Question 1

As the United States and Canada continue to become more culturally diverse, it is increasingly important for the nursing staff to recognize a wide range of varying cultural beliefs and practices. Nurses need to develop respect for these culturally diverse practices and learn to incorporate these into a mutually agreed on plan of care. Although it is common practice in the United States for the father of the baby to be present at the birth, in many societies this is not the case. When implementing care, the nurse would anticipate that a woman from which country would have the father of the baby in attendance?

Accepted Answer

In Mexico, it is more common for the father to be present during childbirth compared to the other countries listed, where cultural norms may not typically include the father's presence during the birth.

Question 2

Women who have participated in childbirth education classes often bring a "birth plan" with them to the hospital. This document includes the couple's preference related to (choose all that apply):

Accepted Answer

A birth plan typically includes preferences regarding the presence of companions, clothing, care and handling of the newborn, medical interventions, and environmental modifications to create a comfortable birthing experience.

Question 3

For women who have a history of sexual abuse, a number of traumatic memories may be triggered during labor. The woman may fight the labor process and react with pain or anger. Alternately she may become a passive player and emotionally absent herself from the process. The nurse is in a unique position of being able to assist the woman to associate the sensations of labor with the process of childbirth and not the past abuse. The nurse can implement a number of care measures to help the woman view the childbirth experience in a positive manner. Which intervention would be key for the nurse to use while providing care?

Accepted Answer

Limiting the number of procedures that invade the woman's body is a key intervention to help her feel in control and safe during the labor process. This can help her to associate the sensations of labor with the process of childbirth and not with the past abuse. Telling the woman to relax and that it won't hurt much can be dismissive of her feelings and experiences. Reassuring the woman that the nurse knows best can be disempowering and further trigger feelings of loss of control. Allowing unlimited care providers may overwhelm the woman and increase her anxiety.

Question 4

A means of controlling the birth of the fetal head with a vertex presentation is:

Accepted Answer

The Ritgen maneuver involves applying pressure on the fetal head to control its descent and prevent rapid delivery. This technique is performed by applying pressure to the lower part of the head with one hand while supporting the perineum with the other hand. Fundal pressure and the use of the De Lee apparatus are not recommended methods for controlling the birth of the fetal head as they can increase the risk of fetal distress and injury. The lithotomy position may be used during delivery but is not a means of controlling the birth of the fetal head in a vertex presentation.

Quiz 12: Nursing Care of the Family During Labor and Birth

Women who have participated in childbirth education classes often bring a "birth plan" with them to the hospital. This document includes the couple's preference related to (choose all that apply) :

A means of controlling the birth of the fetal head with a vertex presentation is: