Question 1

The state of mental focus on the baby that begins in late pregnancy and continues for the first few weeks postpartum is called:

Accepted Answer

A) Mothering the mother 
B) Role attainment theory 
C) Primary maternal preoccupation 
D) Attachment theory

Question 2

What does the term "doula" mean and where did it originate?

Accepted Answer

A) Doula means "labor support profession" in modern Portuguese 
B) Doula means "a woman who serves" in ancient Greek 
C) Doula means "supporter" in modern Greek 
D) Doula means "natural birth" in Spanish

Question 3

While all doulas hope to only help couples through happy births, occasionally unexpected outcomes cause grief reactions in the couples doulas support, as well as in the doula herself. Which of the following is NOT a way to help with grieving?

Accepted Answer

A) Leave the woman or couple alone after their loss so you don't serve as a reminder. 
B) Continue to support the couple through their grieving by answering questions. 
C) Let the couple know a wide variety of reactions are appropriate. 
D) The doula should seek support herself through colleagues or trained grief counselors.

Question 4

Relaxation can reduce the perception of pain, as well as increase the pain threshold. Active relaxation techniques can effectively reverse negative trends in which of the following pain management models?

Accepted Answer

A) Dissociation 
B) Fear-tension-pain cycle 
C) Hawthorne effect 
D) Cognitive control

Question 5

A pregnant client asks the doula about non-pharmacologic methods for managing labor pains. The doula informs her about a method that is based on the idea that childbirth is a natural and joyful process. This method stresses the importance of having the husband's support during the pregnancy, labor, and early postpartum period. It also encourages walking during labor. The doula is describing which method to the client?

Accepted Answer

A) Lamaze method 
B) Bradley method 
C) Psychosexual method 
D) Dick-Read method

Question 6

Which of the following BEST describes the emotional stages of pregnancy?

Accepted Answer

A) Incorporation, differentiation, attachment, separation 
B) Denial, anger, guilt, sadness, acceptance, resolution 
C) First stage, second stage, third stage 
D) Early, active, transition

Question 7

In order to help mothers have the births they want, it is necessary for the doula to enlist the support and trust of the entire healthcare team. Ways to do this include all of the following EXCEPT:

Accepted Answer

A) Keep all your thoughts about the staff to yourself, and only share them with your colleagues. 
B) Help the staff understand their importance in the mother's memory of this birth. 
C) Recognize you are all part of the same team helping the mother achieve the birth she wants. 
D) Help the staff see the benefits of natural birth, and the challenge and excitement of working with these mothers.

Question 8

Which of the following is a past experience that might impact a woman's ability to birth confidently?

Accepted Answer

A) Level of education 
B) A history of infertility and miscarriage 
C) Growing up in a rural area 
D) Having no significant health challenges

Question 9

Which of the following is NOT a frustration doulas have to contend with?

Accepted Answer

A) Always being "on-call" 
B) Adversarial relationships with maternity center staff 
C) Parents who act as their own advocates 
D) Clients who place blame rather than taking responsibility

Question 10

Paced or patterned breathing can have all of the following effects EXCEPT:

Accepted Answer

A) Decreased pain 
B) Energy conservation 
C) Hyperventilation 
D) Improved oxygenation to all muscles, including the uterus

Question 11

This theory of pain management supposes that pain messages to the brain travel on pathways that can be interrupted, or "gated-off," by other signals to the brain, such as touch, pressure, etc.

Accepted Answer

A) Comfort theory 
B) The Bradley method 
C) Gate control theory 
D) Fear-tension-pain cycle

Question 12

Research shows that doula care during labor and birth can:

Accepted Answer

A) Improve maternal satisfaction with the birth process 
B) Decrease the risk of Caesarean birth 
C) Increase the partner's feelings of inadequacy 
D) Only A&B

Question 13

Encouraging couples to examine their own philosophy of birth early before they write their birth plan can help with decision-making. Which of the following BEST describes a philosophy of birth:

Accepted Answer

A) It is a new-age way of thinking about the world, especially childbirth. 
B) It provides a framework for understanding birth options and making personal choices. 
C) It discounts personal values and helps couples focus on information only to inform their actions. 
D) It leads to acquiring skills that will only be used during birth.

Question 14

A doula is helping a 13-year-old client at 12 weeks' gestation consider her nutritional status. When working with an adolescent client, which of the following interventions is the most effective?

Accepted Answer

A) Encourage the client to consume least 2,000 calories per day from food intake. 
B) Allow the client to reject traditional foods, and respect her decisions. 
C) Advise the client to prepare nutritious snacks for the next day before going to bed. 
D) Work exclusively with the client, not with her family members or guardians, during dietary planning.

Question 15

The mother, and the doula, can use positive affirmations to form an optimistic attitude during birth. Which of the following is NOT a positive affirmation that would helpful in labor?

Accepted Answer

A) I must try harder to relax. 
B) I trust my body to give birth. 
C) I am strong and capable. 
D) Each contraction is my body hugging my baby.

Question 16

Which of the following BEST describes evidence-based maternity care?

Accepted Answer

A) Any research can be used to support any viewpoint on maternity care. 
B) Current research evidence supports the practice as beneficial to the mother and/or baby. 
C) Conducting research about birth 
D) Only a select group of statistics should be used to inform maternity care.

Question 17

Partners experience childbirth in ways different than mothers, because it is not an embodied experience for them. Which of the following is NOT true of the partner's role in birth?

Accepted Answer

A) Partners are displaced by doulas 
B) Partners may be too close emotionally to provide objective judgment. 
C) Partners can provide more intimate support when the couple is assisted by a doula. 
D) Partners may feel decreased self-esteem and guilt if they are not able to help the laboring woman have the birth she imagined.

Question 18

Which of the following is the most important aspect of the doula - client relationship?

Accepted Answer

A) Power dynamics 
B) Trust 
C) Locus of control 
D) Gratitude

Question 19

With the ease of medicated birth and modern technological interventions, natural birth may seem like a lesser alternative. Which of the following is NOT an advantage of natural birth?

Accepted Answer

A) All interventions are without risk, making a medicated birth and natural birth equal as far as risk. 
B) A woman who gives birth naturally maintains her locus of control. 
C) Natural birth encourages a woman to trust her body, improving her body image and self esteem for the rest of her life. 
D) A woman who learns to advocate for herself in birth will be better able to advocate for her family.

Question 20

Research has shown that a woman's satisfaction with birth has less to do with __________ and more to do with _____________.

Accepted Answer

A) Nurses/the doctor 
B) Pain/active participation 
C) Participation/pain 
D) Support/medication

Exam 6: Psychology Philosophy