Review Questions
1
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What is Lamaze International Childbirth Education based on?
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breathing techniques
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comprehensive evidence-based childbirth teachings
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empowerment of the nursing staff
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positions to promote breast-feeding
2
.
What does the nurse say about labor beginning to the laboring person who has studied Lamaze?
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“We should walk in the hallways to get your labor started.”
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“Let’s turn the lights down and get you into a comfortable position with your partner next to you.”
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“I bet you are ready for the Pitocin to get started to get your baby here.”
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“Early labor is the best time for you to come to the hospital.”
3
.
How would a patient who has taken Lamaze education respond when the health-care provider recommends breaking the bag of waters in early labor?
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“As long as it will speed up my labor, that is fine.”
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“I trust whatever intervention you think is right.”
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“What are the risks and benefits of breaking my water right now?”
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“Will I be able to get an epidural after you break my water?”
4
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What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
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“I’m going to start this medication because it is best for your baby.”
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“Can you agree with me because I am your health-care provider?”
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“I understand how the hospital works, and it will be easier for you to just do what is easy for the nurses.”
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“Do you feel ready to make a decision after we talked about this medication?”
5
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The nurse is attempting to explain physiologic birth. What do they say?
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“Physiologic birth involves interventions that do not harm the baby.”
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“Physiologic birth occurs only in birth centers.”
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“If your partner and I give you support, you can have a birth without medical intervention.”
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“If you want to have a cesarean birth, we can ask your health-care provider to schedule it.”
6
.
Why was the Bradley Method originally introduced?
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as a novel approach to pregnancy where low-intervention, medication-free births were the goal
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as an education program that supported use of twilight birth
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as a system of supporting families wanting community birth
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as a program of education that focused on the importance of using a doula instead of a partner as a birth support
7
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Nutrition is an integral part of the Bradley Method. What important nutrition advice is taught in this method?
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Only eat low-fat foods.
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Increase protein to 100 g per day.
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Do not eat dairy because it causes food allergies.
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Eat a low-protein diet.
8
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In what way is the Mongan Method of childbirth education beneficial to birthing people?
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It helps people push with great effort in second stage labor.
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Birthing people feel confident about the use of an epidural to relax the body.
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People are taught how to release fear to decrease pain.
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HypnoBirthing is proven to be 100 percent effective in relieving pain in labor.
9
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Who created the Mongan Method?
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physician
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midwife
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hypnotherapist
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organization
10
.
What is the theory that supports HypnoBirthing?
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the fear-tension-pain theory
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the theory that pain is productive in labor
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the idea that self-hypnosis always works if you try hard enough
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the theory that when hypnotized during labor, the environment does not matter because the person is not aware of the surroundings
11
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What technique is used for visualization and deepening in HypnoBirthing?
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counting contractions
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the “on-off” switch
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visualizing the instruments used to assist with birth
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deepening into hypnosis to help push harder
12
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What does HypnoBirthing teach about the emotional and physical changes in pregnancy?
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Fear of childbirth provides a healthy incentive to learn.
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Physical changes in pregnancy make relaxation harder.
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Physical and emotional changes are normal.
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Emotional changes cause anxiety that is difficult to let go of.
13
.
F. M. Alexander was an actor who developed a medical technique. What was the basis for this technique?
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Relaxing his throat helped his voice return to normal.
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Relaxing his back helped him overcome chronic back pain.
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Sitting upright allowed him to breathe better.
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Better posture controlled his movements.
14
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Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?
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Relaxation will prevent a cesarean section.
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Relaxation of the pelvic floor helps in pushing the fetus in the second stage.
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Relaxation of the abdomen ensures an unmedicated birth.
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Relaxation causes the contractions to decrease in strength.
15
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What can self-awareness with postural adjustments lead to?
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tension formation
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tension release
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suboptimal posture
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back pain
16
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What is one characteristic of the Alexander Technique the nurse can explain to a patient?
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taught only in person
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focused on unmedicated birth
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taught by a person who will assess the muscles and posture
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only useful for pregnancy but not birth
17
.
What is the purpose of a birth plan?
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dream about birth
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learn about birth options and determine personal preferences
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list all things not wanted for the birth
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ensure an unmedicated birth
18
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The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?
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where the patient will be staying after birth
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who will be watching their other children
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what position they want to birth in
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how they will time contractions