Nursing 330: Obstetrics Midterm Exam
Actual study Questions and
correct/verified Answers
Doula - ANSW-- Provides emotional support and comfort during labour and delivery
- Not a licensed professional
Midwife - ANSW-- Specialist in normal birth, can do deliveries in hospital or at client's home
Factors Affecting Perception of Pain - ANSW-- Knowledge and childbirth preparation
- Past experience
- Responses of others
- Physical/emotional state
- Sociocultural factors
- Effectiveness of pain management
Categories of Labour Support (Aim to promote relaxation) - ANSW-- Physical
- Emotional
- Informational
- Advocacy
- Partner/Coach Care
Pain - ANSW-A physical Sensation
Suffering - ANSW-An emotional reaction and comes with exhaustion, feeling unsupported, helpless, out
of control, panicked
Prenatal Classes - ANSW-- Grantly Dick-Read (time with other pregnant women)
- Lamaze (Help w Doulas)
- Bradley (Educate on diet/exercise)
The Three R's - ANSW-- Relaxation
- Rhythm
- Ritual
Penny Simkin Breathing - ANSW-- Slow paced
- Light breathing
Massage Techniques - ANSW-- Double Hip Squeeze
- Criss/Cross (Back Massage)
, - Breaking the Popsicle (Hand Massage)
Hydrotherapy - ANSW-- Shower or tub/whirlpool
- For active labour
- Reduces surgical birth rates
- Risk of hypo/hyperthermia
"Midwife's Epidural"
Best Position for First Stage of Labour - ANSW-Walking and upright
Goal of Pharmacologic Pain Relief - ANSW-- To provide maximum pain relief with minimum risk to
mother and fetus
- ALL systemic drugs used in labour for pain relief cross placental barrier by simple diffusion
Pain Relief: Systemic Analgesia - ANSW-Morphine
Fentanyl
Demerol
Pain Relief: Inhaled Analgesia - ANSW-Nitrous Oxide
PROS = Rapid effect, doesn't affect contractions, self-administration
CONS = Decreased effectiveness if used longterm, inadvertent general anesthesia. Watch for
confusion/dizziness
Pain Relief: Regional Analgesia/Anesthesia - ANSW-Epidural
PROS = Safe for mom/baby, increased sense of control, effective for all stages of labour
CONS = Hypotension, bladder dysfunction, nausea, reduced ability to push, shivering
Epidural - ANSW-Anesthetic and/or analgesic injected into epidural space
Provides little or no feeling to area from uterus downward
Types = One time, continuous infusion ("walking"), PCEA, combined with spinal
Epidural: Spinal Block - ANSW-- Local anesthetic injected directly into spinal canal
Immediate onset, longer duration
- May be administered higher for cesarean birth or lower for vaginal birth
Actual study Questions and
correct/verified Answers
Doula - ANSW-- Provides emotional support and comfort during labour and delivery
- Not a licensed professional
Midwife - ANSW-- Specialist in normal birth, can do deliveries in hospital or at client's home
Factors Affecting Perception of Pain - ANSW-- Knowledge and childbirth preparation
- Past experience
- Responses of others
- Physical/emotional state
- Sociocultural factors
- Effectiveness of pain management
Categories of Labour Support (Aim to promote relaxation) - ANSW-- Physical
- Emotional
- Informational
- Advocacy
- Partner/Coach Care
Pain - ANSW-A physical Sensation
Suffering - ANSW-An emotional reaction and comes with exhaustion, feeling unsupported, helpless, out
of control, panicked
Prenatal Classes - ANSW-- Grantly Dick-Read (time with other pregnant women)
- Lamaze (Help w Doulas)
- Bradley (Educate on diet/exercise)
The Three R's - ANSW-- Relaxation
- Rhythm
- Ritual
Penny Simkin Breathing - ANSW-- Slow paced
- Light breathing
Massage Techniques - ANSW-- Double Hip Squeeze
- Criss/Cross (Back Massage)
, - Breaking the Popsicle (Hand Massage)
Hydrotherapy - ANSW-- Shower or tub/whirlpool
- For active labour
- Reduces surgical birth rates
- Risk of hypo/hyperthermia
"Midwife's Epidural"
Best Position for First Stage of Labour - ANSW-Walking and upright
Goal of Pharmacologic Pain Relief - ANSW-- To provide maximum pain relief with minimum risk to
mother and fetus
- ALL systemic drugs used in labour for pain relief cross placental barrier by simple diffusion
Pain Relief: Systemic Analgesia - ANSW-Morphine
Fentanyl
Demerol
Pain Relief: Inhaled Analgesia - ANSW-Nitrous Oxide
PROS = Rapid effect, doesn't affect contractions, self-administration
CONS = Decreased effectiveness if used longterm, inadvertent general anesthesia. Watch for
confusion/dizziness
Pain Relief: Regional Analgesia/Anesthesia - ANSW-Epidural
PROS = Safe for mom/baby, increased sense of control, effective for all stages of labour
CONS = Hypotension, bladder dysfunction, nausea, reduced ability to push, shivering
Epidural - ANSW-Anesthetic and/or analgesic injected into epidural space
Provides little or no feeling to area from uterus downward
Types = One time, continuous infusion ("walking"), PCEA, combined with spinal
Epidural: Spinal Block - ANSW-- Local anesthetic injected directly into spinal canal
Immediate onset, longer duration
- May be administered higher for cesarean birth or lower for vaginal birth
