Birthing Alternatives: Toward a rewarding birthing experience

~ Exam ~

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This test has 12 questions.

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1. One of your jobs as a nurse is to:
  a. make your laboring woman understand the birth process the way you do.
  b. Help set the environment and communication in a way that will optimize a positive birth experience.
  c. Make the laboring woman as comfortable as possible with physical support, but leave the emotional support to her family and friends.
  d. All of the above
2. Fear is contagious:
  a. If the nurse has fears or doubts, so will the laboring mother.
  b. The laboring mother will not notice the nurse's fears.
  c. If the laboring mother has fears or doubts, the nurse will probably sense this.
  d. A & C
3. Talking openly with a laboring woman about what she wants from her birth experience:
  a. Will help establish trust, and therefore a better birthing experience.
  b. Will only plant new fears in the mind of the laboring woman.
  c. Will annoy the laboring woman because she already knows what she wants.

  d. None of the above.
4. Women who have educated themselves and are prepared for their labor:
  a. Usually don't have any questions about the process.
  b. Usually don't have any fears or uncertainty about the process.
  c. Usually do not want input from the nurse.
  d. Still need emotional and physical support throughout their labor and need to be kept informed.
5. A nurse who is aware of the emotional stages of a laboring woman is able to understand where she is and help guide her through her labor.
  a. True
  b. False
6. Usually, the best thing to do if a woman brings in a care plan is to:
  a. Glance at it, then put it in the back of her chart.
  b. Review it carefully and clarify unclear points and discuss areas you anticipate deviations from the plan.
  c. Tell her her labor probably will not go the way she wants it to.
  d. None of the above.
7. A doula can be very valuable to a laboring woman, and can help her reach her birth plan goals.
  a. True
  b. False
8. Once they reach the pushing stage:
  a. Many women need help "learning how" to push effectively.
  b. Most women should instinctively know how to push effectively.
  c. A woman may need to try different positions to push effectively.
  d. A & C
9. If you, as a nurse, become aware of possible problems during labor:
  a. You should discuss it with them and, if possible, give them time to adjust to the new information before they have to make decisions.
  b. You should keep the information from the woman and her support people, because they probably won't be able to handle it.
  c. You should tell them what you think they should do.
  d. A & C
10. A "birth ball" has many uses during labor.
  a. True
  b. False
11. For pain mangement:
  a. Water, in the form of showers, baths: warm compresses for the perineum and cool cloths for the forehead are not very soothing during labor.
  b. Family members can effectively help the laboring woman manage her pain.
  c. The only thing that really works to manage pain are drugs.
  d. A & C
12. Visualization, relaxation techniques, and breathing techniques can help a laboring woman "keep on top of" her contractions.
  a. True
  b. False