Module 03: Preparing a Family for Childbirth and Parenting

Question 1

This is defined as the period that extends from the beginning of contractions that cause cervical dilation to the first 1 to 4 or 6 hours delivery of the newborn and placenta.

Answer 1

Intrapartum

Question 2

This pertains to the medical and nursing care given to a pregnant woman during labor and delivery.

Answer 2

Intrapartal Care

Question 3

What are the responsibilities of a nurse in childbirth education?

Answer 3

(A) Assessing whether a couple needs preparation for childbirth and parenting classes.
(B) Providing information on why there is pain during labor and giving significant education to have a personalized and structured plan for birthing.
(C) To help the family bond with its new member.
(D) To help a couple become effective parents (classes should be personalized and structured).

Question 4

How many patients experiencing vaginal birth after cesarean (VBAC) or those with scheduled cesarean birth express fear or anxiety about what happens in labor?

Answer 4

75% (Counseling can be very important to alleviate this fear)

Question 5

This is known to allow couples to sort out their questions and feelings about what they want to consider in their plan as they share information with others.

Answer 5

Childbirth Plan

Question 6

What does a birth plan include?

Answer 6

(A) Choice of setting
(B) Birth attendant
(C) Special needs such as the extent of family participation
(D) Birthing positions
(E) Medication options
(F) Plans for the immediate postpartum period
(G) Baby care
(H) Family Visitation

Question 7

When should a birth plan be made?

Answer 7

Nurses should urge couples to make this at least 1 month before the expected date of birth (If an expectant couple has a strong desire in a certain area, this gives them time to communicate their wish so it can be accommodated if possible)

Question 8

These are specific visits for people who plan to get pregnant within a short time and want to know more about what they can expect pregnancy to be like and what birth setting and procedure choices exist.

Answer 8

Preconception Visits

Question 9

What do preconception visits include?

Answer 9

(A) Recommended preconception nutrition modifications such as good intake of folic acid and protein
(B) Prenatal vitamins during the time of waiting to ensure a healthy fetus

Question 10

These are designed for couples to attend early in pregnancy. They focus on birthing patient’s health during a pregnancy by covering such topics like psychological and physical changes of pregnancy, pregnancy nutrition, routine healthcare such as dental checkups and newborn care.

Answer 10

Expectant Parenting Classes

Question 11

How long does Expectant Parenting Classes run for?

Answer 11

8 weeks

Question 12

What do expectant parenting classes include?

Answer 12

(A) Breastfeeding classes
(B) Preparation for childbirth classes

Question 13

During expectant parenting classes, these people may not need a tour of the maternity unit as part of the program.

Answer 13

Clients who have multiple children.

Question 14

During expectant parenting classes, these people may need to know about the brown bag nutrition and how to include rest periods during work hours.

Answer 14

Clients who work at least a part time.

Question 15

During expectant parenting classes, these people may be most interested in what is going to happen to their bodies during pregnancy or what sports are safe to continue.

Answer 15

Clients who are teenagers

Question 16

These classes are designed to help birthing patients learn more about breastfeeding. These classes cover the physiology of breastfeeding as well as their psychological aspects.

Answer 16

Breastfeeding classes

Question 17

How long is breastfeeding encouraged among mothers?

Answer 17

Patients are generally encouraged to breastfeed and to continue for as long as 6 months following their child’s birth.

Question 18

Breastfeeding classes are often taught by?

Answer 18

These are often taught by certified lactation specialist who is an expert on what problems people who want o breastfeed are apt to encounter.

Question 19

These are focus mainly on explaining the psychological and physiologic changes that occur with childbirth and ways to prevent or reduce the pain of childbirth.

Answer 19

Preparation for childbirth classes

Question 20

What are the common areas taught include under preparation for childbirth classes?

Answer 20

(A) Preparing the expectant family for the childbirth experience.
(B) Helping birthing patients become more informed about the options available for childbirth.
(C) Explaining the roles of both pharmacologic and non pharmacologic methods of pain control that are useful for labor.
(D) Helping increase the couple’s overall enjoyment of and satisfaction with childbirth experience.

Question 21

What are the different exercises during labor?

Answer 21

(A) Prenatal Yoga
(B) Perineal and Abdominal Exercises
(C) Tailor Sitting
(D) Squatting
(E) Pelvic Floor Contractions (Kegel Exercises)
(F) Abdominal Muscle Contractions
(G) Pelvic Rocking
(H) Birthing Aids

Question 22

This exercise during pregnancy helps a woman relax, manage stress, stay fit through gentle stretching and deep breathing, and improve self-esteem as she masters challenging positions.

Answer 22

Prenatal Yoga

Question 23

How can yoga breathing techniques be helpful during labor?

Answer 23

Yoga breathing techniques assist with relaxation and pain management during labor.

Question 24

What should women be cautious of when doing yoga as pregnancy progresses?

Answer 24

As pregnancy progresses, balancing becomes difficult. Women should use a chair or wall for stabilization and avoid twisting exercises, as joints soften in preparation for labor, increasing the risk of muscle or joint strain.

Question 25

These exercises during delivery help strengthen pelvic and abdominal muscles, making them more supple for labor. Supple perineal muscles reduce discomfort during birth and help prevent urinary incontinence after childbirth.

Answer 25

Perineal and abdominal exercises

Question 26

What happens when perineal muscles are supple?

Answer 26

They reduce discomfort during birth and help prevent urinary incontinence after childbirth.

Question 27

When can a woman start perineal and abdominal exercises?

Answer 27

A woman can begin perineal and abdominal exercises as early in pregnancy as she likes.

Question 28

A woman can begin perineal and abdominal exercises as early in pregnancy as she likes.

Answer 28

Women should start by doing each exercise a few times and gradually increase the number with each session (participation may be sporadic).

Question 29

In this exercise during pregnancy, the woman should place one leg in front of the other, not one ankle on top of the other, to avoid interfering with leg circulation. She should then gently push her knees toward the floor to stretch her perineum.

Answer 29

Tailor sitting

Question 30

How can tailor sitting benefit a pregnant woman’s perineum?

Answer 30

By practicing tailor sitting for at least 15 minutes every day, a woman’s perineum will become supple, and by the end of pregnancy, her knees may almost touch the floor when pushed.

Question 31

What daily activities can incorporate tailor sitting?

Answer 31

Tailor sitting can be used while

(A) Watching television,
(B) Reading,
(C) Talking on the phone, or
(D) Filing papers in a lower cabinet.