Question 1

Which statement is incorrect regarding prepared childbirth education?

Accepted Answer

A)  No use of anesthetics or drugs is to be administered to clients so they can have a natural childbirth experience. 
B)  Clients can take refresher courses if they have delivered within the last 2 years. 
C)  Prepared childbirth classes may differ slightly based on the available resources of health care facilities. 
D)  Prepared childbirth classes are aimed at increasing awareness of the childbirth experience for parents and significant others to promote better control of pain and decrease anxiety. 
A)  No use of anesthetics or drugs is to be administered to clients so they can have a natural childbirth experience. 
B)  Clients can take refresher courses if they have delivered within the last 2 years. 
C)  Prepared childbirth classes may differ slightly based on the available resources of health care facilities. 
D)  Prepared childbirth classes are aimed at increasing awareness of the childbirth experience for parents and significant others to promote better control of pain and decrease anxiety. A

Question 2

The nurse is reviewing the option of childbirth classes with a patient in her second trimester. Which statement indicates to the nurse that the patient has understood the teaching?

Accepted Answer

A)  "My labor will likely be shorter if I go to classes." 
B)  "I will likely perceive less pain during labor if I go to classes." 
C)  "I will likely be more satisfied with my labor if I go to classes." 
D)  "I will likely use fewer medications during labor if I go to classes." 
A)  "My labor will likely be shorter if I go to classes." 
B)  "I will likely perceive less pain during labor if I go to classes." 
C)  "I will likely be more satisfied with my labor if I go to classes." 
D)  "I will likely use fewer medications during labor if I go to classes." C

Question 3

Which client is most likely to experience pain during labor?

Accepted Answer

A)  Gravida 1 whose fetus is in a breech presentation 
B)  Gravida 3 who is using Lamaze breathing techniques 
C)  Gravida 2 who is anxious because her last labor was difficult 
D)  Gravida 2 who has not attended childbirth preparation classes 
A)  Gravida 1 whose fetus is in a breech presentation 
B)  Gravida 3 who is using Lamaze breathing techniques 
C)  Gravida 2 who is anxious because her last labor was difficult 
D)  Gravida 2 who has not attended childbirth preparation classes C

Question 4

In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which client statement will the nurse need to correct?

Accepted Answer

A)  "We will practice relaxation techniques only in a quiet setting so I can focus." 
B)  "Relaxation is important during labor because it will help me conserve my energy." 
C)  "If I relax in between contractions, my baby will get more oxygen during labor." 
D)  "My partner and I will practice relaxation throughout the remainder of my pregnancy." 
A)  "We will practice relaxation techniques only in a quiet setting so I can focus." 
B)  "Relaxation is important during labor because it will help me conserve my energy." 
C)  "If I relax in between contractions, my baby will get more oxygen during labor." 
D)  "My partner and I will practice relaxation throughout the remainder of my pregnancy."

Question 5

The support person for your labor client has been applying gentle massage to the client's upper back frequently over the past hour. Now, the labor client states that "it just isn't helping anymore." Both the support person and labor client are becoming frustrated with each other's inability to make things less stressful during the labor process. What would be the best nursing response at this time?

Accepted Answer

A)  Have the client change position and tell the support person to take a break. 
B)  Discuss the effects of habituation and suggest alternate measures that could be used to relieve pain. 
C)  Advise the client that this may be the best time to ask for an epidural. 
D)  Tell the client and support person that she must be progressing further and you will do a vaginal exam to determine progress. 
A)  Have the client change position and tell the support person to take a break. 
B)  Discuss the effects of habituation and suggest alternate measures that could be used to relieve pain. 
C)  Advise the client that this may be the best time to ask for an epidural. 
D)  Tell the client and support person that she must be progressing further and you will do a vaginal exam to determine progress.

Question 6

Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

Accepted Answer

A)  Bradley 
B)  Lamaze 
C)  Leboyer 
D)  Dick-Read 
A)  Bradley 
B)  Lamaze 
C)  Leboyer 
D)  Dick-Read

Question 7

A client asks, "What can I do to help decrease the amount of pain with labor?" What should be the nurse's best response?

Accepted Answer

A)  "Nothing. That is the way God intended it to be." 
B)  "We can give you medications to help with the pain." 
C)  "You should not worry about the pain; leave that concern up to the staff." 
D)  "By trying to relax, the contractions will be more efficient and the pain may be less." 
A)  "Nothing. That is the way God intended it to be." 
B)  "We can give you medications to help with the pain." 
C)  "You should not worry about the pain; leave that concern up to the staff." 
D)  "By trying to relax, the contractions will be more efficient and the pain may be less."

Question 8

A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is:

Accepted Answer

A)  using increased environmental stimulation as a method of distraction. 
B)  restricting family and friends from visiting during the labor period to keep the client focused on breathing techniques. 
C)  medicating the client frequently to reduce pain perception. 
D)  assisting the client in breathing methods aimed at taking control of pain perception based on the contraction pattern. 
A)  using increased environmental stimulation as a method of distraction. 
B)  restricting family and friends from visiting during the labor period to keep the client focused on breathing techniques. 
C)  medicating the client frequently to reduce pain perception. 
D)  assisting the client in breathing methods aimed at taking control of pain perception based on the contraction pattern.

Question 9

Which phrase best describes neuromuscular dissociation?

Accepted Answer

A)  Loosening taut muscles when touched by another person 
B)  Contracting and consciously releasing different muscle groups 
C)  Relaxing while someone is applying pressure against a tendon or large muscle 
D)  Relaxing the rest of the body while one group of muscles is strongly contracted 
A)  Loosening taut muscles when touched by another person 
B)  Contracting and consciously releasing different muscle groups 
C)  Relaxing while someone is applying pressure against a tendon or large muscle 
D)  Relaxing the rest of the body while one group of muscles is strongly contracted

Question 10

Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position?

Accepted Answer

A)  Neuromuscular disassociation 
B)  Effleurage 
C)  Psychoprophylaxis 
D)  Sacral pressure 
A)  Neuromuscular disassociation 
B)  Effleurage 
C)  Psychoprophylaxis 
D)  Sacral pressure

Question 11

Match each term with the correct definition.
-Bradley childbirth education

Accepted Answer

A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle 
A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle

Question 12

What does a birth plan help the parents accomplish?

Accepted Answer

A)  Avoidance of an episiotomy 
B)  Determining the outcome of the birth 
C)  Assuming complete control of the situation 
D)  Taking an active part in planning the birth experience 
A)  Avoidance of an episiotomy 
B)  Determining the outcome of the birth 
C)  Assuming complete control of the situation 
D)  Taking an active part in planning the birth experience

Question 13

Martha is a gravida 3, para 2, whose last child was born 5 years ago. She attended childbirth preparation classes with her first pregnancy. Which class would be most appropriate for her?

Accepted Answer

A)  Refresher course 
B)  Infant care classes 
C)  Postpartum classes 
D)  Early pregnancy classes 
A)  Refresher course 
B)  Infant care classes 
C)  Postpartum classes 
D)  Early pregnancy classes

Question 14

A pregnant client is anticipating a vaginal birth without complications. During the course of her labor, complications arise and the fetus has to be delivered via cesarean section. The client is visibly upset and wants to know why this has happened to her because she did everything right during her pregnancy. Which priority nursing diagnosis would apply?

Accepted Answer

A)  Risk for injury 
B)  Pain 
C)  Impaired skin integrity 
D)  Anxiety 
A)  Risk for injury 
B)  Pain 
C)  Impaired skin integrity 
D)  Anxiety

Question 15

A couple asks the nurse to explain the use of breathing techniques during the labor process. Which should the nurse include in the response? (Select all that apply.)

Accepted Answer

A)  Start to use the focused breathing as soon as labor begins. 
B)  The use of complex breathing patterns should start during early labor. 
C)  The breathing pattern chosen to use during labor should be practiced frequently. 
D)  Focused or controlled breathing techniques are considered just one of many coping strategies. 
E)  One helpful technique with breathing is to visualize oxygen entering on inhalation and tension leaving on exhalation. 
A)  Start to use the focused breathing as soon as labor begins. 
B)  The use of complex breathing patterns should start during early labor. 
C)  The breathing pattern chosen to use during labor should be practiced frequently. 
D)  Focused or controlled breathing techniques are considered just one of many coping strategies. 
E)  One helpful technique with breathing is to visualize oxygen entering on inhalation and tension leaving on exhalation.

Question 16

Match each term with the correct definition.
-Dick-Read childbirth education

Accepted Answer

A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle 
A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle

Question 17

During the course of labor, a client has been having her labor coach rub her lower back to relieve pain. After 30 minutes, the client complains that this method is no longer working and becomes increasingly frustrated with the labor coach. The vaginal exam is 2 to 3 cm, 80% effaced, and -1 station, membranes intact. Which option would you recommend to decrease the client's perceived pain?

Accepted Answer

A)  Have the labor coach change the touch location and begin gently massaging another area on the back. 
B)  Perform a vaginal exam to determine progress. 
C)  Have the labor coach step outside the room (LDR) and take a break because it is best to try and defuse the confrontation. 
D)  Suggest to the client that perhaps the use of a narcotic opioid will relieve her pain and facilitate the labor process. 
A)  Have the labor coach change the touch location and begin gently massaging another area on the back. 
B)  Perform a vaginal exam to determine progress. 
C)  Have the labor coach step outside the room (LDR) and take a break because it is best to try and defuse the confrontation. 
D)  Suggest to the client that perhaps the use of a narcotic opioid will relieve her pain and facilitate the labor process.

Question 18

Match each term with the correct definition.
-Lamaze childbirth education

Accepted Answer

A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle 
A) Includes the father as a support person and a coach 
B) Psychoprophylaxis class that uses the mind to prevent pain 
C) Classes focus on breathing to prevent the fear-tension-pain cycle

Question 19

When reading a new client's birth plan, the nurse notices that the client will be bringing a doula to the hospital during labor. What does the nurse think that this means?

Accepted Answer

A)  The client will have her grandmother as a support person. 
B)  The client will bring a paid, trained labor support person with her during labor. 
C)  The client will have a special video she will play during labor to assist with relaxation. 
D)  The client will have a bag that contains all the approved equipment that may help with the labor process. 
A)  The client will have her grandmother as a support person. 
B)  The client will bring a paid, trained labor support person with her during labor. 
C)  The client will have a special video she will play during labor to assist with relaxation. 
D)  The client will have a bag that contains all the approved equipment that may help with the labor process.

Question 20

The prenatal nurse educator is teaching couples the technique of using sacral pressure during labor. Which should be included in the teaching session? (Select all that apply.)

Accepted Answer

A)  The technique can be combined with heat to the area. 
B)  A jiggling motion should be used while applying the pressure. 
C)  Tennis balls may be used to apply the pressure to the sacral area. 
D)  The pressure against the sacrum should be intermittent during the contraction. 
E)  The hand may be moved slowly or remain positioned directly over the sacrum. 
A)  The technique can be combined with heat to the area. 
B)  A jiggling motion should be used while applying the pressure. 
C)  Tennis balls may be used to apply the pressure to the sacral area. 
D)  The pressure against the sacrum should be intermittent during the contraction. 
E)  The hand may be moved slowly or remain positioned directly over the sacrum.

Exam 11: Perinatal Education

Which statement is incorrect regarding prepared childbirth education?

The nurse is reviewing the option of childbirth classes with a patient in her second trimester. Which statement indicates to the nurse that the patient has understood the teaching?

Which client is most likely to experience pain during labor?

In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which client statement will the nurse need to correct?

Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

A client asks, "What can I do to help decrease the amount of pain with labor?" What should be the nurse's best response?

A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is:

Which phrase best describes neuromuscular dissociation?

Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position?

Match each term with the correct definition. -Bradley childbirth education

What does a birth plan help the parents accomplish?

Martha is a gravida 3, para 2, whose last child was born 5 years ago. She attended childbirth preparation classes with her first pregnancy. Which class would be most appropriate for her?

A couple asks the nurse to explain the use of breathing techniques during the labor process. Which should the nurse include in the response? (Select all that apply.)

Match each term with the correct definition. -Dick-Read childbirth education

Match each term with the correct definition. -Lamaze childbirth education

When reading a new client's birth plan, the nurse notices that the client will be bringing a doula to the hospital during labor. What does the nurse think that this means?

The prenatal nurse educator is teaching couples the technique of using sacral pressure during labor. Which should be included in the teaching session? (Select all that apply.)

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

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Processes of Birth

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Pain Management During Childbirth

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Normal Newborn: Processes of Adaptation

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