Question 1

The Apgar Scale is a method used to assess the health of newborns. A score of three would indicate:
A) the newborn's condition is good.
B) there may be some developmental difficulties.
C) an emergency, because the baby's survival is in doubt.
D) the evaluator has not made a proper reading.

Accepted Answer

A score of three on the Apgar Scale indicates a critical condition, suggesting that the newborn's survival is in doubt and immediate medical intervention is necessary.

Question 2

A delivery in which no drugs are given to relieve pain or assist in the birth process is called:
A) a cesarean delivery.
B) natural childbirth.
C) induced childbirth.
D) forced childbirth.

Accepted Answer

Natural childbirth refers to a delivery method where no drugs are used to relieve pain or assist in the birth process.

Question 3

Jessica is feeling empowered and supported in the ____ care program. She is looking forward to the approximately 50 home visits, guiding her through the prenatal period and in parenting until her child is two years of age.
A) Nurse Family Partnership
B) CenteringPregnancy
C) Maxx Family Life
D) Prenatal Care Assistance

Accepted Answer

The Nurse Family Partnership program involves home visits by nurses to support first-time mothers during pregnancy and until their child is two years old, aligning with the description given.

Question 4

The second stage of childbirth begins with the _____ and ends with the _____.
A) emergence of the child's head; delivery of the placenta
B) opening of the cervix; delivery of the child out of the mother
C) emergence of the child's head; delivery of the child out of the mother
D) opening of the cervix; delivery of the placenta

Accepted Answer

The second stage of childbirth begins with the emergence of the child's head as the mother begins pushing and ends with delivery of the child out of the mother's body. The delivery of the placenta occurs in the third stage of childbirth. Option A, delivery of the placenta, is incorrect as it occurs in the third stage, and option B, opening of the cervix, is incorrect as it marks the beginning of the first stage. Option D, delivery of the placenta, is incorrect as it is not the end of the second stage.

Question 5

Pilar is using nonmedical techniques for pain management during labor; she has someone insert fine needles into specific locations of her body. She is most likely using:
A) acupressure.
B) acupuncture.
C) aromatherapy.
D) allostasis.

Accepted Answer

The description given matches that of acupuncture, which involves inserting fine needles into specific locations on the body to manage pain. Acupressure involves using pressure instead of needles. Aromatherapy involves the use of scents to promote relaxation and pain relief. Allostasis refers to the body's ability to maintain stability through changing conditions.

Question 6

_____ is a popular form of childbirth in the United States that involves special breathing in the final stages and the help of a coach.
A) Cesarean delivery
B) Lamaze method
C) Induced childbirth
D) Waterbirth

Accepted Answer

The Lamaze method is a popular childbirth technique in the United States that emphasizes special breathing techniques and the support of a coach during labor.

Question 7

The rationale for waterbirth is:
A) it costs less than a hospital birth.
B) the baby has been in the amniotic sac, so the water will feel familiar.
C) it's best for a breech birth.
D) it reduces the mother's pain more than other options available today.

Accepted Answer

Waterbirth is thought to provide a familiar environment for the baby, as they have been in the amniotic sac, which is a fluid-filled environment.

Question 8

Naveen is entering the third stage of childbirth, also known as the _____ stage.
A) postpartum
B) umbilical procedure
C) afterbirth
D) detachment

Accepted Answer

The third stage of childbirth is the afterbirth stage when the placenta is delivered. Options A, B, and D do not accurately describe this stage.

Question 9

_____ position refers to the baby's position in the uterus that causes the buttocks to be the first part to emerge from the vagina.
A) Fetal
B) Breech
C) Asynclitic
D) Standard

Accepted Answer

Breech position refers to when the baby is positioned bottom-down in the uterus, with the buttocks being the first part to emerge from the vagina during delivery. This is in contrast to the standard head-first position. The fetal position refers to the curled-up posture of the baby in the uterus, while asynclitic position refers to a tilted or slanted position of the baby's head in relation to the mother's pelvis.

Question 10

What is the rationale for the practice of waterbirth?
A) Water pressure reduces the strain of contractions.
B) It creates an environment similar to that inside the amniotic sac.
C) Getting into water speeds up the labor process.
D) Water makes the contractions more intense.

Accepted Answer

Waterbirth creates an environment similar to that inside the amniotic sac, providing a sense of comfort and relaxation for the mother and reducing stress and tension. The buoyancy also reduces the pressure on the mother's body, making it easier to move around and find a comfortable position. Additionally, immersion in warm water can help to reduce anxiety and pain, allowing for a more positive birth experience.

Question 11

Leslie is worried and distressed because her doctor told her that her birth would be difficult because her baby was in position to come out buttocks first. Her doctor recommends she:
A) use massage therapy.
B) use music therapy.
C) use acupuncture.
D) have a cesarean section delivery.

Accepted Answer

A cesarean section delivery is often recommended for breech births, where the baby is positioned to come out buttocks first, to reduce risks during delivery.

Question 12

Jerrold and his wife are considering medication options for the birth of their daughter. They decide on a method used to numb a woman's body from the waist down during the birthing process. They have chosen to use:
A) an antibiotic.
B) an epidural block.
C) pitocin.
D) alcohol.

Accepted Answer

An epidural block is a method used to numb a woman's body from the waist down during the birthing process.

Question 13

After a long evening of natural childbirth, and seeing her son for the first time, Dalia is relieved to be in_____, the shortest of the three birth stages.
A) involution
B) afterbirth
C) implantation
D) waterbirth

Accepted Answer

The afterbirth is the third and shortest stage of childbirth, where the placenta and other membranes are expelled from the uterus.

Question 14

Which of the following is TRUE of the stages of childbirth?
A) The first stage terminates when the baby completely emerges from the mother's body.
B) Uterine contractions start in the final stage of the birth process.
C) The first stage is the longest of the three birth stages.
D) The first stage of birth is longer for a woman who is having her second or third child.

Accepted Answer

The first stage of childbirth, which involves the onset of labor and dilation of the cervix, is typically the longest stage.

Question 15

Karen is preparing to give birth to her child and has requested that no drugs be administered to help relieve pain or assist in the birth. Karen wants:
A) a cesarean delivery.
B) natural childbirth.
C) induced childbirth.
D) forced childbirth.

Accepted Answer

Karen wants a natural childbirth, which means she wants to give birth without the use of drugs or other interventions.

Question 16

A _____ is a caregiver who provides continuous physical, emotional, and educational support for the mother before, during, and after childbirth.
A) doula
B) midwife
C) physician
D) paramedic

Accepted Answer

A doula is a trained professional who provides continuous physical, emotional, and educational support to a mother before, during, and after childbirth.

Question 17

Which of the following is a threat to the infant caused by the breech position?
A) Bone malformation
B) Down syndrome
C) Respiratory problems
D) Spina bifida

Accepted Answer

The breech position occurs when the infant's buttocks or feet present first instead of the head during delivery. This can lead to difficulty in delivering the baby and can cause compression of the umbilical cord, which can result in decreased oxygen to the baby and potential respiratory problems. Bone malformations, Down syndrome, and spina bifida are not directly related to the breech position.

Question 18

The CenteringPregnancy program:
A) uses the newest prenatal diagnostic tests to assess the developing fetus.
B) uses group settings and longer sessions to help prepare women for positive pregnancy experiences.
C) is not endorsed by physicians and midwives.
D) has increased the number of preterm births and extremely preterm births among its participants.

Accepted Answer

The CenteringPregnancy program is designed to provide prenatal care in a group setting, allowing for longer sessions that focus on education and support, helping women prepare for positive pregnancy experiences.

Question 19

In the United States, approximately how many infants are delivered by midwives?
A) Less than 10%
B) 30%
C) 50%
D) 75%

Accepted Answer

In the United States, less than 10% of infants are delivered by midwives. Midwifery is more common in other countries, but in the U.S., the majority of births are attended by obstetricians.

Question 20

_____ replaces traditional 15-minute physician visits with 90-minute peer group support settings and self-examination led by a physician or certified nurse-midwife.
A) CenteringPregnancy
B) The use of doulas
C) The use of professional midwives
D) Nurse Family Partnership

Accepted Answer

CenteringPregnancy is a model of group prenatal care that replaces traditional physician visits with longer sessions where expectant mothers receive support from their peers as well as medical guidance from a physician or certified nurse-midwife. This approach has been shown to improve outcomes for both mothers and babies.

Quiz 2: Biological Beginnings

The Apgar Scale is a method used to assess the health of newborns. A score of three would indicate:

A delivery in which no drugs are given to relieve pain or assist in the birth process is called:

Jessica is feeling empowered and supported in the ____ care program. She is looking forward to the approximately 50 home visits, guiding her through the prenatal period and in parenting until her child is two years of age.

The second stage of childbirth begins with the _ and ends with the _.

Pilar is using nonmedical techniques for pain management during labor; she has someone insert fine needles into specific locations of her body. She is most likely using:

_____ is a popular form of childbirth in the United States that involves special breathing in the final stages and the help of a coach.

The rationale for waterbirth is:

Naveen is entering the third stage of childbirth, also known as the _____ stage.

_____ position refers to the baby's position in the uterus that causes the buttocks to be the first part to emerge from the vagina.

What is the rationale for the practice of waterbirth?

Leslie is worried and distressed because her doctor told her that her birth would be difficult because her baby was in position to come out buttocks first. Her doctor recommends she:

Jerrold and his wife are considering medication options for the birth of their daughter. They decide on a method used to numb a woman's body from the waist down during the birthing process. They have chosen to use:

After a long evening of natural childbirth, and seeing her son for the first time, Dalia is relieved to be in_____, the shortest of the three birth stages.

Which of the following is TRUE of the stages of childbirth?

Karen is preparing to give birth to her child and has requested that no drugs be administered to help relieve pain or assist in the birth. Karen wants:

A _____ is a caregiver who provides continuous physical, emotional, and educational support for the mother before, during, and after childbirth.

Which of the following is a threat to the infant caused by the breech position?

The CenteringPregnancy program:

In the United States, approximately how many infants are delivered by midwives?

_____ replaces traditional 15-minute physician visits with 90-minute peer group support settings and self-examination led by a physician or certified nurse-midwife.