in the final movements of the fetal head.
station—ANSWER-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)—ANSWER-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)—ANSWER-Active Phase:
definition shifts slightly depending where you are.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Questions and Answers 100%
PASS
name the six parts to a typical vertex delivery—ANSWER-1. engagement
2. descent and flexion of fetal head
3. internal rotation
4. delivery by extension
5. restitution
6. external rotation
engagement—ANSWER-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—ANSWER-baby begins descending into pelvis and extends
or flexes. baby is still facing one side of mother.
internal rotation—ANSWER-fetal head rotates 90 degrees to the occipital-anterior (baby is
laying head down and facing back of mom)
restitution—ANSWER-fetal head turns 45 degrees to restore relationship with its shoulders;
which are still at an angle.
, external rotation—ANSWER-shoulders repeat the corkscrew ,movements of the head, which
can be seen in the final movements of the fetal head.
station—ANSWER-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)—ANSWER-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)—ANSWER-Active Phase:
definition shifts slightly depending where you are.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
