Lamaze Certification Exam Questions With 100% Pass

Lamaze Certification Exam Questions With 100% Pass Oxytocin/prostaglandin before birth - Answer- Help ripen the cervix before birth Endorphins - Answer- Make contractions more bearable Oxytocin/Prolactin - Answer- Help promote breastfeeding and bonding Hormones for baby - Answer- Baby's lungs and organs mature before birth Catecholamine ensure baby has enough oxygen during labor/blood supply to heart and brain Pregnancy: Week 6-Week 15 (first trimester) - Answer- - General structure of fetus is formed - Amniotic sac and umbilical chords formed Pregnancy: Week 15-27 (second trimester) - Answer- - Baby starts growing hair (lanugo) - Meconium is formed in intestines - Vernix covers the body - May start feeling movement or kicks - Braxton Hicks contractions start How are Braxton hicks different from labor contractions? - Answer- Braxton Hicks are not consistent and they don't change your cervix Pregnancy: Week 28-38 (Third trimester) - Answer- - Baby's lungs mature - Baby recognizes voices and sounds - Baby has periods of sleep and awake GBS - Answer- Group B Streptococcus Treatment to Manage Preterm Labor - Answer- - Monitor contractions - Less activity (mixed research on bed rest) - Treat it medically Placenta Previa - Answer- The placenta lies completely or partially over the cervix Three Types of Breech Presentation - Answer- Frank: The baby's butt is over cervix and legs are straight up towards face Complete: The baby is cross-legged over the cervix Footling: One or both of baby's feet are over the cervix How to turn a breech baby - Answer- - Breech Tilt Position or Childs Pose position (10 mins 3x a day) - Play sounds at your lower abdomen - Place an ice pack on fundus (top of uterus) - Chiro on sacrum (webster technique) - External version from hospital Diagnostic Test - Answer- Test that determines whether or not there is a complication. More invasive and expensive. Screening Test - Answer- Look at the probability of there being a complication Bishop Score - Answer- The readiness of your cervix to open Continuous Electronic Fetal Monitoring (EFM) - Answer- - Provides no benefit to babies - Increases the rate of c-sections - Need it if you have an epidural, used pitocin, or there are health problems - Ask staff to turn off sounds, face the monitor away from you, ask for telemtry monitor (no wires) Intravenous Fluids (IV) - Answer- - Decrease movement - ACOG, WHO, and Cochrane reccomend that woman drink orally rather than through fluids - Need it if you have complications, used pitocin/epidural, and antibiotics - Labor/drink at home, walk around with pole, ask for it to be placed in forearm, have tube disconnected between doses Movement Restrictions - Answer- - Reduces the effectiveness of contractions, increases pitocin use, prolongs labor - Move often, labor at home as long as possible - Need it if you're having preterm labor, hypertensions, epidural Artificial Rupture of Membranes - Answer- - Increase risk of infection - Increase risk for other interventions - Movement and hydration is all that is needed to get a slow labor moving - Be prepared for stronger contractions, avoid vaginal exams - Need if your labor is very difficult or slow to progress Directed Pushing - Answer- - Pushing without an urge, breath holding may reduce fetal oxygenation - WHO and American College of Nurse-Midwives recommend not directing women to hold their breath and push when there is an urge - Be patient, change positions, visualization