Question 1

Biofeedback is technically defined as the use of technology to provide information about bodily reactions so that a person can learn to control those responses. Which of the following is NOT another method for biofeedback?

Accepted Answer

A)  Breathing awareness
B)  Temperature feedback
C)  Auditory/verbal feedback
D)  Aromatherapy D

Question 2

Researchers have found that the childbirth experience has the potential to be pleasurable. Enjoyment of childbirth is most likely in women with which of the following characteristics?

Accepted Answer

A)  A history of dealing with menstrual problems
B)  A traditional view of gender roles
C)  A close marital relationship and the partner present at the birth
D)  A decision not to attend childbirth classes C

Question 3

Which of the following does NOT factor into how the continuity of care by a doula contributes the psychological well-being of a laboring mother?

Accepted Answer

A)  A physician other than the mother's primary caregiver may need to deliver the baby.
B)  The labor nurse may meet the end of her work shift mid-labor.
C)  The doula is present before, during, and after the birth.
D)  The doula is the only support needed so that the partner does not need to be involved. D

Question 4

The Bradley method of childbirth education is also known as:

Accepted Answer

A)  Husband-coached childbirth
B)  Midwifery model of care
C)  Medicalized birth
D)  Psychoprophylaxis

Question 5

Three components of relaxation include cognitive, affective. and psychomotor processes. Which of the following does NOT describe how these categories can inform relaxation training?

Accepted Answer

A)  Parents can be taught how stress can physically changes the body.
B)  The emotional environment is more important than the physical environment for relaxation to occur.
C)  Assessing fears is an integral part of the affective component of relaxation training.
D)  A partner's assistance in relaxation training can give the mother a sense of trust and confidence in his or her ability to support the mother when she is vulnerable.

Question 6

A client who is pregnant for the first time asks the doula if she and her husband can still engage in sexual intercourse during her pregnancy. She is concerned that having sex may hurt the baby and cause a miscarriage. The client is at 12 weeks' gestation. The most recent physical examination reveals normal findings. The client's history is not remarkable. Which of the following statements made by the doula is the most appropriate?

Accepted Answer

A)  "You need to avoid sexual intercourse during pregnancy."
B)  "Yes, you may engage in sex until the first two weeks of the third trimester."
C)  "You may engage in sex as far into pregnancy as you wish, as long as your doctor or midwife has not told you otherwise. You and your husband may need to adjust your positions during sexual intercourse."
D)  "You may have sex during pregnancy. Your libido will most likely increase during the third trimester."

Question 7

Outlining the risks, benefits, and alternatives of any proposed procedure or treatment during pregnancy, labor, birth, and postpartum is known as?

Accepted Answer

A)  Satisficing
B)  Informed consent
C)  Problem analysis
D)  Cost-benefit analysis

Question 8

"Women's ways of knowing" is a phrase that implies women have the inherent knowledge necessary to make decisions and these decisions may stem from intuition. This is opposed to a power-based model where the keepers of knowledge know best what decisions a woman should make. The terms for these two thought processes might be viewed as:

Accepted Answer

A)  Embodied versus authoritative knowledge
B)  Expectant versus active management
C)  Authoritative versus embodied knowledge
D)  Woman-centered versus medically-managed care

Question 9

A doula is creating a teaching plan for an adolescent girl who is pregnant for the first time. The main purpose is to promote nutritional health during pregnancy. Which of the following considerations is LEAST important when creating the teaching plan?

Accepted Answer

A)  The group's reactions to possible changes that concern their eating habits.
B)  The involvement of the clients' families, especially the food preparers.
C)  The financial status of the clients.
D)  Cultural considerations.

Question 10

Holism - the belief that body, mind and spirit are interconnected - along with the view of health as a balance of energy in the life forces, informs which of the following techniques for childbirth?

Accepted Answer

A)  Hypnosis
B)  Yoga
C)  Accupressure
D)  Feng shui

Question 11

Though birth is universal, the context given to the event by the culture in which a woman births, as well as the culture in which she was raised, can have a profound effect on birth. In order to function within this framework, a doula should:

Accepted Answer

A)  Only judge situations by her own cultural standards since she is the caregiver.
B)  Learn as much as she can about a client's cultural beliefs about pregnancy, birth, and parenting.
C)  Assume the client will conform to the dominant cultural beliefs in the doula's own culture.
D)  Use stereotypes and generalizations to come up with a care model.

Question 12

A doula is visiting a 25-year-old postpartum client who gave birth 18 hours ago. No complications were noted during the labor process. The newborn is brought to the client for feeding and to have the mother and child bond for the night. The client says, "I'm too tired. Please get her back to the nursery, just for tonight. I need to get some sleep." Which of the following is the most appropriate reaction from the doula?

Accepted Answer

A)  Teach the mother the basics of breast feeding, focusing on how often newborns typically nurse and recognizing feeding cues.
B)  Encourage the client to join a parenting skill class.
C)  Accept the client's behavior as an indication that she is in the taking-in phase.
D)  Accept the client's behavior as an indication that she is in the taking-hold phase.

Question 13

All of the following are ways in which the doula can enhance the early parenting experience EXCEPT:

Accepted Answer

A)  Help parents explore what support they have and what they might need
B)  Help parents forget the birth experience
C)  Help parents plan for the changes and difficulties associated with caring for a newborn
D)  Help the parents set realistic goals for meeting their own needs after birth

Question 14

For pregnant couples, the benefits of attending a childbirth preparation class include:

Accepted Answer

A)  The chance to socialize with other pregnant couples
B)  The opportunity to set goals and participate in decision-making during the perinatal period
C)  An increase in confidence about the birth process
D)  All of the above

Question 15

In addition to providing physical and emotional support during labor, the doula also acts as a patient advocate for her clients. This role is BEST defined as:

Accepted Answer

A)  Creating dependency in the couple due to their lack of knowledge of the maternity care system
B)  Supporting the woman and her partner in seeking individual solutions to problems within a maternity care system that is sometimes rigid
C)  Using her power over others within the maternity care system to support a laboring couple's wishes
D)  Forming antagonistic relationships with the healthcare staff

Question 16

Why is professional labor support needed in the modern maternity care model?

Accepted Answer

A)  Because women have forgotten how to birth
B)  Because women have lost touch with their inner wisdom
C)  Because partners are not able to learn enough about birth
D)  Because continuous support by an experienced woman brings about better birth outcomes

Question 17

Which of the following is NOT within the scope of practice for a doula?

Accepted Answer

A)  Vaginal exams to assess cervical dilation
B)  Advocating for parents' wishes
C)  Emotional support before, during and after birth
D)  Physical support with comfort measures during labor and birth

Question 18

Imagery as a technique for relaxation in childbirth can BEST be described as:

Accepted Answer

A)  Daydreaming
B)  An attention focusing technique
C)  A cognitive tool involving all the senses
D)  An ineffective coping strategy

Question 19

A client who is due to give birth any time asks the doula what changes in the reproductive system she should expect after the delivery. Which of the following statements by the doula is the most appropriate?

Accepted Answer

A)  "After birth, your uterus will weigh about 1,000 grams. By the 6thweek after birth, it will weigh around 50 grams."
B)  "Your uterus will never completely return to its pre-pregnancy state."
C)  "The rate of uterine involution greatly varies from woman to woman."
D)  "By the third week after birth, your uterus can no longer be detected by abdominal palpation."

Question 20

Which of the following is NOT a principle of ethics that applies to childbirth?

Accepted Answer

A)  Autonomy
B)  Nonmaleficence
C)  HIPAA
D)  Justice

Exam 6: Psychology Philosophy