Deck 14: Preparing a Family for Childbirth and Parenting

Question 1

The nurse is instructing a pregnant patient on tailor sitting. What is the purpose of this exercise in pregnancy?

A) Stretches perineal muscles
B) Decreases respiratory effort
C) Strengthens abdominal muscles
D) Improves the blood supply to the uterus

Answer 1

Stretches perineal muscles

Question 2

During prenatal classes, the nurse teaches pregnant patients how to perform pelvic rocking. What should the nurse explain to the class as being the purpose of this action?

A) Helps to relieve backache
B) Stretches perineal muscles
C) Enhances respiratory excursion
D) Improves abdominal muscle tone

Answer 2

Helps to relieve backache

Question 3

The nurse identifies the diagnosis of "Anxiety related to absence of significant other" as appropriate for a pregnant patient. For which assessment finding is this diagnosis appropriate?

A) Spouse works the night shift.
B) Mother is recovering from a total hip replacement.
C) Oldest daughter is preparing for a school dance recital.
D) Spouse is in the military and is stationed in the Middle East.

Answer 3

Spouse is in the military and is stationed in the Middle East.

Question 4

A pregnant patient tells the nurse about practicing different positions to use when labor begins. What should the nurse counsel the patient to avoid during these practice sessions?

A) Pushing
B) Bending over
C) Pointing the toes
D) Breathing normally

Question 5

A pregnant patient asks the nurse to explain the Lamaze philosophy of childbirth. What should the nurse include when responding to this patient's request? (Select all that apply.)

A) Labor should be induced.
B) Breathing patterns block pain sensations.
C) It is based on the gating control theory of pain relief.
D) Patients should be maintained on bed rest during labor.
E) Actions that are not medically necessary should be avoided.

Question 6

The nurse working in the maternity care area is planning actions to support the 2020 National Health Goals regarding the preparation of patients for childbirth. Which action should the nurse select to support these goals?

A) Attend pediatric advanced life support training.
B) Request to be scheduled to work in the labor suite.
C) Enroll in classes to become a childbirth instructor.
D) Become certified in infant cardiopulmonary resuscitation.

Question 7

Which action should the nurse include when teaching a pregnant patient effleurage?

A) Exhaling into a paper bag to prevent dizziness
B) Holding the breath and pushing with contractions
C) Lightly tracing a pattern on the abdomen with the fingertips
D) Massaging the uterine fundus at the peak of each contraction

Question 8

A patient who is newly pregnant and her spouse have decided to use the Bradley method of childbirth. Which outcome indicates that this couple is adhering to the principles of this birthing method?

A) The patient performs muscle-toning exercises.
B) The patient and spouse are ingesting a high-fat, low-carbohydrate diet.
C) The patient identifies that lying in bed will be the position to use during labor.
D) The spouse encourages the patient's mother to coach the patient during breathing exercises.

Question 9

A pregnant patient enrolls in an expectant parents class during the second trimester of pregnancy. Which material should the nurse prepare to reinforce after these classes conclude? (Select all that apply.)

A) Home safety
B) The birth process
C) Newborn nutrition
D) Types of birth settings
E) Infant immunization schedules

Question 10

A pregnant patient is planning to give birth to the baby at home. Which patient statement indicates to the nurse that this patient is a good candidate for this birthing option?

A) "All women in my family have had easy labors."
B) "I want to have a baby without boring prenatal care."
C) "I know nothing about birth so a hospital intimidates me."
D) "I have no health problems and follow good self-care practices."

Question 11

A pregnant patient wants to use an alternative birthing center for the birth of her baby. Which information should the nurse provide the patient regarding this birthing approach?

A) Birth is viewed as a wellness event.
B) There are no physicians in attendance.
C) Breastfeeding is not encouraged or supported.
D) A birthing center has no advantages over a home birth.

Question 12

A pregnant patient has chosen to give birth in a hospital that is designated as mother friendly. What information should the nurse teach the patient to expect when admitted for the birth of her baby? (Select all that apply.)

A) Application of continuous fetal monitoring prior to delivery
B) Routine policies for perineal shaving and admission enemas
C) Accurate information about procedures, drugs, and tests
D) Algorithm to determine when to artificially rupture the membranes
E) Support for making informed choices about what is best for the baby

Question 13

The nurse assessing a patient in active labor notes that the patient's respiratory rate is 36 breaths/min and shallow. From this information, what should the nurse determine as being the status of the patient's cervical dilation?

A) 0 to 1 cm
B) 2 to 3 cm
C) 4 to 6 cm
D) 7 to 10 cm

Question 14

The nurse reminds a patient in active labor to perform cleansing breaths. Why should the nurse encourage the patient to do this type of breathing?

A) Ensures fetal perfusion
B) Prevents hyperventilation
C) Promotes hypoventilation
D) Encourages cervical dilation

Question 15

The nurse is assisting a pregnant patient learn gating control mechanisms to control pain during labor. Which techniques will the nurse teach the patient? (Select all that apply.)

A) Distraction
B) Reducing anxiety
C) Receiving an epidural
D) Cutaneous stimulation
E) Use of patient-controlled analgesia