Deck 8: Preparation for Parenthood

Question 1

During a preconception counseling meeting with the nurse,a couple asks what changes they will need to make to their lifestyle.The nurse's best response is:

A)"You can no longer use over-the-counter medications."
B)"Your partner will have to give up smoking."
C)"Start taking a multivitamin now."
D)"You should stop exercising until you see the doctor."

Answer 1

"Start taking a multivitamin now."

Question 2

The nurse is teaching a class to prenatal clients about the benefits of a doula.Which statement by a client demonstrates the need for further teaching?

A)"The doula will deliver the baby."
B)"The doula will assist with the birth."
C)"The doula will provide guidance and encouragement."
D)"The doula will attend to my comfort needs."

Answer 2

"The doula will deliver the baby."

Question 3

Parents planning on a vaginal birth after a cesarean birth (VBAC)should prepare:

A)Exclusively for a vaginal delivery.
B)Two birth plans: one for vaginal and one for cesarean.
C)For a long labor.
D)For a short labor.

Answer 3

Two birth plans: one for vaginal and one for cesarean.

Question 4

During a breastfeeding class,the nurse discusses ways to include the father in the breastfeeding process.The nurse knows further teaching is necessary when a prospective father states:

A)"I can feed the baby a bottle."
B)"I can burp the baby between breasts."
C)"I can rock the baby to sleep after breastfeeding."
D)"When the baby wakes up,I can bring the baby to her mother."

Question 5

The nurse is planning for an adolescent parenting class.Which topics would be priorities for the nurse to include in the adolescent class? Select all that apply.

A)Sexuality in pregnancy
B)Newborn care
C)Birth settings
D)Health dangers for the baby
E)How to be a good parent

Question 6

An expectant couple desires to determine compatibility with a care provider.They ask the nurse for assistance.Which of the following questions should be addressed first?

A)"Can my children attend the birth?"
B)"If I have a cesarean birth,can my husband attend?"
C)"What is your philosophy of birth?"
D)"What percentage of your clients have episiotomies?"

Question 7

The nurse is assisting an expectant couple in developing a birth plan.Which of the following instructions would the nurse include in the teaching plan?

A)The birth plan includes only client choices,and does not take into account standard choices of the health care provider.
B)The birth plan allows the client to make choices about the birth process;however,these choices cannot be altered.
C)The birth plan is a legally binding contract between the client and the health care provider.
D)The birth plan is a communication tool between the client and the health care provider.

Question 8

Which content would be appropriate for a nurse to include in an early-pregnancy class?

A)The father's role in breastfeeding
B)Purchasing of a car seat
C)How to care for an episiotomy
D)Methods to cope with stress

Question 9

A primigravida is admitted to the labor unit with contractions every 7-8 minutes.She is 3 cm dilated,70% effaced,and 0 station.She is very anxious,is having difficulty coping with contractions,and states she did not attend prenatal classes.Which of the following would be the most effective nursing intervention?

A)Instruct the client in abdominal breathing and progressive relaxation.
B)Instruct the client in patterned paced breathing and touch relaxation.
C)Instruct the client in pelvic tilt and pelvic rock exercises.
D)Call the physician and request a sedative.

Question 10

A nurse conducts a class on relaxation exercises.Which couple is demonstrating the appropriate technique for touch relaxation?

A)The expectant mother relaxes her muscles in response to her partner's touch.
B)The expectant mother relaxes one muscle group at a time as her partner observes.
C)The expectant mother and her partner perform light abdominal stroking.
D)The expectant mother relaxes the rest of her body while tensing a specific muscle under the direction of her partner.

Question 11

While teaching a preconception class,the nurse includes which of the following recommendations to decrease the risk of neural tube defects?

A)500 mg vitamin C every day
B)0.4 mg folate every day
C)1500 mg calcium every day
D)600 mg vitamin A every day

Question 12

A couple would like their 5-year-old to attend the birth.Which statement by the nurse would assist in the plan of care for the 5-year-old?

A)"You should let your child stay home,because you will be focusing on the birth."
B)"Children under 12 are not allowed to be present at the birth."
C)"You should bring someone who can tend solely to any specific needs of your child."
D)"Bring some toys to keep your child occupied."

Question 13

A client states that she is not interested in Lamaze classes because she is single and does not want to have natural childbirth.The nurse's best response would be:

A)"Lamaze classes promise painless childbirth.If you learn their methods,your pain is minimal."
B)"Lamaze classes can teach you relaxation methods and also the benefits and risks of pain-relief methods.This assists you in making the best decision for you."
C)"You are very nervous.I think these classes would be best for you."
D)"Lamaze classes are geared toward couples.You might want to find a different class."

Question 14

A couple discusses their childbirth-preparation options with the nurse.They want the father to be actively involved,and for the expectant mother to avoid medications during the birthing process.The nurse's best response is:

A)"The hospital will follow your wishes."
B)"The Leboyer method will provide what you want."
C)"The Bradley method will provide your needs."
D)"The Lamaze method will be easy to follow."

Question 15

An expectant mother asks a nurse,"Why do I need to learn breathing patterns I can use during labor?" The nurse relates to the client that the primary reason for using controlled breathing patterns during labor is to:

A)Promote adequate oxygen to the laboring mother and the baby.
B)Keep the laboring mother distracted.
C)Keep the laboring mother awake.
D)Involve the partner in the birth process.