Chapter 11: Perinatal Education

Chapter 11: Perinatal Education

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The birth educator is discussing the advantages and disadvantages of birthing options. Which disadvantage is common with epidural anesthesia?

ANS:  D

Administration of oxytocic drugs and the use of forceps are more likely with epidural anesthesia. Epidural anesthesia can cause less effective pushing because the woman cannot feel the contractions. Catheterizing the patient is common because the woman does not have the urge to empty her bladder. Epidural anesthesia usually removes most pain but may increase the length of labor.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   186

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

2. What is covered by early pregnancy classes offered in the first and second trimesters?

ANS:  C

Early pregnancy classes focus on the first two trimesters and cover information on adapting to pregnancy, dealing with early discomforts, and understanding what to expect in the months ahead. Methods of pain relief are discussed in a childbirth preparation class. The phases and stages of labor are usually covered in a childbirth preparation class. Cesarean birth preparation classes discuss prebirth and postbirth of a client having a cesarean birth.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   185

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

3. Which client is most likely to experience pain during labor?

ANS:  C

Anxiety affects a woman’s perception of pain. Tension during labor causes tightening of abdominal muscles, impeding contractions and increasing pain by stimulation of nerve endings. A breech presentation does not mean that the woman will experience a painful labor. Lamaze breathing techniques use the mind to prevent pain; they involve concentration and conditioning to help the woman respond to contractions with relaxation to decrease pain. Childbirth preparation classes can help a woman prepare for the pain but will not prevent the woman from experiencing pain during labor.

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   188

OBJ:   Nursing Process Step: Evaluation     MSC:  Client Needs: Health Promotion and Maintenance

4. When reading a new client’s birth plan, the nurse notices that the client will be bringing a doula to the hospital during labor. What does the nurse think that this means?

ANS:  B

A doula is a trained labor support person who is employed by the mother to provide labor support. She gives physical support such as massage, helps with relaxation, and provides emotional support and advocacy throughout labor. A doula is usually not a relative of the woman. A doula is a trained labor support person.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   184

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

5. Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

ANS:  D

The Dick-Read method helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor. The Lamaze method involves concentration and conditioning to help the woman respond to contractions with relaxation to decrease pain. Viewing childbirth as a traumatic experience, the Leboyer method uses decreased light and noise to help the newborn adapt to extrauterine life more easily. The Bradley method teaches women to use abdominal muscles to increase relaxation and breath control; it emphasizes avoidance of all medications and interventions.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   188, 189

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance