Your Special Baby: Real Lamaze Perpared Childbirth

~ Exam ~

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This test has 25 questions.

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1. If a pregnant woman suspects a decrease or change in fetal movements from the 26th week of pregnancy or after, she should:
  a. Place her hands on either side of her abdomen and gently shake her abdomen from left to right.

  b. Discuss it with her doctor or midwife at her next prenatal appointment.
  c. Eat a small meal or drink orange juice, lie on her left side for one hour and record the number of fetal movements felt.
  d. Call her doctor or midwife immediately.
  e. Go directly to the labor unit at the nearest hospital.

2. According to the American College of Obstetricians and Gynecologists, an informed consent includes:
  a. The process(es) contemplated by the physician as treatment, its risks and hazards.

  b. The chances for recovery after treatment.

  c. The necessity of the treatment.
  d. The feasibility of alternative methods of treatment.

  e. All of the above.

3. The American Academy of Pediatrics’ Committee on Drugs has recently stated:
  a. There is no drug, whether prescription or over-the-counter remedy, which has been proven safe for the unborn child.

  b. Properly prescribed medications during pregnancy are safe for the unborn child.
  c. Over-the-counter medications with no disclaimer against use during pregnancy are safe for the unborn child.

  d. Properly prescribed medications used after the 4th month of pregnancy are safe for the unborn child.

  e. Over-the-counter medications with no disclaimer against the use after the 4th month of pregnancy are safe for the unborn child.

4. Severe Stomach pains, a severe headache and fever over 100.4F:
  a. Indicates a case of polynephritis.
  b. Are some of the danger signs of pregnancy.
  c. Indicate cord prolapse.

  d. Are precursors of abruption placenta.
  e. Occur with preterm labor.

5. Sexual intimacy during pregnancy may be contraindicated due to:
  a. Threatened preterm labor.

  b. Vaginal bleeding and/or placenta previa.

  c. Incompetent cervix.

  d. a & c.

  e. a, b & c

6. Sexual intimacy postpartum may be contraindicated due to:
  a. Possibility of infection until the placental site heals.

  b. Pain from the episiotomy site and/or unrepaired vaginal lacerations.

  c. Fatigue.

  d. a & b

  e. a, b & c.

7. The weight of the fetus at birth is due to:
  a. Maternal health, nutrition and eating habits prior to conception.
  b. Maternal health habits such as smoking, alcohol ingestion, drugs or medications taken.

  c. Maternal age, parity and pregnancy weight gain.

  d. Placental sufficiency.
  e. All of the above.

8. The average optimal weight gain of pregnancy is:
  a. 25-35 pounds.

  b. 25-30 pounds.
  c. 20-24 pounds.

  d. 30-40 pounds.

  e. 40-60 pounds.

9. Women carrying more than one fetus should gain:
  a. At least 24 pounds.

  b. 20-25 pounds.

  c. 25-35 pounds.

  d. 30-40 pounds.

  e. 40-60 pounds.

10. Pelvic rocks are done to:
  a. Relax the pelvis.
  b. Improve posture and relieve backache.
  c. Improve the curve of the pelvis during second stage labor.

  d. Prevent posterior presentation of the fetus.

  e. Strengthen the oblique muscles.

11. Kegels are done to:
  a. Strengthen abdominal muscle tone and improve circulation.

  b. Assist expansion of the rib cage and relieve symptoms of SOB and/or heartburn.

  c. Assist with second stage labor and improve circulation to the episiotomy site.

  d. Prevent formation of lower extremity blood clots due to pressure of the growing fetus on major blood vessels.

  e. Aid in return to sexual intimacy immediately postpartum.

12. To improve patient-to-caregiver communication:
  a. The patient should think of herself as consumer purchasing a service.

  b. Ask questions at each appointment and be sure she understands the answers.

  c. Have the coach attend prenatal appointments as much as possible.

  d. Ask questions fully clothed and across the desk from ones’ primary caregiver, not in the examining room.

  e. All of the above.

13. Signs of progress in labor can be summed up with two words:
  a. Breathe and relax.
  b. Pain and blood.

  c. Fear and tension.

  d. Fight or flight.

  e. Endorphins and active relaxation.

14. The release of epinephrine, as in the Fight-or-Flight Response, tends to cause:
  a. An increase in the rapidity of labor.

  b. Restlessness.
  c. Animated behavior.

  d. A decrease in uterine circulation and contractions leading to a prolonged labor.

  e. A desire to ambulate in labor.

15. Visualization involves:
  a. Focusing on each contraction.

  b. Cultural expectations.

  c. Mentally focusing on a positive image.

  d. Shared life experiences.
  e. All of the above.

16. The Gate Control Theory proposes:
  a. That visualization can alter a woman’s perception of pain.

  b. That endorphins are released due to massage stimulation of large diameter nerves.
  c. That the cerebral cortex can only process one set of signals as a primary signal relegating all other incoming signals to a secondary position.
  d. That the cerebral cortex can only process one set of signals as a primary signal while completely ignoring all other incoming signals.
  e. That a laboring woman can visualize a place of safety behind a “gate”.

17. Neuro-muscular relaxation includes:
  a. Positive affirmations.

  b. Focusing on each muscle group when tensed and, the, when relaxed.
  c. Tensing one muscle group while consciously relaxing all others.

  d. Massage and effleurage.

  e. Musical stimulation of the parasympathetic nerve system.

18. Effleurage:
  a. Facilitates venous and lymphatic flow.

  b. Stimulates afferent neurons which inhibit pain impulses.

  c. Can exert an analgesic effect.

  d. a & b.

  e. a, b & c.

19. Focal point:
  a. Can be an external visual focus.

  b. Can be an internal visualization.

  c. Reduces external or extraneous stimuli.

  d. Is a primary indicator of the laboring woman’s concentration and control.

  e. All of the above.

20. Lamaze breathing techniques are:
  a. A learned skill which enhances relaxation.

  b. Rhythmic breathing which develops body awareness and oxygenation.

  c. A learned skill that reduces pain perception.

  d. a & c

  e. a, b & c.

21. Slow, rhythmic breathing:
  a. Stimulates the parasympathetic nervous system.

  b. Stimulates the sympathetic nervous system.
  c. Develops body awareness and improved oxygenation.

  d. a & c.

  e. b & c.

22. Patterned-Paced breathing requires:
  a. Increased attention focusing by the laboring woman.

  b. A respiratory cycle approximately half the normal resting respiratory rate.

  c. Inhalation through the nose and exhalation through the mouth.
  d. A rapid forceful respiratory exchange.

  e. A uniform vowel sound with no variation.

23. Possible detrimental effects on the progress of labor may be:
  a. Laboring in a large and unfamiliar room or environment.

  b. Labor room which is well let, neat and tidy.

  c. Being moved at the time of delivery.
  d. a & c.
  e. a, b & c

24. Non-invasive stimulation of a sluggish labor includes:
  a. Ambulation and/or position changes.

  b. Warm towel on the chest with tactile stimulation of nipples.

  c. Removal of stressful individuals.

  d. a & b.

  e. a, b & c.

25. Which of the following techniques reduce the necessity for an episiotomy?:
  a. Slow delivery of fetal presenting part with perineal massage.

  b. Warm compresses and periurethral support and delivery.

  c. Maternal position to decrease perineal pressure.
  d. a & b.

  e. a, b & c.