NM704 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
What are the three things that impact the outcomes of home births?
-qualifications of birth attendants
-integration into maternity system for safe transfers
-appropriate criteria to determine eligibility
What is the main risk of hospital births?
-increased interventions
Why is integration of out of hospital births into the maternity care system so
important?
-maximizes safety
-helps ensure safe and effective transfers
-opportunity for low-risk women to explore physiologic birth with no increase in
interventions or poor outcomes
-ensures a high quality system for collaboration and transfer when necessary
What is the pain relief paradigm?
-the need to offer anything to take pain away
-utilizing the advantage of modern advances
-labor "should be" pain free
What is the working with pain paradigm by Leap?
,-understanding normal pain is a part of the labor process
-enabling women to take advantage of the body's natural pain relieving chemicals
-coping as pain gradually increases in intensity
What is comfort?
-having needs or desires met in body, mind, and spirit
-feeling at ease, secure, relieved, hopeful, and expectations met
How can comfort exist with the presence of pain in labor and birth?
-comfort can help women transcend their pain
-comfort can be the dominant perception that makes the pain feel diminished and
tolerable
How can we provide support to women during labor and birth to help facilitate
physiologic pain relief?
-decrease their anxiety by providing support, ongoing communication, and maintaining
privacy
-providing a calm environment and promoting relaxation techniques
What are some possible purposes for pain during labor by Leap?
-helps the woman find safety
-marks the occasion
-summons support
-triggers neuro-hormonal cascade
-clues to progress
-feeling of triumph over pain
-heightens joy when the baby is born
, What is the coping with pain algorithm?
-alternative pain assessment tool
-allows normal labor pain but eliminates suffering
-managed state of acceptance and anticipation
-monitors verbal and non-verbal signs of coping or not coping
If the woman is found to not be coping during labor what are the three aspects
that should be addressed to help facilitate coping?
-physiological pain relief (pharmacological or non pharmacological interventions)
-physical (changes to the environment such as lighting, music, aromatherapy, etc.)
-emotional/psychosocial (fear, stressors, support person dynamics, etc)
What are the important take-aways from the "over-treatment of normal childbirth"
by Albers?
-extra interventions did not change the outcomes and aren't necessary--not fiscally or
medically defensible
-unnecessary interventions increases healthcare costs, increases risks of complications,
and decreases chance of spontaneous births
-no evidence supports the routine use of EFM, epidurals, oxytocin, or episiotomies in
low-risk women
-we need to DECREASE over-treatment of labor and INCREASE labor support by
facilitating physiologic birth*
How do common obstetric procedures disrupt the cascade of hormones secreted
by the body naturally during labor and birth?
SOLUTIONS VERIFIED LATEST UPDATE
What are the three things that impact the outcomes of home births?
-qualifications of birth attendants
-integration into maternity system for safe transfers
-appropriate criteria to determine eligibility
What is the main risk of hospital births?
-increased interventions
Why is integration of out of hospital births into the maternity care system so
important?
-maximizes safety
-helps ensure safe and effective transfers
-opportunity for low-risk women to explore physiologic birth with no increase in
interventions or poor outcomes
-ensures a high quality system for collaboration and transfer when necessary
What is the pain relief paradigm?
-the need to offer anything to take pain away
-utilizing the advantage of modern advances
-labor "should be" pain free
What is the working with pain paradigm by Leap?
,-understanding normal pain is a part of the labor process
-enabling women to take advantage of the body's natural pain relieving chemicals
-coping as pain gradually increases in intensity
What is comfort?
-having needs or desires met in body, mind, and spirit
-feeling at ease, secure, relieved, hopeful, and expectations met
How can comfort exist with the presence of pain in labor and birth?
-comfort can help women transcend their pain
-comfort can be the dominant perception that makes the pain feel diminished and
tolerable
How can we provide support to women during labor and birth to help facilitate
physiologic pain relief?
-decrease their anxiety by providing support, ongoing communication, and maintaining
privacy
-providing a calm environment and promoting relaxation techniques
What are some possible purposes for pain during labor by Leap?
-helps the woman find safety
-marks the occasion
-summons support
-triggers neuro-hormonal cascade
-clues to progress
-feeling of triumph over pain
-heightens joy when the baby is born
, What is the coping with pain algorithm?
-alternative pain assessment tool
-allows normal labor pain but eliminates suffering
-managed state of acceptance and anticipation
-monitors verbal and non-verbal signs of coping or not coping
If the woman is found to not be coping during labor what are the three aspects
that should be addressed to help facilitate coping?
-physiological pain relief (pharmacological or non pharmacological interventions)
-physical (changes to the environment such as lighting, music, aromatherapy, etc.)
-emotional/psychosocial (fear, stressors, support person dynamics, etc)
What are the important take-aways from the "over-treatment of normal childbirth"
by Albers?
-extra interventions did not change the outcomes and aren't necessary--not fiscally or
medically defensible
-unnecessary interventions increases healthcare costs, increases risks of complications,
and decreases chance of spontaneous births
-no evidence supports the routine use of EFM, epidurals, oxytocin, or episiotomies in
low-risk women
-we need to DECREASE over-treatment of labor and INCREASE labor support by
facilitating physiologic birth*
How do common obstetric procedures disrupt the cascade of hormones secreted
by the body naturally during labor and birth?
