Question 1

During a preconception counseling meeting with the nurse,a couple asks what changes they will need to make to their lifestyle.The nurse's best response is:

Accepted Answer

Taking a multivitamin, especially one containing folic acid, is recommended for women planning to conceive to help prevent birth defects.

Question 2

The nurse is teaching a class to prenatal clients about the benefits of a doula.Which statement by a client demonstrates the need for further teaching?

Accepted Answer

Doulas do not perform medical tasks, such as delivering the baby. They provide emotional and physical support during labor and delivery. This client's statement indicates a misunderstanding of the role of a doula and requires further teaching.

Question 3

Parents planning on a vaginal birth after a cesarean birth (VBAC)should prepare:

Accepted Answer

It is important for parents to have a birth plan for both a vaginal delivery and a cesarean delivery in case unforeseen complications arise during labor. This will ensure that they are prepared for any situation that may arise.

Question 4

During a breastfeeding class,the nurse discusses ways to include the father in the breastfeeding process.The nurse knows further teaching is necessary when a prospective father states:

Accepted Answer

In order to support breastfeeding, it is important to avoid introducing a bottle in the early weeks of breastfeeding. This can cause nipple confusion and impact milk supply. It is recommended to wait until breastfeeding is well-established before introducing a bottle.

Question 5

The nurse is planning for an adolescent parenting class.Which topics would be priorities for the nurse to include in the adolescent class? Select all that apply.

Accepted Answer

Topics such as newborn care, health dangers for the baby, and how to be a good parent are essential for adolescent parents to ensure they are prepared for the responsibilities of parenthood and can provide a safe, nurturing environment for their child. These areas cover practical care skills, awareness of risks, and the broader aspects of parenting, which are crucial for new, young parents.

Question 6

An expectant couple desires to determine compatibility with a care provider.They ask the nurse for assistance.Which of the following questions should be addressed first?

Accepted Answer

The first question that should be addressed is the care provider's philosophy of birth. This will help the expectant couple determine if their beliefs and values align with those of the care provider. The other questions can be addressed later in the discussion.

Question 7

The nurse is assisting an expectant couple in developing a birth plan.Which of the following instructions would the nurse include in the teaching plan?

Accepted Answer

The birth plan is a communication tool between the client and the health care provider. It helps the couple to share their preferences, goals, and expectations with the provider, and allows the provider to provide personalized care while also ensuring safety and feasibility. The birth plan is not a legally binding contract, and it should reflect a collaborative effort between the client and the provider. It is intended to be flexible and can be modified as needed, based on the progress of labor and the health status of the mother and baby.

Question 8

Which content would be appropriate for a nurse to include in an early-pregnancy class?

Accepted Answer

Methods to cope with stress would be appropriate for a nurse to include in an early-pregnancy class. It is important for expectant mothers to learn how to manage stress during pregnancy to promote a healthy pregnancy and reduce the risk of complications. The other options, such as the father's role in breastfeeding, purchasing a car seat, and how to care for an episiotomy, may be more appropriate for a childbirth or parenting class.

Question 9

A primigravida is admitted to the labor unit with contractions every 7-8 minutes.She is 3 cm dilated,70% effaced,and 0 station.She is very anxious,is having difficulty coping with contractions,and states she did not attend prenatal classes.Which of the following would be the most effective nursing intervention?

Accepted Answer

Instructing the client in abdominal breathing and progressive relaxation can help manage anxiety and pain during contractions, especially since she did not attend prenatal classes.

Question 10

A nurse conducts a class on relaxation exercises.Which couple is demonstrating the appropriate technique for touch relaxation?

Accepted Answer

The correct technique for touch relaxation involves one partner touching the other in a way that helps the latter relax their muscles. In this scenario, the expectant mother relaxing her muscles in response to her partner's touch (A) is the appropriate demonstration of touch relaxation technique.

Question 11

While teaching a preconception class,the nurse includes which of the following recommendations to decrease the risk of neural tube defects?

Accepted Answer

The recommended daily intake of folate for women of reproductive age is 0.4-0.8 mg/day to decrease the risk of neural tube defects in the fetus. Vitamin C, calcium, and vitamin A do not have a direct impact on neural tube defects. In fact, high levels of vitamin A intake can actually increase the risk of birth defects.

Question 12

A couple would like their 5-year-old to attend the birth.Which statement by the nurse would assist in the plan of care for the 5-year-old?

Accepted Answer

Bringing someone who can solely tend to the specific needs of the child is important for the safety and well-being of both the child and the mother during the birth. It allows the parents to focus on the birth while ensuring that the child is taken care of. Option A is not supportive of the family's desire to have their child present. Option B is incorrect, as policies regarding children at births can vary and it is ultimately up to the parents and healthcare provider to decide. Option D may not be enough to keep the child occupied during the potentially intense and emotional process of giving birth.

Question 13

A client states that she is not interested in Lamaze classes because she is single and does not want to have natural childbirth.The nurse's best response would be:

Accepted Answer

The nurse's response should be informative and supportive rather than dismissive or forceful. Option B addresses the client's concerns about pain relief options and emphasizes that Lamaze classes can help with relaxation methods and decision making. It also acknowledges the client's autonomy in deciding what is best for her. Option A is incorrect as Lamaze does not promise painless childbirth. Option C is incorrect as it assumes the client's emotions and may come across as condescending. Option D is incorrect as Lamaze classes are not exclusively for couples and there are plenty of options for single parents or those attending without a partner.

Question 14

A couple discusses their childbirth-preparation options with the nurse.They want the father to be actively involved,and for the expectant mother to avoid medications during the birthing process.The nurse's best response is:

Accepted Answer

The Bradley method emphasizes active participation from the father as a coach and focuses on natural childbirth without the use of medications. This approach aligns with the couple's desires for the childbirth process.

Question 15

An expectant mother asks a nurse,"Why do I need to learn breathing patterns I can use during labor?" The nurse relates to the client that the primary reason for using controlled breathing patterns during labor is to:

Accepted Answer

Controlled breathing patterns can help to promote adequate oxygenation to both the mother and the baby during labor. It can also help the mother to relax, reduce anxiety, and manage pain.

Quiz 8: Preparation for Parenthood