ALT Birth & Postpartum Doula
Certification Exam Questions and
Answers 100% PASS
Types of support a doula provides—ANSWER-Emotional, physical, and informational
support.
Outside a doula's scope—ANSWER-Performing medical tasks, giving medical
advice/diagnoses, speaking for the client, making decisions, delivering the baby.
Advocacy in doula work—ANSWER-Helping clients ask questions, understand options, and
communicate preferences—not speaking for them.
Signs of early labor—ANSWER-Mild contractions, backache, nesting, bloody show.
Doula support during early labor—ANSWER-Rest, hydration, comfort measures, reassurance.
Signs of active labor—ANSWER-Stronger contractions 3-5 minutes apart, focused behavior.
Doula support during transition—ANSWER-Grounding, reassurance, reduce stimulation,
normalize intensity.
Main focus during pushing stage—ANSWER-Follow body cues, support positions, hydration,
reassurance.
, Examples of physical comfort measures—ANSWER-Counterpressure, hip squeezes, rebozo,
massage, heat/cold.
Benefit of upright positions in labor—ANSWER-Use gravity, open pelvis, improve fetal
descent.
Common induction methods—ANSWER-Cervical ripeners, Foley balloon, Pitocin, AROM.
AROM—ANSWER-Artificial rupture of membranes ('breaking the water').
Doula role during an epidural—ANSWER-Support during placement, repositioning,
reassurance.
Purpose of fetal monitoring—ANSWER-Assess fetal well-being and contraction pattern.
Signs of a good latch—ANSWER-Wide mouth, asymmetric latch, chin in, nose free, no pain,
swallowing.
Newborn feeding frequency—ANSWER-8-12 times in 24 hours.
Colostrum—ANSWER-First milk—rich, concentrated, antibody-dense.
Safe sleep ABCs—ANSWER-Alone, on Back, in Crib/bassinet.
Purple Crying—ANSWER-Normal phase of increased crying in early infancy.
Wet diaper expectation—ANSWER-56 or more wet diapers/day.
Stages of lochia—ANSWER-Rubra, serosa, alba.
When do baby blues peak?—ANSWER-Days 3-5 postpartum.
When to refer for mental-health support postpartum—ANSWER-Intense anxiety, intrusive
thoughts, rage, hopelessness, inability to function.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Certification Exam Questions and
Answers 100% PASS
Types of support a doula provides—ANSWER-Emotional, physical, and informational
support.
Outside a doula's scope—ANSWER-Performing medical tasks, giving medical
advice/diagnoses, speaking for the client, making decisions, delivering the baby.
Advocacy in doula work—ANSWER-Helping clients ask questions, understand options, and
communicate preferences—not speaking for them.
Signs of early labor—ANSWER-Mild contractions, backache, nesting, bloody show.
Doula support during early labor—ANSWER-Rest, hydration, comfort measures, reassurance.
Signs of active labor—ANSWER-Stronger contractions 3-5 minutes apart, focused behavior.
Doula support during transition—ANSWER-Grounding, reassurance, reduce stimulation,
normalize intensity.
Main focus during pushing stage—ANSWER-Follow body cues, support positions, hydration,
reassurance.
, Examples of physical comfort measures—ANSWER-Counterpressure, hip squeezes, rebozo,
massage, heat/cold.
Benefit of upright positions in labor—ANSWER-Use gravity, open pelvis, improve fetal
descent.
Common induction methods—ANSWER-Cervical ripeners, Foley balloon, Pitocin, AROM.
AROM—ANSWER-Artificial rupture of membranes ('breaking the water').
Doula role during an epidural—ANSWER-Support during placement, repositioning,
reassurance.
Purpose of fetal monitoring—ANSWER-Assess fetal well-being and contraction pattern.
Signs of a good latch—ANSWER-Wide mouth, asymmetric latch, chin in, nose free, no pain,
swallowing.
Newborn feeding frequency—ANSWER-8-12 times in 24 hours.
Colostrum—ANSWER-First milk—rich, concentrated, antibody-dense.
Safe sleep ABCs—ANSWER-Alone, on Back, in Crib/bassinet.
Purple Crying—ANSWER-Normal phase of increased crying in early infancy.
Wet diaper expectation—ANSWER-56 or more wet diapers/day.
Stages of lochia—ANSWER-Rubra, serosa, alba.
When do baby blues peak?—ANSWER-Days 3-5 postpartum.
When to refer for mental-health support postpartum—ANSWER-Intense anxiety, intrusive
thoughts, rage, hopelessness, inability to function.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
