Maternal Chapt 14

The patient informs the nurse that she wants to breastfeed and has many concerns because of stories she has heard from others. What would be the best response by the nurse?

"I can sign you up for a breastfeeding class through the La Leche League."

The maternal health nurse is caring for a woman in early labor with 3 cm cervical dilation. Which statement will the nurse use when teaching the client consciously controlled breathing during contractions at this stage of labor?

"Take slow, deep, full breaths."

The nurse is educating the pregnant patient on exercises to strengthen pelvic and abdominal muscles in preparation for childbirth. The patient states, "I don't have time in my day to do any exercises." What is the best response by the nurse?

"These exercises don't require any specific equipment and can be incorporated into your daily activities."

A pregnant client informs the nurse that she often feels dizzy after doing floor exercises when rising. What does the nurse educate the client about the prevention of injury when exercising?

"This is called orthostatic hypotension. You should rise slowly when getting up from a supine position."

A pregnant patient informs the nurse, "I am not going to do those leg exercises anymore. Every time I do them, I get terrible leg cramps." How can the nurse educate the patient to continue her exercise program and alleviate leg cramps?

"When you are doing your leg exercises, you can prevent leg cramps by extending the heel and never pointing the toes."

The nurse is caring for a laboring woman who prefers to use the Leboyer method of childbirth. Which action will the nurse take to prepare the client's room?

Darken the birthing room

The nurse is educating a pregnant woman and her partner to trace a pattern on her abdomen with her fingertips as a distraction method during contractions. What type of distraction method is this considered?

Effleurage

The following are common nonpharmacologic methods of pain relief can the nurse offer the client in labor, except. *

Epidural anesthesia

At a routine prenatal visit, a client asks the nurse for information on the Bradley method of childbirth. Which of the following would the nurse identify as an active participant during childbirth using the Bradley method?

Father

The client in labor is being coached by her partner. During contractions the partner tells the client to close her eyes and imagine the waves on the beach reaching the shore. What type of distraction technique is the partner using?

Guided imagery

The maternal health nurse is caring for a pregnant woman who expresses a desire to have a water birth. When discussing this option with the client, which disadvantage will the nurse identify?

Inability to move freely

A nurse is teaching a pregnant client how to perform tailor sitting. She cautions the client to put one leg in front of the other and to not put one ankle on top of another to avoid which of the following potential complications?

Occluding blood supply to the lower legs

A client expresses a concern to the nurse about maintaining sexual responsiveness and preventing incontinence after giving birth. Which of the following exercises should the nurse most strongly recommend for these purposes?

Pelvic floor contractions

What might the nurse suggest for a woman who reports chronic back pain at the end of her pregnancy?

Pelvic rocking

A couple is attending childbirth education classes that follow the Bradley method. The father demonstrates an understanding of his role according to this method when he does which of the following?

Provides a continuous presence in labor

A nurse is explaining to a client the focus of a preparation for childbirth class. Which of the following should be the focus of this type of class?

Psychological and physiological changes that occur with childbirth

A pregnant woman asks about the advantages of a hospital birth. Which information would the nurse most likely include in the response?

Security of knowing emergency equipment is on hand.

also stretches the perineal muscles and can be a useful position for second-stage labor as well and, like tailor sitting, should be practiced for about 15 minutes a day. For pelvic muscles to stretch, a woman should keep her feet flat on the floor and not raise on her tiptoes. Incorporating this into daily activities such as picking up toys from the floor reduces the amount of time a woman must devote to daily exercises. *

Squatting

A pregnant client informs the nurse that she is used to exercising daily on the treadmill and usually feels exhausted when finished. What should the nurse advise the client about this form of exercise?

The client should never exercise to the point of exhaustion during pregnancy.

A pregnant woman asks you about the advantages of an alternative birthing center. You would explain to her that

birth is viewed as a wellness event.

A woman in labor arrives at the hospital. When she reaches the labor-and-delivery floor, she asks the nurse to place a special knife she has brought from home under the mattress of her bed. This is an example of which of the following?

cultural belief

giving birth without healthcare provider supervision woman learns pregnancy care from reading books or articles found on the Internet and then arranges to have her childbirth at home, perhaps accompanied by her family or friends *

freebirthing

A young patient tells the nurse that she wants to get pregnant and it would be her first pregnancy. In which type of classes should the nurse instruct this patient to enroll? *

preconception classes

A mother of 4-year-old twin girls is expecting and asks the nurse if she can take her daughters to any classes to help prepare them for the birth of her new child. Which should the nurse recommend to this patient?

sibling classes

Childbirth education is not just for primiparas because if a woman expecting her second or third child has waited several years between children, she usually appreciates refresher information as much as a primipara hungers for new information.

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