Exam 3: Labor Birth

A laboring mother is having contractions about every five minutes apart, and they last for about 50 seconds each. They are painful at the peak. In between contractions, she can relax her muscles, but she wants to focus only on labor: she doesn't want any distractions. What can a doula do to support this mother?

A client is in the second stage of labor and has been pushing for almost an hour. Which of the following suggestions from the doula is the most appropriate for the client at this stage?

All of the following describe transition EXCEPT:

A few weeks before labor, the client may experience subtle signs that indicate the onset of labor, including lightening. The doula teaches the client to recognize the signs of lightening. Which of the following is NOT a sign of lightening?

As a doula, you are supporting a mother who has been having mild contractions all evening. They are getting a little stronger. When would you suggest she begin timing contractions?

The BEST description of the emotional changes in the second stage is:

Which of the following pelvic changes during pregnancy makes it more likely a woman's labor will proceed smoothly?

Which of the following factors contribute(s) to a successful labor? I. The client's pelvis is of adequate size and contour. II. The fetus is in an advantageous position and presentation and is of appropriate size. III. The uterine contractions are adequate. IV. The client has a strong sense of self-esteem.

A doula is supporting a mother who is complaining of excruciating pain in the lower back with each contraction as well as in between contractions. What is the best way to describe the double hip squeeze as a means for alleviating back pain?

The difference between anterior position and posterior position is BEST described as:

All of the following are true about endorphins EXCEPT:

Which of the following is a NOT true about continuous electronic fetal monitoring (EFM)?

A doula has been supporting her client through early labor at home. Now that contractions have increased in intensity, they have just arrived at the birth location. The mother's contractions have slowed. The doula's BEST response is:

A doula is supporting a client who was admitted to the labor and delivery unit about five hours ago. The healthcare provider has noted a cervical dilatation of 5 cm. The contractions are occurring every five minutes and usually lasting between 50 and 55 seconds. The client is in which phase of labor?

Second stage is going very quickly, and a woman's care provider has suggested she slow it down a little to give her perineum time to stretch. Which of the following is NOT a technique the doula might try to help this mother?

All of the following can be used to determine fetal positioning EXCEPT:

Prior to labor, your client said she did not want to use pain medication. During labor, she hits a point where she is overwhelmed and doesn't feel like she's coping well with the pain. She says she is afraid the pain will only get worse. As her doula, which of the following is NOT an option you try at this point?

Effacement as it applies to labor can BEST be defined as:

A primiparous client at 38 weeks' gestation is admitted to the labor and delivery room after showing signs of true labor. The client asks how long she should expect to be in labor before she gives birth to her baby. The doula informs the client that, on the average, the length of labor for primiparous clients is:

All of the following are medical indications for Caesarean birth EXCEPT: