Deck 13: Preparation for Parenthood

Question 1

The OB-GYN nurse is evaluating patient satisfaction with her childbirth experience. The nurse looks at whether the nursing care included:

A) Establishment of good rapport.
B) Involvement of the patient in decisions.
C) Provision of support to the patient.
D) Visitors' not being allowed in the labor room.
E) Keeping the patient bed-bound through labor.

Answer 1

Establishment of good rapport.
Involvement of the patient in decisions.
Provision of support to the patient.

Question 2

The nurse in the obstetrical clinic is setting appointments for patients seeking preconceptual care. Which patient should be seen first?

A) 36-year-old, has never been pregnant, takes medication for a seizure disorder.
B) 15-year-old, smokes one pack per day, had a miscarriage 4 months ago.
C) 22-year-old, runs long distances, has been on the pill for 6 years.
D) 29-year-old, has had two abortions, takes a multiple-vitamin supplement

Answer 2

36-year-old, has never been pregnant, takes medication for a seizure disorder.

Question 3

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 of formula."
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."

Answer 3

"I can feed the baby a bottle of formula."

Question 4

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

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

Question 5

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 for your needs."
D) "The Lamaze method will be easy to follow."

Question 6

A nurse conducts a class on relaxation exercises. Which couple are 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 7

An expectant couple desire to determine their compatibility with a care provider. They ask the nurse for assistance. Which 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 patients have episiotomies?"

Question 8

A couple is allowing electronic monitoring to be applied during labor. After the nurse applies the equipment, risks for which the nurse should assess include:

A) Supine postural hypotension.
B) Cord prolapse with ruptured membranes.
C) Monitoring the machine, not the patient.
D) Intrauterine perforation.
E) Slowing of contractions in active labor.

Question 9

The nurse is working with a prenatal patient. Which statement indicates that additional teaching is necessary?

A) "I will have Rh testing, even though this is my first pregnancy."
B) "My vagina will be cultured at 36 weeks for group B strep."
C) "Because I am married, I won't have the STI screening."
D) "My blood will be checked for hemoglobin level."

Question 10

A patient 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 11

The nurse is planning for an adolescent parenting class. Which topics would be priorities for the nurse to include in the adolescent class? Note: Credit will be given only is all correct choices and no incorrect choices are selected. Standard Text:

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

Question 12

The nurse is teaching a class to prenatal patients about the benefits of a doula. Which statement by a patient 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."

Question 13

The prenatal nurse is teaching a group of women about preconception health measures. Topics the nurse includes are:

A) Smoking.
B) Caffeine.
C) Limiting folic acid.
D) Increasing dietary fat.
E) Use of prescription drugs.

Question 14

A new patient to the clinic is 8 weeks pregnant with her second child. She asks the nurse about having a doula, since her husband is so nervous that he is no help. What will the nurse tell the patient about having a doula?

A) The doula will assist with pain medication.
B) The doula will be examining the patient periodically to see how labor is progressing.
C) The doula provides support and information, and is an advocate for the wishes of the patient and family.
D) The doula will be teaching breathing techniques and telling the patient when she can push.

Question 15

The nurse is asked by a pregnant patient about the benefits of a breastfeeding class. The nurse's best response is that the programs offer:

A) La Leche League's Web site.
B) Practical instruction.
C) Resources.
D) Encouragment.
E) Support for 1 month.

Question 16

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

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 17

The prenatal nurse plans on teaching prenatal classes based on broad concepts. The nurse will include information about:

A) Healthy prenatal lifestyles.
B) Relaxation techniques.
C) Breathing techniques.
D) Unique roles of grandparents.
E) Body-toning exercises.

Question 18

The nurse is completing an assessment for a prenatal visit. Which statement indicates that further teaching is necessary?

A) "Because I'm in my third trimester, I should return to the clinic in a month."
B) "Now that I've felt fetal movement, I should feel movement regularly."
C) "Before I take any over-the-counter medications, I should contact my doctor."
D) "Alcohol is possibly harmful to my baby, even at the end of my pregnancy."

Question 19

A patient having her fourth child is admitted to the labor unit and is accompanied by a doula. The intrapartum nurse expects the doula to assist with:

A) Fetal monitoring and relaxation techniques.
B) Physical and emotional comfort techniques.
C) Breathing techniques and labor assessment.
D) Massage and vaginal exams.

Question 20

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

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

Question 21

The nurse has received a phone call from a 29-year-old married patient pregnant with her first child. The patient is at 10 weeks' gestation. Which class would be most appropriate for this patient to attend at this point in her pregnancy?

A) Breastfeeding class
B) Birthing classes
C) Early pregnancy class
D) Adolescent pregnancy class

Question 22

A nurse is teaching childbirth education classes to a group of pregnant teens. Which strategy would promote learning by the young women?

A) Avoiding the discussion of uncomfortable procedures like vaginal exams and blood tests
B) Focusing the discussion on baby care rather than labor and delivery
C) Providing more extensive teaching and a forum for verbalization of fears and concerns
D) Having the classes at a location other than high school to reduce their embarrassment

Question 23

In addition to breathing with contractions, what action will the nurse instruct a woman in labor to do during the first stage of labor?

A) Lie in the lithotomy position.
B) Perform effleurage.
C) Practice Kegel exercises.
D) Push with each contraction.

Question 24

The nurse is planning a prenatal class for adolescents. It is important that the class includes:

A) Time to verbalize fears.
B) Only adolescent participants.
C) Provision of a support system.
D) Infant-stimulation concepts.
E) The Bradley philosophy of birthing.

Question 25

A nurse is teaching a class of pregnant couples about the benefits of using a breathing technique for the latent phase of labor. Which benefit does the nurse include?

A) Aids visualization (imagery).
B) Increased physical and mental alertness
C) Increased response to soothing music
D) Helps the mother to focus attention.

Question 26

The patient who experienced an emergency cesarean birth with her first child expresses anxiety about her upcoming birth. How can the nurse teaching the patient's prenatal classes help decrease her anxiety?

A) Encourage muscle tightening with each contraction.
B) Explain that patterned breathing increases anxiety, and should be avoided.
C) Instruct the patient to hire a therapeutic massage therapist for labor.
D) Encourage the patient to practice progressive relaxation and use the technique in labor.

Question 27

Following the birth of her infant, a patient states that her childbirth classes assisted her in dealing with labor and birth. The nurse understands that current research on childbirth education demonstrates which benefit?

A) Patients develop a strong attachment to the birth attendant.
B) Patients avoid the use of medication for labor.
C) Patients become dependent upon their partners.
D) Patients have a feeling of control over the birthing process.

Question 28

The childbirth educator nurse states that the primary rationale for providing general information as well as breathing and relaxation exercises in childbirth education is:

A) So that mothers who are doing breathing exercises during labor will refrain from yelling.
B) Because breathing and relaxation exercises are less exhausting than crying and moaning.
C) Knowledge learned at childbirth education classes helps to break the fear-tension-pain cycle.
D) Childbirth education classes help to promote positive maternal-newborn bonding.

Question 29

In counseling a pregnant patient about the main differences in birthing preparation methods, the nurse discusses:

A) Theories as to why they work.
B) Relaxation techniques used.
C) Need for analgesia during labor.
D) Breathing patterns taught.
E) Importance of breastfeeding.

Question 30

The nurse is discussing with a childbirth class the different techniques of breathing exercises available. Regardless of the method of childbirth preparation, most childbirth classes:

A) Present ways of alleviating fear.
B) Teach imagery for relaxation.
C) Use patterned, paced breathing techniques.
D) Present the benefits of epidural anesthesia.

Question 31

During a prenatal class, the nurse teaches patients about breathing techniques. The nurse explains the goals of breathing are to:

A) Increase physical and mental relaxation.
B) Decrease the efficient use of muscles.
C) Provide a sense of control during labor.
D) Provide a means of focusing atttention.
E) Control adequate breathing patterns.

Question 32

The nurse is discussing with a couple their concerns about delivering vaginally after having a cesarean birth. 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.

Question 33

The nurse assesses her patient and finds her to have mild anxiety concerning the birth process. The patient states that she is not interested in attending classes because her husband does not want to participate. The nurse's best response would be:

A) "Your best choice is to be sedated and let the team do the work."
B) "Birthing classes of all types can help eliminate fear and teach coping techniques."
C) "You are very nervous. I think these classes would be best for you."
D) "Most classes are geared toward couples. Since your husband doesn't want to take them, these classes won't benefit you."