1.
What laboring position increases the opening of the outlet, or lower portion, of the pelvis by 10%?
Correct Answer
D. Squatting
Explanation
Squatting is the laboring position that increases the opening of the outlet, or lower portion, of the pelvis by 10%. Squatting helps to widen the pelvic outlet, allowing more space for the baby to descend through the birth canal. This position utilizes gravity to aid in the downward progress of the baby, making it easier for the baby to navigate through the pelvis and facilitating a smoother delivery. Squatting also helps to open up the pelvic bones, providing more room for the baby to pass through.
2.
How many grams of lean, high quality protein does a pregnant woman need to eat every day in order to drastically increase the health of her pregnancy and baby?
Correct Answer
B. 80-100 grams a day
Explanation
During pregnancy, a woman's body needs more protein to support the growth and development of the fetus. Consuming 80-100 grams of lean, high-quality protein every day can provide the necessary amino acids for the baby's growth and help in the formation of vital organs, muscles, and tissues. Adequate protein intake also helps in maintaining a healthy pregnancy by preventing complications like preeclampsia and gestational diabetes. Therefore, consuming 80-100 grams of protein per day can significantly improve the health of both the pregnancy and the baby.
3.
Once your labor has begun, how do you know when it's time to go to the hospital?
Correct Answer(s)
B. When the contractions are 3 minutes apart, lasting at least 60 seconds long and they have been that way for 2 hours
C. When the contractions are 5 minutes apart, lasting at least 60 seconds long and they have been that way for 2 hours
Explanation
The correct answer is "When the contractions are 3 minutes apart, lasting at least 60 seconds long and they have been that way for 2 hours". This is because contractions that are consistently 3 minutes apart and lasting for at least 60 seconds indicate that labor has progressed and it is time to go to the hospital. The option stating contractions at 5 minutes apart and lasting for 2 hours is incorrect as it suggests a longer interval between contractions, which may indicate early labor rather than active labor.
4.
What is the one, common, labor and delivery procedure that can most greatly increase your chance of having a cesarean?
Correct Answer
D. Labor induction
Explanation
Labor induction is the correct answer because it is a common procedure that can greatly increase the chance of having a cesarean. Inducing labor involves stimulating contractions before they naturally begin, which can lead to a longer and more difficult labor. This can increase the likelihood of complications and the need for a cesarean delivery.
5.
What is the average length of gestation in pregnant women who's labors are allowed to start spontaneously?
Correct Answer
B. 41 1/7 weeks
Explanation
The average length of gestation in pregnant women whose labors are allowed to start spontaneously is 41 1/7 weeks. This means that, on average, these women give birth after approximately 41 weeks and 1 day of pregnancy.
6.
When done during labor, what activity can actually shorten the length of time a woman is in labor by 28%?
Correct Answer
C. Walking
Explanation
Walking during labor can actually shorten the length of time a woman is in labor by 28%. This is because walking helps to stimulate contractions and encourage the baby to move down into the birth canal. It also helps to open up the pelvis and promote optimal positioning of the baby, making labor progress more efficiently. Walking during labor also helps to distract the woman from the pain and discomfort, allowing her to stay active and engaged in the process. Overall, walking is a beneficial activity during labor that can help to shorten its duration.
7.
Which drug, routinely used during labor and delivery, has had a statement issued from the FDA stating that it has not been approved for use during labor and delivery?
Correct Answer
B. Cytotec
Explanation
Cytotec is the correct answer because it has had a statement issued from the FDA stating that it has not been approved for use during labor and delivery. This means that although it may be routinely used during labor and delivery, it is not recommended or approved by the FDA for this purpose.
8.
Which of the 4 things measured during a vaginal exam give an accurate indication of how long it will be before the baby is born?
Correct Answer
B. None of them
Explanation
None of the four things measured during a vaginal exam (effacement, station, presentation, dilation) give an accurate indication of how long it will be before the baby is born. These measurements can provide information about the progress of labor and the position of the baby, but they cannot predict the exact timing of birth. The length of labor can vary greatly from woman to woman and even from pregnancy to pregnancy. Therefore, these measurements should be considered as part of a comprehensive assessment rather than a definitive predictor of when the baby will be born.
9.
What is the one thing you can do that will most drastically reduce your chances of "needing" an episiotomy or tearing?
Correct Answer
D. Kegel exercises
Explanation
Kegel exercises can help strengthen the pelvic floor muscles, which can improve the overall tone and elasticity of the muscles in the perineal area. This increased muscle strength and flexibility can reduce the likelihood of needing an episiotomy or experiencing tearing during childbirth. By regularly practicing Kegel exercises, pregnant women can potentially decrease the strain on the perineum and minimize the risk of perineal trauma during delivery.
10.
Which common labor and delivery procedure, when introduced in 1970, caused the cesarean rate in the US to triple in 8 years time and continues to cause it's steady increase?
Correct Answer
B. Electronic Fetal Monitoring
Explanation
Electronic Fetal Monitoring is the correct answer because when it was introduced in 1970, it caused the cesarean rate in the US to triple in 8 years. This procedure involves continuously monitoring the baby's heart rate during labor, which can lead to increased medical interventions and ultimately increase the likelihood of a cesarean section.
11.
Cutting of the umbilical cord before it stops pulsing can rob the baby of how much of it's total blood supply?
Correct Answer
D. 1/3
Explanation
Cutting the umbilical cord before it stops pulsing can rob the baby of approximately 1/3 of its total blood supply. The umbilical cord carries oxygen and nutrients from the placenta to the baby, and cutting it too soon can deprive the baby of the remaining blood and nutrients it needs for a healthy start. Waiting until the cord stops pulsing allows for a complete transfer of blood from the placenta to the baby, ensuring that the baby receives all the necessary resources before the cord is cut.
12.
Back labor is caused when the baby is in which position?
Correct Answer
A. Head down, facing Mom's front
Explanation
Back labor is caused when the baby is in the head down position, facing Mom's front. This position puts pressure on the mother's lower back, causing intense pain during labor. The baby's head pressing against the mother's spine can result in discomfort and difficulty during contractions. It is important for healthcare providers to identify this position early on and provide appropriate support and pain management techniques to help the mother cope with back labor.
13.
Sore nipples from breastfeeding can be prevented by what?
Correct Answer(s)
B. Correct latching
C. Proper positioning
Explanation
Sore nipples from breastfeeding can be prevented by ensuring correct latching and proper positioning of the baby during breastfeeding. When the baby latches onto the breast correctly, it reduces the chances of nipple soreness and discomfort. Proper positioning also plays a crucial role in preventing sore nipples as it ensures that the baby's mouth covers a large portion of the areola, reducing the pressure on the nipples. Conditioning with a washcloth and using lanolin nipple cream may provide some relief, but they are not as effective in preventing sore nipples as correct latching and proper positioning.
14.
What is the average length of labor for a first time Mom?
Correct Answer
C. 15-17 hours
Explanation
The average length of labor for a first time Mom is typically between 15-17 hours. This duration takes into account the various stages of labor, including early labor, active labor, and the pushing stage. It is important to note that every woman's labor experience is unique and can vary in length. However, 15-17 hours is a commonly observed timeframe for first-time mothers.
15.
What is the most effective pushing position to use if the baby needs (for medical reasons) to be born as quickly and safely as possible?
Correct Answer
D. Squatting
Explanation
Squatting is considered the most effective pushing position for a quick and safe birth. This position helps to open up the pelvis and utilize gravity to assist in the downward movement of the baby. Squatting allows for maximum pelvic opening and reduces the pressure on the perineum, making it easier for the baby to descend through the birth canal. It also helps to minimize the risk of tearing and reduces the need for medical interventions such as forceps or vacuum extraction. Squatting position facilitates a more efficient and effective pushing phase, leading to a faster and safer delivery.
16.
Which newborn procedure should not be preformed for at least one or two hours after birth so as not to interfere with the sensitive bonding period of your new family?
Correct Answer
B. Eye Treatment
Explanation
Eye treatment should not be performed for at least one or two hours after birth so as not to interfere with the sensitive bonding period of the new family. During this time, it is important for the newborn and parents to establish a strong emotional connection. Performing eye treatment immediately after birth may disrupt this bonding process. Therefore, it is recommended to delay the eye treatment procedure to allow for uninterrupted bonding time.
17.
How many wet diapers a day should a healthy newborn, who is getting enough breastmilk, have?
Correct Answer
D. 6-8 a day
Explanation
A healthy newborn who is getting enough breastmilk should have 6-8 wet diapers a day. This is because breastmilk is easily digested and absorbed by the baby's body, resulting in frequent urination. Adequate wet diapers indicate that the baby is well-hydrated and receiving enough milk.
18.
What is the most important thing you can do immediately after the birth of your baby in order to expel the placenta and minimize any bleeding?
Correct Answer
A. Nurse your baby
Explanation
Nursing your baby immediately after birth stimulates the release of oxytocin, a hormone that helps the uterus contract and expel the placenta. This process, known as the "afterbirth," helps minimize bleeding by reducing the size of the blood vessels in the uterus. Additionally, nursing promotes bonding between the mother and baby, helps establish breastfeeding, and provides important nutrients and antibodies for the baby's health. Therefore, nursing your baby is the most important thing to do after birth to expel the placenta and minimize bleeding.
19.
What can you do during pregnancy in order to reduce the chance of having painful back labor?
Correct Answer(s)
B. Tailor Sitting
D. Pelvic Rocking
E. Correct Posture
Explanation
During pregnancy, practicing tailor sitting, pelvic rocking, and maintaining correct posture can help reduce the chance of experiencing painful back labor. Tailor sitting involves sitting on the floor with the soles of the feet touching and knees bent, which helps open up the pelvis and relieve pressure on the back. Pelvic rocking involves gently rocking the pelvis back and forth while on all fours, which can help alleviate back pain and promote optimal fetal positioning. Maintaining correct posture, such as sitting and standing up straight, can also help distribute weight evenly and reduce strain on the back. These practices can contribute to a more comfortable labor experience.
20.
The quantity of breast milk your body produces for your baby is determined by?
Correct Answer
B. How often your breasts are stimulated (by nursing or pumping)
Explanation
The quantity of breast milk a woman's body produces for her baby is determined by how often her breasts are stimulated, either through nursing or pumping. Breast milk production works on a supply and demand basis, meaning that the more often the breasts are stimulated, the more milk the body will produce. This is because the stimulation signals the body to produce more milk to meet the baby's needs. Therefore, the frequency of breastfeeding or pumping sessions plays a crucial role in determining the amount of breast milk produced. The other factors mentioned, such as the ability to make enough milk, the amount of liquid intake, and the baby's sleeping patterns, do not directly affect milk production.